江汉大学学报（自然科学版）2026，Vol.54Issue(4)：49-62,14.DOI:10.16389/j.cnki.cn42-1737/n.2026.04.005
运动矫治成年腰椎疾病患者疼痛与功能的Meta分析
Meta-Analysis of Pain and Function in Adult Patients with Lumbar Spine Disease Treated by Exercise
摘要
Abstract
Objective To explore the effects of exercise on lumbar spine health through a meta-analysis,and thereby provide scientific exercise suggestions for different populations.Methods Randomized controlled trials(RCTs)on the effects of different exercise modalities on lumbar spine health were retrieved from CNKI,Wanfang,Web of Science,PubMed,and EBSCO.The search period covered database inception to April 2025.After screening,43 studies involving 3 026 participants were included.Review Manager 5.4 and Stata 18 were used for the analysis.Results Exercise therapy was significantly superior to the control group in relieving pain(SMD=-0.80,95％CI:-1.00 to-0.61)and improving lumbar dysfunction(SMD=-1.27,95％CI:-1.63 to-0.90).Subgroup analysis showed that,among the exercise modalities,core stability training had a better effect on pain relief,and an exercise program of 20 min per session,1-2 sessions per week,continued for more than 16 weeks was relatively ideal.Traditional health-preserving exercises showed better efficacy in improving dysfunction,with 20-40 min per session,more than 4 sessions per week,and a duration of 8-15 weeks being the most practical intervention program.Conclusion Exercise intervention can significantly improve pain and dysfunction in patients with lumbar spine disease.Core stability exercises and various traditional health-preserving exercises are recommended as the main exercise modalities.The ideal exercise program for pain relief is 20 min per session,1-2 sessions per week,continued for more than 16 weeks.The ideal exercise plan to improve dysfunction is 20-40 min per session,more than 4 sessions per week,with 8-15 weeks being the most practical duration.Existing studies have not yet identified a precise dose for exercise intervention in lumbar spine disease.In the future,more high-quality clinical studies involving multiple lumbar conditions should be collected to further explore the optimal intervention programs for different lumbar spine diseases.关键词
腰椎健康/腰椎间盘突出/慢性下腰痛/运动疗法/传统养生功法Key words
lumbar spine health/lumbar disc herniation/chronic low back pain/exercise therapy/traditional health-preserving exercises分类
医药卫生引用本文复制引用
李梓阳,王舜,包子涵,赵梦琪..运动矫治成年腰椎疾病患者疼痛与功能的Meta分析[J].江汉大学学报（自然科学版）,2026,54(4):49-62,14.基金项目
安徽省教育厅科学研究重大项目(2023AH040049) （2023AH040049）
