在治疗非特异性背部疼痛的正 - 一个系统的审查
John Fitzgerald Tipton1, Christoph Schulze2, Philipp Georg Schnadthorst3
1Klinik für Orthopädie und Unfallchirurgie, Plastische, Rekonstruktive und Handchirurgie, Bundeswehrkrankenhaus Westerstede, Westerstede, Deutschland.
Zeitschrift fur Orthopadie und Unfallchirurgie
|January 19, 2026
概括
对非特异性腰部疼痛的胸骨架的有效性表明疼痛减少,但证据质量有限. 需要进行进一步的研究,以制定明确的,基于证据的建议,以便在康复中使用它们.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 卫生经济学 卫生经济学
背景情况:
- 非特异性腰部疼痛显著影响工作能力,需要康复,带来经济挑战.
- 由于研究设计和方法的局限性,对腰部疼痛的治疗效果尚不确定.
研究的目的:
- 制定基于证据的建议,用于在患有腰部疼痛的患者使用骨架.
- 系统地审查和分析有关非特异性腰部疼痛的胸椎骨架的现有文献.
主要方法:
- 在主要数据库 (PubMed,ScienceDirect,Cochrane,Google Scholar) 进行了遵循PRISMA协议的文献搜索.
- 通过使用Cochrane RoB2和ROBINS-I工具评估偏差风险.
- 根据卫生保健政策和研究局 (AHCPR) 的指导方针确定了证据水平.
主要成果:
- 包括21项研究 (20项RCT,1项非RCT) 具有不同程度的证据 (14Ib,6项IIb,1项III) 和偏差风险 (9项严重,8项中度,4项低).
- 胸椎骨架在非特异性腰部疼痛方面显著减轻疼痛,尽管效果规模不清楚.
- 研究调查了对疼痛,平衡,遵守,日常/工作场所活动和成像的影响,其中5项研究比较了形类型.
结论:
- 虽然胸骨架在减轻非特异性腰部疼痛方面表现有前途,但目前的证据基础不足.
- 由于现有研究的异质性和方法上的弱点,无法制定针对非特异性腰部疼痛的胸脊椎骨架的常规使用的基于证据的一般建议.
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