呼吸运动在腰背痛康复治疗中的效率:系统回顾与元分析》(The Efficiency of Respiratory Exercises in Rehabilitation of Low Back Pain: A Systematic Review and Meta-Analysis.

IF 1.3 4区 医学 Q3 REHABILITATION
Journal of Sport Rehabilitation Pub Date : 2024-02-20 Print Date: 2024-03-01 DOI:10.1123/jsr.2023-0207
Haiting Zhai, Liqing Zhang, JiXiang Xia, Cheng Li
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引用次数: 0

摘要

背景:腰背痛(LBP)是一种常见的肌肉骨骼疾病,而呼吸训练被认为是一种非手术治疗方法。因此,本系统综述和荟萃分析旨在估算呼吸训练对减轻腰背痛的效果及其剂量关系的随机对照试验结果:本研究于 2020 年 1 月至 2022 年 1 月进行,遵循《系统综述和荟萃分析首选报告项目》指南(2020 年)。相关研究在多个数据库中进行了检索,包括PubMed、Web of Science、Cochrane Library、EBSCO、Scopus、ScienceDirect、万方和中国知网、ClinicalTrials.gov和Google Scholar,检索时结合使用了MeSH/Emtree术语和自由文本词。研究的异质性采用I2统计量进行评估:共有 14 篇文献被纳入荟萃分析,样本总数为 698 人,年龄在 60-80 岁之间。呼吸运动能有效缓解枸杞多糖症(标准化平均差 = -0.87,P < .00001)和改善肢体残疾(标准化平均差 = -0.79,P < .00001)。通过亚组分析发现,呼吸类型和呼吸练习的总持续时间是本研究的异质性来源。亚组分析表明,每周进行 3 至 5 次且持续时间大于 4 周的呼吸阻力运动对减轻 LBP 的效果最显著,而呼吸放松技巧对减轻身体残疾的效果最显著。当干预总持续时间大于 500 分钟时,呼吸运动对减轻枸杞多糖症和改善功能障碍最为有效。漏斗图显示,2项总体研究的结果是可靠的,没有发表偏倚:结论:呼吸运动能有效减轻枸杞多糖症并改善身体残疾状况。因此,这些运动可被视为枸杞痛治疗计划的一部分。我们推荐每周 3 至 5 次、每次 30 至 50 分钟、每次大于 4 周的呼吸阻力锻炼计划是治疗枸杞痛最有效的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Efficiency of Respiratory Exercises in Rehabilitation of Low Back Pain: A Systematic Review and Meta-Analysis.

Background: Low back pain (LBP) is a common musculoskeletal disorder, and respiratory exercise is considered a nonsurgical management method. Therefore, this systematic review and meta-analysis aims to estimate the results of randomized controlled trials on the effect of respiratory training in reducing LBP and its dose relationship.

Methods: The present study was conducted from January 2020 to January 2022, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (2020). Relevant studies were searched in multiple databases including PubMed, Web of Science, the Cochrane Library, EBSCO, Scopus, ScienceDirect, Wan Fang and China Knowledge Network, ClinicalTrials.gov, and Google Scholar, using a combination of MeSH/Emtree terms and free-text words. The heterogeneity of the studies was assessed using the I2 statistic.

Results: A total of 14 publications were included in the meta-analysis, with a total sample size of 698 individuals, aged 60-80 years. Respiratory exercise was effective in relieving LBP (standardized mean difference = -0.87, P < .00001) and improving physical disability (standardized mean difference = -0.79, P < .00001). The type of breathing and the total duration of breathing exercises were found to be the source of heterogeneity in this study by subgroup analysis. Subgroup analysis revealed that the most significant effect sizes of breathing resistance exercise to reduce LBP and the most significant effect sizes of breathing relaxation techniques to alleviate physical disability were performed 3 to 5 times per week and period >4 weeks. Respiratory exercise reducing LBP and improving functional disability was most effective when the total duration of the intervention was >500 minutes. Funnel plots showed that the results of the 2 overall studies were reliable without publication bias.

Conclusions: Respiratory exercise can effectively reduce LBP and improve physical disability. Therefore, these exercises can be regarded as a part of a LBP management plan. We recommend an exercise program with 30 to 50 minutes, 3 to 5 times per week, and >4 weeks of breathing resistance exercise program as the most effective for treating LBP.

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来源期刊
Journal of Sport Rehabilitation
Journal of Sport Rehabilitation 医学-康复医学
CiteScore
3.20
自引率
5.90%
发文量
143
审稿时长
>12 weeks
期刊介绍: The Journal of Sport Rehabilitation (JSR) is your source for the latest peer-reviewed research in the field of sport rehabilitation. All members of the sports-medicine team will benefit from the wealth of important information in each issue. JSR is completely devoted to the rehabilitation of sport and exercise injuries, regardless of the age, gender, sport ability, level of fitness, or health status of the participant. JSR publishes peer-reviewed original research, systematic reviews/meta-analyses, critically appraised topics (CATs), case studies/series, and technical reports that directly affect the management and rehabilitation of injuries incurred during sport-related activities, irrespective of the individual’s age, gender, sport ability, level of fitness, or health status. The journal is intended to provide an international, multidisciplinary forum to serve the needs of all members of the sports medicine team, including athletic trainers/therapists, sport physical therapists/physiotherapists, sports medicine physicians, and other health care and medical professionals.
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