对偏头痛的脊柱操纵:随机临床试验的更新系统综述和元分析
Pawel Posadzki1,2, Andrzej T Klimek3, Edzard Ernst4
1Faculty of Rehabilitation, University of Physical Education in Kraków, Kraków, Poland. pawel.posadzki@awf.krakow.pl.
Systematic reviews
|November 29, 2024
概括
根据系统性审查,脊柱操纵疗法 (SMT) 不能有效治疗偏头痛. 有证据表明,SMT对偏头痛强度,持续时间或生活质量没有显著的益处,并且可能会增加不良事件.
科学领域:
- 神经学 神经学
- 基于证据的医学是基于证据的医学.
- 综合和补充医学 综合和补充医学
背景情况:
- 脊柱操纵疗法 (SMT) 是一种有时用于偏头痛的治疗方法.
- 人们质疑SMT对偏头痛的生物可信性和安全性.
研究的目的:
- 为了评估脊柱操纵治疗偏头痛的有效性.
- 为了更新以前关于这个主题的系统审查.
主要方法:
- 系统审查和随机临床试验 (RCT) 的元分析发表到2023年9月.
- 包括集中在脊柱操纵偏头痛的RCT,不包括其他操纵疗法.
- 使用推评估,开发和评估分级 (GRADE) 方法评估证据的确定性.
主要成果:
- 包括6个RCT,共645名参与者.
- 分析显示,SMT对偏头痛强度/严重程度,持续时间或情感生活质量没有显著影响 (证据确定性非常低至低).
- SMT与不良事件的风险增加有关 (证据确定性非常低).
结论:
- 脊柱操纵治疗对偏头痛治疗的有效性仍然没有得到证实.
- 需要进一步进行大规模,严格和独立的研究,以澄清围绕偏头痛SMT的不确定性.
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