不同运动方式对膝关节骨关节炎患者疼痛的影响：网络荟萃分析

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2025-04-03 DOI:10.1016/j.jor.2025.03.045

Xin Zhou , Yating Yu , Jinwei Guo , Liezhen Cao , Xiaohua Zhang , Zhongliang Deng

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引用次数: 0

摘要

目的通过网络meta分析，评价不同物理治疗方法对膝关节骨关节炎（KOA）患者疼痛的缓解效果。方法对PubMed、Embase、Cochrane Library、VIP、万方数据、中国知网等数据库进行综合检索，筛选KOA物理治疗的随机对照试验（rct）。搜索范围从每个数据库建立之初到2024年10月。这些研究的方法学质量采用Cochrane手册进行评估。使用视觉模拟量表、数值疼痛评定量表、西安大略和麦克马斯特大学骨关节炎指数等工具测量疼痛。所有疼痛评分标准化为10分制。数据收集和分析由两位研究者使用Stata 15.0软件独立完成。结果纳入64项研究，3855例患者，12种物理治疗方式。根据累积排序曲线下表面（SUCRA），最有效的治疗方法是HILT、ESWT、Hydrotherapy、Land-EX、LLLT、brace、tDCS、US、IFCs、SWD、鞋垫和TENS。结论hit是缓解KOA患者疼痛最有效的治疗方法。需要进一步的大规模随机对照试验来证实这些发现。

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The effects of various physical modalities on pain in patients with knee osteoarthritis: A network meta-analysis

Objective

This study aims to evaluate the effectiveness of various physical therapy methods in reducing pain for patients with knee osteoarthritis (KOA) through a network meta-analysis.

Methods

We conducted a comprehensive search across multiple databases, including PubMed, Embase, Cochrane Library, VIP, WanFang Data, and CNKI, to identify randomized controlled trials (RCTs) on physical therapies for KOA. The search spanned from the inception of each database to October 2024. The methodological quality of the studies was assessed using the Cochrane Handbook. Pain was measured using tools such as the visual analog scale, numeric pain rating scale, and the Western Ontario and McMaster University Osteoarthritis Index. All pain scores were standardized to a 10-point scale. Data collection and analysis were performed independently by two researchers using Stata 15.0 software.

Results

The analysis included 64 studies with 3855 patients and 12 physical therapy modalities. Based on the surface under the cumulative ranking curve (SUCRA), the most effective treatments were HILT, ESWT, Hydrotherapy, Land-EX, LLLT, Braces, tDCS, US, IFCs, SWD, Insoles, and TENS.

Conclusion

HILT appears to be the most effective treatment for pain relief in KOA patients. Further large-scale RCTs are needed to confirm these findings.

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.