治疗青少年异常学脊椎病的治疗练习
Michele Romano1, Silvia Minozzi2, Josette Bettany-Saltikov3
1ISICO (Italian Scientific Spine Institute), Milan, Italy.
The Cochrane database of systematic reviews
|February 28, 2024
概括
治疗青少年异常学脊椎病 (AIS) 的治疗炼 (TEs) 的有效性证据有限. 虽然一些研究表明,特定的炼可能有好处,但需要更多的研究来证实它们对曲线进展和生活质量的影响.
科学领域:
- 整形外科和康复治疗
- 脊柱疾病 脊柱疾病
- 基于证据的医学基于证据的医学.
背景情况:
- 青少年固态脊柱病 (AIS) 是一种3D脊柱形,通常无症状,但如果严重,可能导致健康问题.
- 治疗炼 (TE) 在控制AIS进展和避免侵入性治疗的有效性仍在争论中.
研究的目的:
- 为AIS评估TEs的有效性,包括通用治疗练习 (GTE) 和物理治疗学脊椎病特异性练习 (PSSE),用于AIS.
- 与没有治疗,其他非手术干预以及不同类型的运动进行了比较.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查,搜索多个数据库,直到2022年11月.
- 包括RCT与对照组或其他干预措施比较试验结果,重点关注脊椎病进展,化品问题和生活质量 (QoL).
- 进行了偏差风险评估,并注意到盲目的局限性和主观结果措施中的潜在偏差.
主要成果:
- 对于TEs与没有治疗的证据在Cobb角减小方面非常不确定.
- 物理治疗学脊椎病特异性炼 (PSSE) 显示,腰部不对称性和腰部质量有轻微改善的证据确定性低,腰部旋转或化感知几乎没有差异.
- 将PSSE与支架或GTE与其他干预措施相结合,显示出一些减少科布角的潜力,但证据质量低至非常低.
结论:
- 目前关于AIS的TEs疗效的证据稀少,并受到研究异质性和小样本大小的限制.
- 一项研究表明,PSSE的疗效超过一般的TEs,但这一发现需要进一步验证.
- 需要更多高质量的RCT来确定AIS的TEs的有效性,特别是在QOL,心理影响,化品结果和背痛方面.
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