相关实验视频
Updated: May 31, 2026

07:34
Manual Therapy for a Chronic Non-Specific Low Back Pain Rat Model
Published on: August 11, 2023
676
手动治疗技术与关治疗治疗关部疾病:一个系统性审查与元分析
Víctor Villar-Aragón-Berzosa1, Esteban Obrero-Gaitán2, Miguel Ángel Lérida-Ortega2,3
1Villar-Aragón Clinic, Calle Virgen de Guadalupe, 23400 Ubeda, Spain.
Dentistry journal
|November 26, 2024
概括
手动治疗 (MT) 与闭合治疗 (OST) 相比,在部疾病 (TMD) 中,在残疾和最大口腔开口 (MMO) 中提供了更大的改善. 然而,OST在肌性TMD患者的疼痛减轻方面可能更有效.
科学领域:
- 这项研究属于牙科领域,特别是侧重于关节疾病 (TMD) 和它们的保守管理.
- 它通过元分析合成随机对照试验的数据,为基于证据的实践领域做出贡献.
背景情况:
- 手动治疗 (MT) 和闭合治疗 (OST) 是临时关疾病 (TMD) 的首要保守治疗方法.
- 对它们的疗效进行比较分析对于指导TMD管理中的临床决策至关重要.
研究的目的:
- 为了比较手动治疗 (MT) 与闭合治疗 (OST) 在治疗TMD患者的疼痛,最大口腔开口 (MMO),残疾和与健康相关的生活质量 (hr-QoL) 的有效性.
- 评估一种保守治疗对特定TMD症状和患者子组的另一种保守治疗的优越性.
主要方法:
- 根据PRISMA指南进行了元分析,包括随机对照试验 (RCT),比较TMD的MT和OST.
- 在PubMed,PEDro,SCOPUS和WOS进行了文献搜索,截至2024年3月. 使用PEDro尺度评估方法质量.
- 考恩的标准化平均差异 (SMD) 与95%的置信区间 (CI) 被计算为池效应措施.
主要成果:
- 九项涉及426名患者的研究被纳入了分析.
- 与OST相比,手动治疗 (MT) 在减少残疾 (SMD = -0.81) 和增加最大口腔开口 (MMO) (SMD = 0.52) 中表现出更大的有效性.
- 在改善疼痛强度或与健康相关的生活质量 (hr-QoL) 方面,MT和OST之间没有发现显著差异. 亚组分析表明,OST在肌源性TMD患者 (SMD=0.65) 中具有优越的疼痛缓解作用.
结论:
- 手动治疗 (MT) 可能比闭合治疗 (OST) 更有效地改善TMD患者的残疾和MMO.
- 由于在分析中包含的研究数量有限,因此应该谨慎解释这些发现.
- 闭合治疗 (OST) 显示出减少疼痛的潜力,特别是在肌源性TMD表现中.
相关概念视频
Observational Studies
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One example of...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One example of...
Methods of Documentation VII: EMR
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
Introduction to Epidemiology
Epidemiology, known as the cornerstone of public health, involves studying the distribution and determinants of health-related events in defined populations and applying these insights to control health issues. This is essential for understanding how diseases spread, identifying populations at greater risk, and implementing measures to control or prevent outbreaks. Epidemiology addresses not only infectious diseases but also non-communicable conditions like cancer and cardiovascular disease,...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...

