Effects of breathing exercises on low back pain in clinical: A systematic review and meta-analysis

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Complementary therapies in medicine Pub Date : 2023-10-10 DOI:10.1016/j.ctim.2023.102993

Jiao Shi , Zhen Liu , Xingchen Zhou , Fanyuan Jin , Xiaojie Chen , Xiaodong Wang , Lijiang Lv

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Abstract

Objective

This study aims to systematically evaluate the effect of breathing exercises on the low back pain (LBP).

Methods

The studies of relevant randomized controlled trials (RCTs) testing the effect of breathing exercises on LBP were selected after strict screening from the establishment of PubMed, EMBASE, Cochrane Library, Web of Science, CBM, and CNKI databases until September 2022. The studies included were then independently assessed for risk bias by two investigators. The PRISMA 2020 statement was followed in this study.

Results

11 RCTs involving 383 patients were included in this analysis. Results showed that the effective rate of LBP patients after breathing exercises was significantly higher than those in the control group, and the VAS (Visual Analogue Score) and ODI (Oswestry Disability Index) scores of LBP patients were significantly lower than those in the control group [VAS: MD = −0.50, 95% CI (−0.88, −0.11), I² = 76%, p = 0.0009; ODI: MD = −2.46, 95% CI (−3.41, −1.52), I² = 20%, p = 0.28]. The results of subgroup showed that the duration of treatment had little effect on the effect of breathing exercises, and breathing exercises alone could also have a positive effect on LBP. However, there were methodological limitations in the included studies, future studies should ensure blinded outcome assessors and full reporting to reduce bias risks. Because this review is a study of breathing exercises as an intervention without any adverse events, all studies did not involve safety assessments.

Conclusions

The results indicated that breathing exercises have a positive effect on alleviating LBP, but due to the lack of methodological rigor and some limitations of the included studies, more critical RCTs are still needed in the future to verify the precision of this conclusion.

The protocol was registered in PROSPERO (No. CRD42022345561).

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呼吸练习对临床腰痛的影响：系统综述和荟萃分析。

目的：本研究旨在系统评价呼吸练习对腰痛（LBP）的影响。方法：从PubMed、EMBASE、Cochrane Library、Web of Science、CBM和CNKI数据库的建立到2022年9月，经过严格筛选，选择测试呼吸练习对LBP影响的相关随机对照试验（RCT）研究。随后，两名研究人员对纳入的研究进行了风险偏倚的独立评估。本研究遵循了PRISMA 2020的声明。结果：共纳入11项随机对照试验，涉及383名患者。结果表明，LBP患者在呼吸练习后的有效率明显高于对照组，LBP患者的VAS（视觉模拟评分）和ODI（奥斯韦斯特里残疾指数）评分显著低于对照组[VAS：MD=-0.50，95%CI（-0.88，-0.11），I2=76%，p=0.0009；ODI：MD=-2.46，95%CI为-3.41，-1.52），I2=20%，p=0.028]，单独的呼吸练习也可能对LBP产生积极影响。然而，纳入的研究存在方法上的局限性，未来的研究应确保盲法结果评估者和全面报告，以降低偏倚风险。因为这篇综述是一项关于呼吸练习作为干预措施的研究，没有任何不良事件，所以所有研究都没有涉及安全性评估。结论：研究结果表明，呼吸练习对缓解LBP有积极作用，但由于缺乏方法学严谨性和纳入研究的一些局限性，未来仍需要更关键的随机对照试验来验证这一结论的准确性。该方案已在PROSPERO注册（编号CRD42022345561）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Complementary therapies in medicine 医学-全科医学与补充医学

CiteScore

8.60

自引率

2.80%

发文量

101

审稿时长

112 days

期刊介绍： Complementary Therapies in Medicine is an international, peer-reviewed journal that has considerable appeal to anyone who seeks objective and critical information on complementary therapies or who wishes to deepen their understanding of these approaches. It will be of particular interest to healthcare practitioners including family practitioners, complementary therapists, nurses, and physiotherapists; to academics including social scientists and CAM researchers; to healthcare managers; and to patients. Complementary Therapies in Medicine aims to publish valid, relevant and rigorous research and serious discussion articles with the main purpose of improving healthcare.