Elisabetta Zampogna, Federico Mattia Oliva, Matteo Johann Del Furia, Claudio Cordani, Stefano Giuseppe Lazzarini, Chiara Arienti
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引用次数: 0
摘要
目的评估肺康复（PR）项目和其他康复干预措施对成人哮喘患者的有效性：设计：系统回顾和荟萃分析：检索了从开始到 2023 年 5 月 31 日的 MEDLINE (PubMed)、EMBASE、Cumulative Index to Nursing & Allied Health Literature 和 CENTRAL。PROSPERO 注册号：CRD42022331440。共分析了 36 项随机对照试验 (RCT)，由于各项研究的比较和结果存在异质性，因此在荟萃分析中仅对 26 项试验进行了汇总。肺康复与与呼吸练习相关的教育相比，在哮喘生活质量问卷（AQLQ）上可能几乎没有差异（平均差异为0.01分，95%置信区间为-0.48至0.50，163名参与者，三项研究，低确定性）：我们的研究结果表明，肺康复与与呼吸练习相关的教育相比，在哮喘对健康相关生活质量的影响方面可能几乎没有差别。总体而言，由于证据的确定性较低或非常低，因此无法就单一或综合康复干预措施的效果得出任何确定的结论。
Effectiveness of Rehabilitation Interventions in Adults With Asthma: A Systematic Review and Meta-analysis.
Objective: The aim of the study is to evaluate the effectiveness of pulmonary rehabilitation programs and other rehabilitation interventions in adults with asthma.
Design: This is a systematic review and meta-analysis.
Results: MEDLINE (PubMed), Embase, Cumulative Index to Nursing & Allied Health Literature, and CENTRAL were searched from inception to 31 May 2023. PROSPERO registration number: CRD42022331440. Thirty-six randomized controlled trials were analyzed, and only 26 were pooled in the meta-analysis because of the heterogeneity of comparisons and outcomes across the studies. Pulmonary rehabilitation, compared with education associated with breathing exercises, may result in little to no difference in the Asthma Quality of Life Questionnaire (mean difference 0.01 score, 95% confidence interval = -0.48 to 0.50, 163 participants, three studies, low certainty).
Conclusions: Our findings show that pulmonary rehabilitation, compared with education associated with breathing exercises, may result in little to no difference in the impact of asthma on health-related quality of life. Overall, the certainty of evidence was low or very low preventing any firm conclusion on the effects of single or combined rehabilitation interventions.
期刊介绍：
American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals.
Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).
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