运动在治疗腰椎间盘的效果:一个系统的审查
1Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey. serpilarslan03@gmail.com.
Acta neurologica Belgica
|March 25, 2025
概括
这次审查发现,在家进行运动干预,神经动力动员和运动控制练习对腰椎间盘 (LDH) 有效. 这些方法显示了更高质量的证据,用于管理LDH症状和改善功能.
科学领域:
- 物理疗法物理治疗
- 康复医学 康复医学 康复医学
- 基于证据的实践.
背景情况:
- 腰部疼痛 (LBP) 是一个全球性的健康问题,导致严重的疼痛和残疾.
- 腰椎间盘 (LDH) 是LBP的一个常见原因,需要有效的保守治疗.
- 运动是LDH保守管理的关键组成部分.
研究的目的:
- 系统地审查和评估运动干预治疗腰椎间盘 (LDH) 的科学证据.
- 评估各种运动类型对LDH患者疼痛,功能障碍,生活质量和核心肌肉激活的有效性.
主要方法:
- 在多个数据库 (MEDLINE,PubMed,Cochrane,Scopus,Web of Science,ScienceDirect) 中系统地搜索2018-2023年的英语全文文章.
- 包括12项随机对照试验 (RCT),涉及880名被诊断患有未经手术治疗的LDH的参与者.
- 使用PEDro尺度和遵守PRISMA指南评估研究质量.
主要成果:
- 十二个RCT评估了LDH的核心稳定练习 (CSE),运动控制练习 (MCE),Pilates和.
- 研究报告了疼痛减轻,功能改善,提高生活质量 (QoL) 和横腹部 (TrA) 激活.
- 低血压患者通常表现出增加的疼痛,更大的残疾,降低的QoL和减少的TrA激活.
结论:
- 通过快速响应 (QR) 代码进行的家庭运动干预表明了高的方法质量.
- 神经动力学动员和运动控制练习也为LDH管理提供了强有力的证据.
- 这些特定的运动方法在治疗腰椎间盘的证据质量方面似乎优越.
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