基于运动的康复对腰椎退行性磁盘疾病的影响:系统性审查
Shirin Aali1, Farhad Rezazadeh2, Fariborz Imani2
1Department of Physical Education, Farhangian University, P.O. Box 889-14665, Tehran 19396-14464, Iran.
Healthcare (Basel, Switzerland)
|August 14, 2025
概括
基于运动的康复有效地管理腰椎退行性磁盘疾病 (DDD). 悬浮训练和水疗疗法在慢性腰痛患者的疼痛减轻和功能改善方面表现出卓越的结果.
科学领域:
- 康复医学 康复医学 康复医学
- 整形外科 整形外科 整形外科
- 物理疗法物理治疗
背景情况:
- 腰椎退行性磁盘疾病 (DDD) 是慢性腰部疼痛的主要原因.
- 有效的康复策略对于管理DDD症状和改善功能至关重要.
- 系统性审查对于综合治疗干预的证据至关重要.
研究的目的:
- 系统地审查以康复为重点的运动干预措施对腰部DDD的有效性.
- 确定特定的运动方式,为腰部DDD患者提供最大的益处.
- 评估关于腰部DDD运动干预措施现有研究的方法质量.
主要方法:
- 从2010年1月到2025年1月,在主要的国际和区域数据库 (PubMed,Scopus,Web of Science,Magiran,SID,Noormags) 中进行了全面的系统搜索.
- 遵循了PRISMA的指导方针,并且审查协议已在PROSPERO注册 (CRD420251088811).
- 20项研究 (临床试验,准实验,实验) 符合纳入标准,使用麦克马斯特量化研究批判性审查表格进行了评估.
主要成果:
- 运动干预包括水疗,核心稳定性训练,皮拉特斯和悬浮炼显著减少疼痛,改善腰部DDD的功能.
- 与孤立的核心稳定性练习相比,悬浮训练显示出优越的疼痛减轻.
- 研究的方法质量一般很高 (8优秀,7非常好,5好),但局限性包括异质性,样本规模小,随访时间短.
结论:
- 基于运动的康复是管理腰部DDD的高效策略.
- 悬浮训练和水疗特别推用于改善疼痛和功能.
- 未来的研究应该专注于标准化协议,更大的样本大小,以及扩展后续对更强大的发现.
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