手动治疗与或没有运动在慢性脚不稳定性疼痛,运动和功能的有效性:一个系统的审查和元分析
Inkeri Salminen1,2,3, Nora Schroderus4,5, Jani Takatalo6,7,8
1Suomen Ortopedisen Manuaalisen Terapian Yhdistys, Tampere, Finland.
Disability and rehabilitation
|February 2, 2026
概括
手动治疗在慢性脚不稳定 (CAI) 方面表现出有效性,通过改善脚运动范围和自我感知功能. 然而,益处低于临床重要差异的最小值,证据确定性较低.
科学领域:
- 整形外科 整形外科 整形外科
- 物理疗法物理治疗
- 运动医学 运动医学
背景情况:
- 慢性脚不稳定 (CAI) 是一种常见的疾病,影响关节功能和生活质量.
- 对CAI的有效治疗策略对于患者的康复和恢复活动至关重要.
研究的目的:
- 评估手动治疗的疗效,有或没有运动治疗,用于管理慢性脚不稳定.
- 综合CAI手动治疗干预的随机临床试验的证据.
主要方法:
- 从2000年到2025年,在多个数据库 (MEDLINE,Pubmed,Scopus,PEDro,EBSCOhost,Cochrane CENTRAL) 中进行了系统的文献搜索.
- 包括的研究集中在CAI的手动治疗上,测量脚运动范围,疼痛和自我感知功能.
- 使用元分析和GRADE分析来评估治疗的有效性和证据的确定性,将手动治疗与炼,假冒或对照组进行比较.
主要成果:
- 该审查包括13项随机临床试验,涉及497名患者.
- 与对照组相比,手动治疗在改善脚运动范围和自我感知功能 (CAIT) 中表现出显著的有效性.
- 然而,观察到的改善并不总是达到临床上重要的最小差异值.
结论:
- 手动治疗可以成为治疗慢性脚不稳定的有效组成部分,特别是提高脚运动范围和自我感知功能.
- 这些改善的临床意义有限,因为它们低于确定的临床重要差异最小值.
- 目前,支持CAI手动治疗的证据总体确定性较低,因此需要进一步进行高质量的研究.
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