呼吸练习可以有效地治疗慢性非特异性腰痛的人吗? 一个系统性审查与元分析
Angela Yu-Jung Chen1, I-Ju Lin1, Yi-Tung Chen1
1Department of Physical Therapy and Assistive Technology, School of Biomedical Science and Engineering/National Yang Ming Chiao Tung University, Taipei.
Journal of back and musculoskeletal rehabilitation
|September 18, 2025
概括
呼吸练习通过减少疼痛和改善功能,对慢性腰部疼痛 (CNLBP) 有潜在的益处. 然而,需要更多高质量的研究来证实这些影响,特别是在运动员身上.
科学领域:
- 康复医学 康复医学 康复医学
- 物理疗法物理治疗
- 呼吸系统医学 呼吸系统医学
背景情况:
- 慢性非特异性腰部疼痛 (CNLBP) 是一种普遍的疾病,影响全球数百万人.
- 目前对CNLBP的管理策略通常涉及药理和非药理干预措施的组合.
- 呼吸练习是CNLBP管理的潜在非药物治疗方法,针对疼痛,功能和心理因素.
研究的目的:
- 系统地审查和综合有关呼吸练习对CNLBP患者的影响的证据.
- 评估呼吸练习对疼痛强度,功能能力,肺功能,肌肉活动和心理结果的影响.
- 评估关于呼吸练习在CNLBP管理中的有效性证据的确定性.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查,搜索多个数据库,直到2024年9月.
- 包括17项涉及633名参与者的研究,比较呼吸练习 (腹膜,慢/深,强迫呼气) 与对照干预.
- 用随机效应模型的标准化平均差异 (SMD) 分析数据,并使用Cochrane的RoB 2工具评估偏差风险.
主要成果:
- 在CNLBP患者中,呼吸练习显著降低疼痛强度 (SMD -1.11) 和改善功能能力 (SMD -0.56).
- 在呼吸功能 (SMD 0.46),核心肌肉活动 (SMD 0.82) 和减少恐惧回避信念 (SMD -0.56) 中注意到了积极的影响.
- 在研究中观察到很高的异质性,其中五项研究具有高偏差风险,导致证据的确定性低至非常低.
结论:
- 呼吸练习在CNLBP患者的疼痛,功能,呼吸和心理结果方面显示出潜在的益处.
- 呼吸练习对减轻疼痛的积极影响可能在运动员中更为明显.
- 需要进一步进行高质量的随机对照试验来证实这些发现,并指导CNLBP管理的临床实践.
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