手动治疗和部特异性运动在治疗非特异性部疼痛方面同样有效,但只有在最大限度地提高炼坚持的情况下:一项随机对照试验
Iker Villanueva-Ruiz1, Deborah Falla2, Marc Saez3
1Deusto Physical TherapIker, Physical Therapy Department, Faculty of Health Sciences, University of Deusto, Spain; Department of Preventive Medicine and Public Health, Faculty of Medicine and Nursing, University of the Basque Country UPV/EHU, Leioa, Spain.
Musculoskeletal science & practice
|April 24, 2025
概括
与运动相比,手动治疗对慢性部疼痛的有效性更大. 然而,当运动坚持率高 (≥95%),两种治疗都产生了类似的结果,这表明坚持是运动有效性的关键.
科学领域:
- 物理治疗是物理治疗.
- 肌肉骨康复 肌肉骨康复
- 临床试验 临床试验
背景情况:
- 非特异性慢性部疼痛 (NSNP) 对患者的生活质量构成重大挑战.
- 持续寻求NSNP的有效治疗策略,手动治疗和运动都是常见的干预措施.
- 了解治疗坚持对结果的影响对于优化患者护理至关重要.
研究的目的:
- 为了比较手动治疗的有效性与NSNP的定制,高粘度的部特异性炼计划.
- 调查NSNP患者的炼坚持和治疗结果之间的相关性.
主要方法:
- 一个单盲,并行,随机的临床试验与65名NSNP参与者进行.
- 参与者被随机分配,在每周四个会议中接受手动治疗或部特定的炼.
- 包括疼痛,残疾和椎曲测试 (CCFT) 绩效在内的结果在多个时间点进行了评估.
主要成果:
- 最初,手动治疗和运动组之间没有观察到个人结局的显著差异.
- 手动治疗患者更有可能被归类为反应者,但这种差异在≥95%的炼坚持下消失了.
- 运动仅在≥95%坚持患者中表现出优异的CCFT性能改善.
结论:
- 手动治疗最初对NSNP比运动更有效.
- 高强度的炼坚持 (≥95%) 使这两种干预措施同样有效.
- 手动治疗的优势可能仅限于在没有实现高炼坚持的情况下.
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