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运动治疗对轴性脊柱关节炎的影响:随机试验的系统审查,元分析和元回归

Meng Zhang¹, Zhide Liang², Liang Tian³

¹School of Exercise and Health, Shanghai University of Sport, Shanghai, China; School of Exercise and Health Sciences, Xi'an Physical Education University, Xi'an, China.

Archives of physical medicine and rehabilitation

|June 28, 2024

概括

运动疗法有效地改善了轴性脊柱关节炎 (axSpA) 患者的疾病控制和症状缓解. 这种方法可以增强功能,减少疼痛,并提高 axSpA.个体的运动能力.

科学领域:

类风湿病学类风湿病学
运动医学运动医学
康复康复康复康复

背景情况:

轴性脊柱关节炎 (axSpA) 是一种影响脊柱的慢性炎症状况.
有效的管理策略对于改善患者的治疗结果和生活质量至关重要.

研究的目的:

系统地评估运动疗法的有效性,以控制 axSpA.
综合来自对axSpA患者运动干预的随机对照试验 (RCT) 的证据.

主要方法:

在多个数据库 (MEDLINE,Cochrane,Embase等) 中进行全面的文献搜索. 在2024年3月之前.
包括20个RCT,涉及1670名接受运动治疗的axSpA患者.
评估结果,包括疾病活动得分 (ASDAS,BASDAI),功能指数 (BASFI,BASMI) 和身体能力指标 (6MWT,VO2峰值).

主要成果:

运动治疗显著改善了功能状态 (BASFI),脊柱运动 (BASMI),疾病活动 (BASDAI,ASDAS),运动能力 (VO2峰值,6MWT),疼痛和疲劳.
对于胸部膨胀,C反应蛋白 (CRP) 或红细胞沉积率 (ESR) 没有观察到显著的益处.

结论:

运动疗法是一种有价值和有效的干预措施,可以改善 axSpA.患者的疾病控制和缓解症状.
这些发现支持将运动计划纳入axSpA管理的标准护理.

关键词:

结性脊柱炎是一种疾病.轴性脊椎关节炎 (Axial spondyloarthritis) 是一个关节性关节炎.运动疗法是一种运动疗法.进行元分析分析.康复康复康复康复

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