对高速,低幅度脊柱操纵的生物力学影响进行系统审查
Anke Langenfeld1, Mirjam Baechler2, Jaap Swanenburg1,3
1Integrative Spinal Research Group, Department of Chiropractic Medicine, University Hospital Balgrist and University of Zurich, Zurich, Switzerland.
PloS one
|July 18, 2025
概括
高速度低振幅 (HVLA) 推力似乎增加了部和胸脊的宫运动范围 (ROM). 然而,由于研究异质性,其他生物力学影响和与临床结果的联系的证据仍然有限.
科学领域:
- 生物医学工程 生物医学工程
- 整形外科 整形外科 整形外科
- 康复科学 康复科学 康复科学
背景情况:
- 脊柱操纵疗法 (SMT) 使用高速度低振幅 (HVLA) 推力,其临床有效性得到认可.
- 在HVLA推力效率的基础上,精确的生物力学机制在很大程度上仍未被探索.
研究的目的:
- 系统地审查和总结HVLA推力的生物力学影响.
- 在无症状和有症状的个体中研究这些影响.
- 探索生物力学结果与临床有效性之间的潜在相关性.
主要方法:
- 进行了随机对照试验的系统审查.
- 文献搜索包括六个主要的科学数据库.
- 通过使用Cochrane RoB 2工具评估研究是否存在偏差风险,并对数据进行了定性合成.
主要成果:
- 有证据表明,HVLA对部和胸部脊柱的推动会增加部运动范围 (ROM).
- 有限证据表明对胸部和腰部ROM,面部关节隙和脊柱硬的影响.
- 只有一项研究探讨了生物机械效应与临床结果之间的联系.
结论:
- 对宫或胸脊的HVLA冲动表明有可能增加宫ROM.
- 由于研究异质性和有限的样本大小,没有足够的证据来得出关于其他生物机械效应的结论.
- 未来的研究应该优先将生物力学发现与疼痛和残疾等临床结果联系起来.
相关概念视频
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