慢性肌肉骨疼痛中的运动和心率变化:系统性审查
Timo Meus1,2, Julie Van Eetvelde3,4,5, Iris Meuwissen3,4,5
1Faculty of Rehabilitation Sciences and Physiotherapy - REVAL Research Group, Hasselt University, Wetenschapspark 7, Diepenbeek, 3590, Belgium. timo.meus@uhasselt.be.
Sports medicine - open
|October 1, 2025
概括
运动可以通过积极影响心率变化 (HRV) 来改善慢性肌肉骨疼痛 (CMP) 的自主功能. 需要更多高质量的研究来证实这些发现,并指导CMP患者的未来干预措施.
科学领域:
- 运动生理学 运动生理学
- 自主神经系统功能自主神经系统功能
- 疼痛管理 疼痛管理
背景情况:
- 慢性肌肉骨疼痛 (CMP) 是一种广泛的疾病,导致严重的残疾.
- 通过心率变化 (HRV) 表示的自主功能障碍越来越多地与CMP有关.
- 运动干预措施显示出在CMP中改善自主功能的潜力.
研究的目的:
- 系统地审查运动干预对慢性肌肉骨疼痛 (CMP) 患者心率变化 (HRV) 的影响.
主要方法:
- 我们对PubMed,Web of Science和Cochrane数据库进行了系统的搜索.
- 包括的研究涉及成年人 (18-65岁) 与CMP接受运动干预 (≥4周) 进行前/后HRV评估.
- 使用已知工具 (Cochrane RoB-2,ROBINS-I,GRADE) 评估了偏差风险和证据确定性.
主要成果:
- 分析了10项受控试验 (5项RCT,5项非RCT) 涉及277名参与者.
- 运动干预措施 (抵抗力,有氧,多组件) 的持续时间各不相同 (4-24周).
- 观察到HRV在群体内显著改善,特别是管调节的措施.
结论:
- 运动在CMP中对自主功能产生积极影响,HRV变化证明了这一点.
- 目前的证据基础受到高质量的研究数量的限制,需要谨慎解释.
- 未来的研究应该标准化HRV测量协议和运动报告,以澄清不同运动方式的影响.
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