中国康复理论与实践2017,Vol.23Issue(12):1435-1442,8.DOI:10.3969/j.issn.1006-9771.2017.12.014
悬吊运动疗法治疗慢性非特异性腰痛疗效的Meta分析
Sling Exercise for Chronic Non-Specific Low Back Pain:A Meta-analysis
摘要
Abstract
Objective To systematically review the clinical efficacy of sling exercise therapy(SET)on patients with chronic non-specif-ic low back pain (CNLBP). Methods Randomized controlled trials (RCT) about SET for CNLBP were electronically searched in CNKI, VIP,Wanfang Data,PubMed,Web of Science,The Cochrane Library and Embase from June,2007 to June,2017.After literatures screening, data extraction,quality evaluation and risk assessment,the results of meta-analysis were conducted by RevMan 5.3 software.Results Final-ly, 15 RCTs involving 789 patients were included. SET was better in improving Visual Analogue Scale (VAS) score (MD=-1.15, 95% CI[-1.41,-0.90],Z=8.82,P<0.00001)and Oswestry Low Back Pain Disability Index(ODI)score(MD=-1.29,95%CI[-1.80,-0.78],Z=4.94, P<0.00001) than physical therapy, and was better than other exercise therapies in improving the VAS score (MD=-0.94, 95% CI[-1.52,-0.37],Z=3.21,P=0.001)and ODI score(MD=-5.96,95%CI[-9.41,-2.51],Z=3.38,P=0.0007).However,no significant dif-ference was found in improving the NPRS score between SET and other exercise therapies(MD=0.35,95%CI[-0.23,0.93],Z=1.19,P=0.23),nor in improving VAS score between SET and traditional Chinese medical therapies(MD=-5.29,95%CI[-20.27,9.70],Z=0.69,P=0.49).Conclusion SET may play a role in relieving pain and functional limitations in patients with CNLBP.Due to the limited quantity and quality of the included studies,larger scale and high quality RCTs are needed to verify the aforementioned conclusion.关键词
悬吊运动疗法/非特异性腰痛/Meta分析Key words
sling exercise therapy/non-specific low back pain/meta-analysis分类
医药卫生引用本文复制引用
黄墩兵,周凡萍,黄赛娥..悬吊运动疗法治疗慢性非特异性腰痛疗效的Meta分析[J].中国康复理论与实践,2017,23(12):1435-1442,8.基金项目
1.福建省医学创新课题资助项目(No.2016-CX-470) (No.2016-CX-470)
2.福建省自然基金项目(No.2017J01829) (No.2017J01829)
3.福建省科技厅科技平台建设项目(No.2015Y2001) (No.2015Y2001)
4.福州市科技局基金项目(No.2016-G-49). (No.2016-G-49)