格拉斯顿技术治疗腰痛和胸椎疼痛的有效性:一项系统回顾和荟萃分析。

IF 1.9 Q2 REHABILITATION
Kawthar Alshalla, Mahmoud Kandeel, Maryam Mahmoud
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引用次数: 0

摘要

目的:腰痛(LBP)和胸椎疼痛是全球重要的健康负担,Graston技术(GT)作为器械辅助软组织活动(IASTM)的一种形式,已成为一种流行的治疗选择。本系统综述和荟萃分析旨在评估GT在减轻腰痛和胸椎疼痛患者疼痛和预防残疾方面的有效性。方法:我们对PubMed、EMBASE、Web of Science、Scopus和Cochrane Library进行了全面的文献检索,确定了从成立到2024年8月的4项符合条件的研究。包括随机对照试验和非随机对照试验。主要观察结果为视觉模拟评分(VAS)和Oswestry残疾指数(ODI)评分的变化。定量资料采用meta分析,次要结局采用定性综合。使用Review Manager (RevMan) 5.4版本进行统计分析。结果:合并分析显示,与安慰剂对照组相比,GT组VAS评分显著降低(平均差异= -1.45,95%CI[-2.24, -0.66]),提示GT可有效减轻疼痛。然而,与积极干预相比,没有观察到显著差异。荟萃分析显示,与安慰剂相比,GT对ODI评分没有显著改善。定性综合表明在运动范围、柔韧性、本体感觉和生活质量方面有潜在的好处。结论:GT可以减轻脊柱疼痛,特别是与安慰剂相比。然而,这些初步结果需要进一步的研究来证实,因为它对功能结果的影响和优于其他治疗的优势仍然不确定。需要进一步的高质量研究来证实这些发现并确定GT在临床实践中的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of the Graston Technique for low back pain and thoracic spinal pain: a systematic review and meta-analysis.

Objectives: Low back pain (LBP) and thoracic spinal pain are significant global health burdens, and the Graston Technique (GT), a form of instrument-assisted soft tissue mobilization (IASTM), has gained popularity as a treatment option. This systematic review and meta-analysis aim to evaluate the effectiveness of GT for reducing pain and preventing disability in individuals with LBP and thoracic spinal pain.

Methods: We conducted a comprehensive literature search across PubMed, EMBASE, Web of Science, Scopus, and the Cochrane Library, identifying four eligible studies from inception to August 2024. Both randomized and non-randomized controlled trials were included. The primary outcomes were changes in Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) scores. Quantitative data were analyzed using meta-analysis, and qualitative synthesis was conducted for secondary outcomes. Statistical analyses were conducted using Review Manager (RevMan) version 5.4.

Results: The pooled analysis showed a significant reduction in VAS scores when comparing GT to placebo controls (Mean difference = -1.45, 95%CI [-2.24, -0.66]), suggesting that GT may effectively reduce pain. However, no significant difference was observed when compared to active interventions. The meta-analysis revealed no significant improvement in ODI scores with GT compared to placebo. Qualitative synthesis indicated potential benefits in range of motion, flexibility, proprioception, and quality of life.

Conclusion: The GT may reduce spinal pain, particularly compared to placebo. However, these preliminary results require confirmation from further studies as its impact on functional outcomes and superiority over other treatments remain uncertain. Further high-quality research is necessary to confirm these findings and establish GT's role in clinical practice.

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来源期刊
CiteScore
2.50
自引率
20.00%
发文量
55
期刊介绍: The Journal of Manual & Manipulative Therapy is an international peer-reviewed journal dedicated to the publication of original research, case reports, and reviews of the literature that contribute to the advancement of knowledge in the field of manual therapy, clinical research, therapeutic practice, and academic training. In addition, each issue features an editorial written by the editor or a guest editor, media reviews, thesis reviews, and abstracts of current literature. Areas of interest include: •Thrust and non-thrust manipulation •Neurodynamic assessment and treatment •Diagnostic accuracy and classification •Manual therapy-related interventions •Clinical decision-making processes •Understanding clinimetrics for the clinician
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