联合动员和操纵对自身受胎的影响:用有限的元分析进行系统审查
Stelios Hadjisavvas1, Irene-Chrysovalanto Themistocleous1, Michalis A Efstathiou1
1Department of Health Sciences, Physiotherapy Program, University of Nicosia, Nicosia 1700, Cyprus.
Journal of functional morphology and kinesiology
|February 20, 2026
概括
关节手术治疗,包括关节动员和操纵,在改善关节位置感觉错误 (JPSE) 方面表现有前途,例如部和骨疼痛. 然而,由于研究异质性和需要标准化方案,证据受到限制.
科学领域:
- 肌肉骨康复 肌肉骨康复
- 神经科学是一个神经科学.
- 手动治疗研究手动治疗研究
背景情况:
- 以关节位置感觉错误 (JPSE) 衡量的自身感知缺陷在肌肉骨疾病中很常见.
- 关节手动治疗技术可以调节 afferent输入和感觉运动控制.
研究的目的:
- 系统地审查和综合联合动员和高速度低振幅 (HVLA) 推力操纵对人类定量自知觉的影响.
- 评估手动治疗对各种肌肉骨疾病的关节位置感觉错误 (JPSE) 的影响.
主要方法:
- 系统搜索PubMed,Scopus,CINAHL和MEDLINE Complete的随机或假控制试验,直到2025年11月.
- 包括英语研究,评估动员后的自感或HVLA推力操纵.
- 在可行的情况下,偏差风险评估 (RoB 2) 和随机效应元分析 (Hedges' g); 级别确定性评估.
主要成果:
- 七个随机临床试验 (2018-2025,n=350) 评估了脊柱或外围关节的手动治疗.
- 宫推力操纵改善了慢性机械部疼痛中的宫JPSE (大效果大小).
- 腰骨操纵显示,膝盖JPSE在骨骨疼痛方面立即减少;膝盖JPSE在60度曲时的元分析在统计学上没有显著意义 (Hedges的g = -0.21).
结论:
- 关节手术疗法可以立即改善定量性自身感知,特别是部和部骨疼痛中的JPSE.
- 观察到的效应是特定于条件和结果的,由于异质性和稀疏的可聚合数据,信心有限.
- 未来的研究需要标准化的自身感知协议,更长的随访时间,以及适合强大的元分析的数据.
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