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运动与被动物理治疗在改善非特异性部疼痛方面的比较有效性:多层次网络元分析和剂量反应分析
Jingyi Xie1, Mingyuan Jin1, Jindong Guo2
1School of Physical Education, Central China Normal University, Wuhan, Hubei 430079, China.
概括
抵抗和协调练习对非特异性部疼痛 (NSNP) 最有效. 缓解NSNP的最佳运动剂量为420METs-min/week,被动疗法作为替代方案.
科学领域:
- 物理疗法物理治疗
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
背景情况:
- 非特异性部疼痛 (NSNP) 显著影响生活质量和日常功能.
- 目前对最佳运动剂量和对NSNP治疗方法的比较疗效的了解有限.
研究的目的:
- 为了比较运动与被动物理治疗对NSNP缓解的有效性.
- 为了确定减轻NSNP的最佳运动剂量.
主要方法:
- 一个多层次网络元分析 (ML-NMA) 的成年患者与NSNP.
- 从四个电子数据库提取到2024年11月的数据.
- 综合剂量反应元分析,以进行全面的比较.
主要成果:
- 抵抗与协调训练相结合显示出最高的疗效 (SUCRA=0.87).
- 有氧运动与抵抗训练相结合也显示出显著的益处 (SUCRA=0.71).
- 像激光和手动疗法这样的被动疗法提供了中等程度的缓解 (分别为SUCRA=0.61和0.55).
- 观察到非线性逆剂量反应关系,420METs-min/week被确定为NSNP缓解的最佳每周剂量.
结论:
- 运动干预措施,特别是抵抗/协调和有氧/抵抗训练,对NSNP有效.
- 被动疗法是运动不耐受症患者的可行替代方案.
- 大约420METs-min/week的运动剂量可以优化NSNP的治疗结果.
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