西医按摩治疗颈部疼痛:系统综述

IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
Oguzhan Mete PhD, PT , Derya Ozer Kaya PhD, PT , Merve Keskin PT , Seyda Toprak Celenay PhD, PT
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引用次数: 0

摘要

目的:本综述的目的是在随机和非随机临床试验中比较西医按摩疗法(MT)与其他疗法、安慰剂和无治疗对照的颈部疼痛(NP)。方法对7个英文数据库和2个土耳其语数据库(PubMed、Web of Science、Scopus、Cochrane Central Register of Controlled Trials、Cumulative Index to Nursing and Allied Health Literature、SPORTDiscus、Physiotherapy Evidence-Based Database、ULAKBIM National Medical Database、and Reference Directory of Turkey)进行电子系统检索。搜索词为“NP”和“按摩”。检索了2012年1月至2021年7月间发表的研究。采用Downs和Black量表及Cochrane第2版偏倚风险评估工具评估方法学质量。结果共鉴定出932篇;其中8人符合条件。唐斯和布莱克的得分在15到26分之间。两项研究被评为“一般”,3项研究被评为“良好”,3项研究被评为“优秀”。根据Cochrane风险偏倚工具第2版,3项研究有低偏倚风险,3项研究有一些担忧,2项研究有高偏倚风险。公平的证据表明,肌筋膜释放疗法在短期内改善了疼痛强度和疼痛阈值。有充分的证据表明,与单独运动相比,结缔组织按摩在短期内可以改善疼痛强度和疼痛阈值。根据短期和即时效果,没有西方MTs优于其他积极疗法。结论本综述提示西方MTs(肌筋膜释放疗法和结缔组织按摩)可能改善NP,但研究有限。本综述显示西医治疗在改善NP方面并不优于其他积极疗法。所回顾的研究仅报告了西方MT的即时和短期效果;因此,需要进行高质量的随机临床试验来调查西方MT的长期效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Western Massage Therapies in the Management of Neck Pain: A Systematic Review

Objective

The purpose of this review was to compare types of Western massage therapy (MT) to other therapies, placebo, and no-treatment controls in neck pain (NP) in randomized and nonrandomized clinical trials.

Methods

An electronic, systematic search was performed in 7 English and 2 Turkish databases (PubMed, Web of Science, Scopus, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, SPORTDiscus, Physiotherapy Evidence-Based Database, ULAKBIM National Medical Database, and the Reference Directory of Turkey). The search terms “NP” and “massage” were used. Studies published between January 2012 and July 2021 were searched. Methodological quality was evaluated with Downs and Black Scale and version 2 of the Cochrane risk-of-bias tool.

Results

A total of 932 articles were identified; 8 of them were eligible. The Downs and Black score ranged from 15 to 26 points. Two studies were rated as “fair,” 3 studies as “good,” and 3 studies as “excellent.” According to version 2 of the Cochrane risk-of-bias tool, 3 studies had a low risk of bias, 3 studies had some concerns, and 2 studies had a high risk of bias. Fair evidence found that myofascial release therapy improved pain intensity and pain threshold compared to no intervention in the short term. Excellent evidence found that connective tissue massage with exercise improved pain intensity and pain threshold compared to exercise alone in the short term. No Western MTs were superior to other active therapies according to short-term and immediate effects.

Conclusion

This review suggests that Western MTs (myofascial release therapy and connective tissue massage) may improve NP, but studies are limited. This review showed that Western MTs were not superior to other active therapies for improving NP. The reviewed studies reported only immediate and short-term effects of Western MT; thus, high-quality randomized clinical trials investigating the long-term effects of Western MT are needed.

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来源期刊
CiteScore
3.00
自引率
7.70%
发文量
63
审稿时长
29 weeks
期刊介绍: The Journal of Manipulative and Physiological Therapeutics (JMPT) is an international and interdisciplinary journal dedicated to the advancement of conservative health care principles and practices. The JMPT is the premier biomedical publication in the chiropractic profession and publishes peer reviewed, research articles and the Journal''s editorial board includes leading researchers from around the world. The Journal publishes original primary research and review articles of the highest quality in relevant topic areas. The JMPT addresses practitioners and researchers needs by adding to their clinical and basic science knowledge and by informing them about relevant issues that influence health care practices.
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