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对轴性脊椎关节炎的运动处方:随机对照试验的系统审查和元分析

Chunhui Yu¹, Lina Guo², Xiaoxiao Gao³

¹The First Clinical College, Liaoning University of Traditional Chinese Medicine, Shenyang, China.

Frontiers in medicine

|March 9, 2026

概括

运动疗法显著改善疾病活动,身体功能,脊柱运动性和轴性脊柱关节炎 (axSpA) 患者的疲劳. 这一元分析支持个性化的运动处方作为axSp.A.的关键治疗组件.

科学领域:

类风湿病学类风湿病学
运动科学运动科学
临床研究临床研究

背景情况:

轴性脊椎关节炎 (axSpA) 是一种慢性炎症状况,影响生活质量.
运动疗法是对axSpA的关键非药物治疗方法.
对axSpA的运动有效性和最佳参数的证据需要进一步进行高质量的研究.

研究的目的:

系统地评估 axSpA.患者的运动干预措施的有效性.
为临床实践提供基于证据的指导,关于 axSpA.运动的临床实践.
为了确定axSpA管理的最佳运动处方参数.

主要方法:

在PubMed,Embase,Web of Science和Cochrane图书馆进行系统的文献搜索,截至2025年9月.
包括随机对照试验 (RCT),比较运动干预措施与 axSpA.的常规治疗方法.
使用Stata 15.0进行元分析,评估I平方统计数据的异质性,并以95%的置信区间呈现结果.

主要成果:

有1699名患者的15个RCT显示,运动干预显著改善.
运动改善了疾病活动 (BASDAI,ASDAS),身体功能 (BASFI),脊柱运动 (BASMI),胸部扩张和减少疲劳.
亚组分析表明,运动方式和持续时间影响了治疗疗效.

结论:

运动干预措施显著提高axSpA患者的核心结果指标.
个性化的运动处方应纳入标准的axSpA治疗方案.
需要进一步的研究来优化炼参数并确认长期疗效.

关键词:

结性脊柱炎是一种疾病.运动疗法运动疗法进行元分析.处方处方是一种处方.随机对照试验是随机对照试验.系统性审查是系统的审查.

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