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下肢对齐与腰部疼痛之间的关联:通过元分析进行系统性审查

Saeedeh Abbasi¹, Seyed Hamed Mousavi¹, Fateme Khorramroo¹

¹Department of Sport Injuries and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran.

|October 10, 2024

概括

下肢对齐,包括增加部和膝关节的前置和内部旋转,与背部疼痛 (LBP) 的风险更高有关. 需要进一步的研究来证实这些关联.

科学领域:

整形外科整形外科整形外科
生物力学生物力学
公共卫生公共卫生

背景情况:

腰部疼痛 (LBP) 是一个广泛且昂贵的全球健康问题.
识别LBP的风险因素对于有效的管理策略至关重要.
下肢对齐越来越被认为是LBP发展的重要因素.

研究的目的:

系统地审查和分析有关下肢对齐和LBP之间的联系的现有证据.
增强对下肢生物机械因素与LBP发病率之间的关系的理解.
综合各种研究设计的研究结果,研究下肢对齐和LBP.

主要方法:

在PubMed,Embase,Web of Science和Scopus数据库中进行了全面的文献搜索.
纳入标准侧重于英语病例控制,队列和横截面研究,检查LBP和下肢对齐.
使用Downs和Black检查清单来评估方法质量,并使用RevMan 5.4.4进行数据元分析.

主要成果:

包含102,359名参与者的13项研究被纳入了元分析.
强有力的证据表明,增加的阴影与LBP的风险增加有关 (p = 0.02).
中等和有限的证据表明,部内部旋转和膝盖内部旋转增加与LBP风险之间的关联,分别.

结论:

分析提供了证据,将特定的下肢对齐问题,特别是位,与腰部疼痛风险增加联系起来.
研究设计的异质性和方法上的局限性要求在得出最终结论时谨慎行事.
未来的研究应该优先考虑前性队列研究,以客观的调整措施和标准化的结果来澄清这种关系.

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