不同心身炼对膝关节骨关节炎患者疼痛的影响:双对,网络和剂量反应元分析
Bei Wu1, Wenyu Liu1, Shuang Wang2
1Dongshin University, 67 Dongsin Street, Naju City, Jeollanam-do, Korea, 58245.
Complementary therapies in medicine
|May 21, 2025
概括
像太极拳和这样的身心炼对膝关节骨关节炎的疼痛提供了小到中等的益处. 然而,证据质量较低,需要进一步进行高质量的研究.
科学领域:
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
- 综合医学是一个整体的医学.
背景情况:
- 骨关节炎 (OA) 是一种常见的慢性疾病,导致疼痛和运动能力下降.
- 越来越多地认识到心身炼对治疗关节炎症状的潜在益处.
- 对于膝关节OA疼痛的心身炼的现有证据是不一致的.
研究的目的:
- 进行一项元分析,评估心身炼在减轻膝关节骨关节炎患者疼痛方面的有效性.
- 为了确定最有效的心身炼方式来减轻膝关节OA的疼痛.
主要方法:
- 在主要数据库 (MEDLINE,Embase,Cochrane,Web of Science) 进行了系统的文献搜索,直到2024年12月.
- 包含的随机对照试验 (RCT) 用贝叶斯阶层随机效应模型进行对对和剂量反应元分析.
- 使用Cochrane偏差风险工具和CINeMA评估了偏差风险和对结果的信心.
主要成果:
- 分析了13个带有558名参与者 (平均年龄为61-76岁) 的RCT.
- 心身运动对减轻疼痛产生了小到中等的影响 (Hedges' g = -0.35).
- 太极拳 (g = -0.41) 和 (g = -0.38) 比清功 (g = -0.26) 更有效.
- 八项研究具有高偏差风险,影响了整体可信度 (极低).
结论:
- 心与身体的炼对膝盖骨关节炎疼痛提供了小到中等的益处,太极拳和是最有效的.
- 在运动剂量为250-610 MET-min时观察到最佳的临床益处.
- 未来的研究需要更大的样本大小和严格的遮,以提高证据的可靠性.
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