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手动治疗和运动治疗侧肘疼痛

Jason A Wallis¹, Allison M Bourne¹, Rebecca L Jessup¹

¹School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

The Cochrane database of systematic reviews

|May 27, 2024

概括

手动治疗可能为侧肘疼痛提供短期的疼痛缓解,但对长期益处和处方炼有效性的证据有限. 需要进一步的研究来确认持续的改善.

科学领域:

整形外科整形外科整形外科
物理疗法物理治疗
基于证据的医学基于证据的医学.

背景情况:

侧侧肘疼痛通常用手术治疗和指定的炼来治疗.
这些治疗方法的联合或单独的疗效需要进行彻底的评估.

研究的目的:

评估手术治疗的好处和危害,规定的运动,或两者对于经历横侧肘部疼痛的成年人来说.

主要方法:

随机和准随机对照试验的系统审查和元分析.
搜索了多个数据库 (CENTRAL,MEDLINE,Embase) 和试验登记册,截至2024年1月.
使用GRADE方法评估疼痛,残疾,生活质量,治疗成功,戒断和不良事件.

主要成果:

与安慰剂相比,低确定性证据表明手动治疗可能会在短期内减少疼痛和残疾.
手动治疗和/或运动显示轻微,可能在临床上不值得,减少疼痛和残疾,但好处没有持续.
关于与健康有关的生活质量,治疗成功和不良事件的证据仍然不确定,因为确定性低和潜在的偏见.

结论:

手动治疗可能为侧肘疼痛提供短期疼痛和残疾缓解,但证据有限,长期影响尚不清楚.
手动治疗和处方运动对侧肘疼痛的好处可能很小,并且不会随着时间的推移而持续.
需要进一步进行高质量的研究,以澄清这些干预措施的有效性和长期结果.

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