对于慢性非特异性腰部疼痛的隔膜功能障碍和激活干预:系统性审查和元分析
Binquan Ma1,2, Jiahao Xiangli1,2, Haijiang Shi1,2
1Department of Rehabilitation, Xi'an Jiaotong University School of Medicine Affiliated Honghui Hospital, Xi'an, Shaanxi, China.
Journal of back and musculoskeletal rehabilitation
|February 9, 2026
概括
侧重于隔膜的干预措施显著减少慢性非特异性腰部疼痛 (CNLBP) 的疼痛和残疾. 隔膜训练和手动治疗显示出改善脊柱稳定性和功能最有前途的方法.
科学领域:
- 物理治疗是物理治疗.
- 康复医学 康复医学 康复医学
- 肌肉骨健康 肌肉骨健康
背景情况:
- 慢性非特异性腰部疼痛 (CNLBP) 是残疾的主要原因之一.
- 隔膜功能障碍与CNLBP患者的脊柱稳定性降低有关.
- 对CNLBP的膜向干预措施的系统证据有限.
研究的目的:
- 系统地审查和分析侧重于隔膜的干预措施在CNLBP患者的疼痛和功能上的疗效.
- 确定哪些特定的隔膜干预措施为CNLBP管理带来了最大的好处.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA和Cochrane指南.
- 包括随机对照试验 (RCT) 评估手动治疗,呼吸训练和针对隔膜的神经肌肉再教育.
- 使用随机效应模型和子组分析来综合7个RCT (n=283) 的数据.
主要成果:
- 在CNLBP患者中,隔膜干预显著减少疼痛 (SMD = -1.11) 和残疾 (SMD = -0.83).
- 隔膜训练 (SMD = -1.37) 和手动治疗 (SMD = -1.25) 显示出最强烈的止痛效应.
- 手动治疗 (SMD = -1.30) 在改善残疾方面产生了最大的效果大小.
结论:
- 对隔膜向的干预措施为CNLBP提供了显著的短期到中期疼痛和功能改善.
- 隔膜训练和手动治疗似乎特别有效.
- 需要进一步进行高质量的RCT,以确定长期疗效和标准化干预方案.
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