有氧运动对颈部疼痛患者的疼痛和残疾的影响:系统回顾与荟萃分析。

IF 2.6 4区 医学 Q2 PHYSIOLOGY Experimental Physiology Pub Date : 2024-11-19 DOI:10.1113/EP091884
Ana Lzabela Sobral de Oliveira-Souza, Marie Kempe, Sofia Grimmelsmann, Luiz Felipe Tavares, Ester Moreira De Castro-Carletti, Angela Viegas Andrade, Liz Dennett, Harry Von Piekartz, Jorge Fuentes Contreras, Susan Armijo-Olivo
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引用次数: 0

摘要

本综述旨在研究有氧运动(AE)与其他干预措施相比,在降低颈部疼痛患者的疼痛强度和减少残疾方面的有效性。我们对随机对照试验进行了系统回顾(SR)。该系统综述已在 PROSPERO(CRD42021231231)中注册。在五个电子数据库(MEDLINE、Embase、CINAHL、Cochrane 和 SCOPUS)中进行了检索。研究对象包括 18 岁以上患有颈部疼痛的成年人。主要结果为疼痛强度和身体功能。适用时进行荟萃分析。使用 Cochrane RoB Tool-2 确定纳入研究的偏倚风险,并使用 GRADE 方法确定证据的确定性。在筛选出的 4669 份初始记录中,共纳入了 12 篇文章中发表的 6 项研究。在用视觉模拟量表(VAS)测量疼痛强度方面,AE 与未治疗或其他干预措施(如局部锻炼或针灸)相比没有统计学差异(平均差(MD)[95%CI]:5.16毫米 [-6.38, 16.70])。相反,在治疗后的疼痛强度方面,加强锻炼优于 AE(MD [95%CI]:-11.34 mm [-21.6, -1.09])。然而,当 AE 与其他疗法(加强锻炼或针灸)联合使用时,联合疗法优于单独疗法(MD [95%CI]:7.71 mm [1.07,14.35])。在方案、比较和结果(幅度和方向)之间存在高度异质性。总之,只有当 AE 与其他疗法联合使用时,才能对减轻颈部疼痛患者的疼痛强度和残疾程度起到积极作用。然而,这些证据是有限的、低质量的和异质性的。
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The effectiveness of aerobic exercise on pain and disability in individuals with neck pain: A systematic review and meta-analysis.

The present review aimed to investigate the effectiveness of aerobic exercise (AE) compared to other interventions in decreasing pain intensity and reducing disability in individuals with neck pain. A systematic review (SR) of randomized controlled trials was conducted. This SR was registered in PROSPERO (CRD42021231231). Searches were conducted in five electronic databases (MEDLINE, Embase, CINAHL, Cochrane and SCOPUS). Studies were selected if they included adults over 18 years old with neck pain. The primary outcomes were pain intensity and physical function. A meta-analysis was conducted when applicable. Cochrane RoB Tool-2 was used to determine the risk of bias of included studies, and the certainty of the evidence was determined using the GRADE approach. Out of 4669 initial records screened, six studies published in 12 articles were included. AE was not statistically different compared to no-treatment or other interventions (e.g., localized exercise or acupuncture) on pain intensity measured with a visual analogue scale (VAS) (mean difference (MD) [95%CI]: 5.16 mm [-6.38, 16.70]). Contrarily, strengthening exercise was better than AE for pain intensity (MD [95%CI]: -11.34 mm [-21.6, -1.09]) after treatment. However, when AE was combined with other therapy (strengthening exercises or acupuncture), the combined therapy was better than isolated treatments (MD [95%CI]: 7.71 mm [1.07, 14.35]). A high heterogeneity was observed between protocols, comparisons, and results (magnitudes and directions). In conclusion, AE had positive results only when combined with other therapies to reduce pain intensity and disability in patients with neck pain. However, the evidence is limited, low-quality, and heterogeneous.

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来源期刊
Experimental Physiology
Experimental Physiology 医学-生理学
CiteScore
5.10
自引率
3.70%
发文量
262
审稿时长
1 months
期刊介绍: Experimental Physiology publishes research papers that report novel insights into homeostatic and adaptive responses in health, as well as those that further our understanding of pathophysiological mechanisms in disease. We encourage papers that embrace the journal’s orientation of translation and integration, including studies of the adaptive responses to exercise, acute and chronic environmental stressors, growth and aging, and diseases where integrative homeostatic mechanisms play a key role in the response to and evolution of the disease process. Examples of such diseases include hypertension, heart failure, hypoxic lung disease, endocrine and neurological disorders. We are also keen to publish research that has a translational aspect or clinical application. Comparative physiology work that can be applied to aid the understanding human physiology is also encouraged. Manuscripts that report the use of bioinformatic, genomic, molecular, proteomic and cellular techniques to provide novel insights into integrative physiological and pathophysiological mechanisms are welcomed.
期刊最新文献
The therapeutic role of exercise training during menopause for reducing vascular disease. The effectiveness of aerobic exercise on pain and disability in individuals with neck pain: A systematic review and meta-analysis. Celebrating women in physiology: Marie Krogh and the single-breath technique for measuring pulmonary diffusing capacity. Challenging dynamic cerebral autoregulation across the physiological CO2 spectrum: Influence of biological sex and cardiac cycle. Artificial intelligence driven clustering of blood pressure profiles reveals frailty in orthostatic hypertension.
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