延迟发作的肌肉疼痛的物理疗法:一个雨和映射系统性审查与元元分析
Szczepan Wiecha1, Igor Cieśliński2, Paweł Wiśniowski2
1Clinical Cardiology Department, National Medical Institute of the Ministry of Interior and Administration, 02-507, Warsaw, Poland. szczepan.wiecha@pimmswia.gov.pl.
Sports medicine (Auckland, N.Z.)
|March 22, 2025
概括
这一综合性综述发现,虽然许多物理治疗疗法对延迟发作的肌肉疼痛有希望,但大多数证据来自低质量的研究. 冷却疗法,冷刺激和对比疗法显示出缓解疼痛的最强效果.
科学领域:
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
- 运动生理学 运动生理学
背景情况:
- 延迟发作的肌肉疼痛 (DOMS) 是强烈运动的常见后果,导致疼痛和肌肉功能减弱.
- 现有的对DOMS治疗方法的系统审查提供了相互矛盾的结果,阻碍了临床应用.
- 这项研究解决了对DOMS物理治疗干预的综合证据的需求.
研究的目的:
- 进行总体审查,总结物理治疗干预措施缓解DOMS的有效性.
- 评估现有系统审查中的偏见风险,并对证据的强度进行分类.
- 为临床医生和研究人员提供关于DOMS管理的实用见解.
主要方法:
- 进行了总体审查和元元分析,从1998年到2024年2月搜索多个数据库.
- 包括系统性审查的重点是针对健康成年人DOMS的物理疗法治疗的随机对照试验.
- 使用AMSTAR-2评估方法质量,并根据效果大小和证据强度对干预效应进行可视化的证据图.
主要成果:
- 包括29个系统性审查,包括24种治疗方法的863个独特RCT.
- 十七项审查的方法质量非常低;只有两项是高质量的.
- 对于对比疗法,冷却疗法和冷刺激,观察到显著的疼痛减轻,随着随访时间的变化,效果各不相同. 按摩,压缩和运动记录也显示出积极的结果.
结论:
- 对于DOMS物理疗法治疗,存在大量证据,但它主要来自低质量的系统审查.
- 强有力的证据支持冷却疗法,冷刺激,对比疗法,按摩,光疗和DOMS的动态记录.
- 对伸展,运动和电刺激的证据很弱,总体证据质量限制了概括性.
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