脊柱疼痛的呼吸干预:系统性审查和元分析
Sofie Van Wesemael1, Lotte Janssens1, Charlotte Amerijckx1
1REVAL Rehabilitation Research Center, UHasselt, Diepenbeek, Belgium.
Clinical rehabilitation
|October 16, 2025
概括
呼吸练习,包括缓慢深呼吸和呼吸阻力呼吸,可以帮助管理脊柱疼痛和残疾. 这些技术提供了有价值的证据,尽管确定性很低,但可以改善脊柱疼痛患者的结果.
科学领域:
- 物理治疗 物理治疗
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
背景情况:
- 脊柱疼痛经常与功能障碍的呼吸模式有关.
- 之前的研究已经广泛研究了呼吸干预措施,但缺乏具体的分类.
- 了解各种呼吸技术的差异性影响对于有针对性的治疗至关重要.
研究的目的:
- 系统地审查和总结不同类型的呼吸干预对脊柱疼痛和残疾的影响.
- 将呼吸干预分为缓慢深呼吸,呼吸阻力呼吸和呼吸意识.
- 评估这些干预措施的附加和比较影响.
主要方法:
- 在多个数据库 (PubMed,科学网等) 进行系统的文献搜索. 在2025年9月之前.
- 包括涉及脊柱疼痛的成年人接受活跃呼吸指令或意识培训的研究.
- 干预措施的分类,使用Downs和Black检查清单进行质量评估,并使用GRADE确定性评估进行元分析.
主要成果:
- 包括20项涉及814名参与者的研究;大多数研究质量相当好.
- 慢深呼吸,当添加到其他干预措施时,对脊柱疼痛 (SMD = -1.03) 和残疾 (SMD = -1.34) 产生了积极的影响,证据的确定性低至非常低.
- 与其他干预措施相比,呼吸阻力呼吸显示脊髓疼痛显著减少 (SMD = -1.31),证据确定性低.
结论:
- 呼吸干预措施在治疗脊柱疼痛和相关残疾方面具有潜在价值.
- 临床医生应考虑特定类型的呼吸干预及其机制,以优化患者治疗.
- 可能需要进一步的研究来加强这些干预措施的证据确定性.
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