物理治疗师的干预措施,以减少脑性头痛患者的头痛强度,频率和持续时间:系统性审查和网络元分析
Andres Jung1,2, Gabriela F Carvalho3, Tibor M Szikszay1
1Department of Physiotherapy, Pain and Exercise Research Luebeck (P.E.R.L), Institute of Health Sciences, Universität zu Lübeck, Luebeck, Germany.
Physical therapy
|November 9, 2023
概括
物理治疗师的干预,包括使用干针进行脊柱操纵,有望减少宫性头痛的强度和频率. 然而,证据的确定性很低,限制了最终的建议.
科学领域:
- 神经学 神经学
- 物理疗法物理治疗
- 基于证据的实践.
背景情况:
- 宫性头痛 (CEH) 显著影响患者的生活质量.
- 持续寻求CEH有效的治疗策略.
- 物理治疗师的干预提供了一个潜在的非药物治疗方法.
研究的目的:
- 评估各种物理治疗师对CEH的干预措施的有效性.
- 评估对头痛强度,频率,持续时间和生活质量的影响.
- 根据当前的证据,确定最有效的干预措施.
主要方法:
- 在多个数据库 (如PubMed,Web of Science) 进行系统搜索,截至2022年10月.
- 包括CEH成年人的随机对照试验 (RCT).
- 使用Cochrane偏差风险工具和网络元分析网络应用程序进行质量评估.
主要成果:
- 脊柱操纵与干针结合,显示了短期头痛强度和频率的最大降低.
- 其他有效的干预措施包括运动的肌肉能量技术和运动的软组织技术.
- 干针与运动的干针也显示在减少头痛频率方面具有有效性.
- 所有的调查结果都是基于证据的低确定性.
结论:
- 联合物理治疗干预措施,特别是干针的脊柱操纵,似乎有利于短期降低CEH症状.
- 肌肉能量技术,软组织技术和干针,当与运动相结合时,也很有希望.
- 证据的确定性较低,因此在做出最终的临床建议之前,需要谨慎和进一步进行高质量的研究.
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