不同物理治疗干预在类风湿性关节炎患者的影响:系统性审查和元分析
Habiba Sundus1, Zoheb Alam Khan2, Harun Rashid2
1Department of Physiotherapy, Jamia Hamdard, New Delhi, India.
Musculoskeletal care
|July 31, 2025
概括
物理治疗,特别是结构化炼,提供了适度的证据来减少类风湿性关节炎 (RA) 疼痛. 将物理治疗与饮食和其他疗法相结合,可能会改善患者的治疗结果和生活质量.
科学领域:
- 风湿病学和康复医学 复原医学
背景情况:
- 类风湿性关节炎 (RA) 是一种慢性自身免疫性疾病,导致关节损伤,疼痛和功能限制.
- 药物治疗是标准的,但物理治疗干预对于症状管理和改善生活质量至关重要.
研究的目的:
- 系统地审查和元分析各种物理治疗干预措施的疗效,以减少疼痛,改善功能和改善RA患者的生活质量.
主要方法:
- 按照PRISMA指南进行系统审查和元分析,搜索PubMed,Scopus和科学网络 (2010-2025年).
- 包括随机对照试验 (RCT) 的方法质量使用Cochrane RoB 2.0工具进行了评估.
- 疼痛结果是使用随机效应模型元分析合成的.
主要成果:
- 17个RCT (1362名参与者) 评估了有氧/抵抗运动,水疗,手动治疗,电疗和多式疗法.
- 五项试验的元分析 (n=307) 显示,物理治疗显著减少了疼痛 (SMD = -0.347,p=0.002).
- 叙事综合表明了功能和心肺呼吸系统的益处,特别是在运动和生活方式干预措施的结合下.
结论:
- 物理治疗,特别是结构化炼,提供了适度的证据,以减少RA的疼痛.
- 与饮食和辅助疗法相结合的多模式物理治疗可能会改善患者的治疗结果.
- 需要进一步的高质量的RCT来优化协议并评估长期效益.
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