穿皮漫神经刺激对慢性腰部疼痛的影响:系统性审查
Lama Eid1, Mina George1, Doaa A Abdel Hady2
1Faculty of Physical Therapy, Deraya University, Minia, Egypt.
BMC musculoskeletal disorders
|June 26, 2024
概括
通过皮肤进行的迷走神经刺激 (TVNS) 目前没有证据表明可以治疗慢性腰痛 (CLBP). 需要更多高质量的试验来评估它对疼痛,残疾和生活质量的有效性.
科学领域:
- 神经调节是一种神经调节.
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
背景情况:
- 慢性腰部疼痛 (CLBP) 是一种普遍影响日常活动和功能能力的疾病.
- 对CLBP的有效管理策略仍然是一个重大的临床挑战.
研究的目的:
- 评估穿皮漫神经刺激 (TVNS) 在治疗慢性腰部疼痛方面的疗效.
- 综合来自TVNS的随机临床试验 (RCT) 对CLBP的证据.
主要方法:
- 对RCT进行了主要数据库 (谷歌学者,PubMed,科学网,Cochrane,Pedro) 的系统搜索.
- 纳入标准侧重于参与者 (≥18岁) 患有超过3个月的CLBP,使用PICO框架进行评估.
- 研究质量和偏差风险使用Cochrane ROB 2工具进行了评估.
主要成果:
- 搜索确定了1084个RCT,其中6个试验符合纳入标准.
- 偏差风险评估显示,50%的研究具有低风险,33.3%的研究存在一些担忧,16.7%的研究具有高风险.
- 目前,关于CLBP的TVNS的高质量证据有限.
结论:
- 目前的证据不支持通过皮肤进行迷走神经刺激作为CLBP的验证康复策略.
- 建议进行高质量的随机临床试验,并进行长期随访.
- 未来的研究应该集中在评估TVNS对CLBP患者疼痛,残疾和生活质量的影响上.
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