激光治疗肩撞击综合征的疗效:系统回顾和荟萃分析

IF 0.5 4区 医学 Q4 REHABILITATION Physikalische Medizin Rehabilitationsmedizin Kurortmedizin Pub Date : 2021-12-16 DOI:10.1055/a-1835-4328
Kaixin Ren, Chuanjie Ren, Liang Li, Xin Nie, Zhenyu Wang
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引用次数: 1

摘要

摘要背景激光治疗是一种无创的治疗肌肉骨骼疾病的方法,包括肩部疼痛,但其对肩部撞击综合征的疗效仍存在争议。本研究旨在系统评价激光治疗肩部撞击综合征的疗效和安全性。方法检索PubMed、Embase和Cochrane图书馆自成立至2021年6月的数据库。包括肩部撞击综合征的随机对照试验。主要结果是疼痛,次要结果是功能和活动范围。使用RevMan 5.3进行荟萃分析。结果共纳入12项随机对照试验和669名参与者。结果显示,激光治疗对肩部撞击综合征表现出显著疗效,尤其是在疼痛缓解(MD=1.26,95%CI=0.55–1.97,P=0.0005)和运动范围(MD=4.27,95%CI=1.93–6.61,P=0.0003)方面。然而,肩部功能的影响是不确定的(SMD=0.43,95%CI=0.85,P=0.05)。疼痛的亚组分析表明,激光治疗的疗效与激光波长和联合治疗的次数有关。纳入的试验中未报告不良事件。结论激光治疗能明显减轻肩撞击综合征患者的疼痛,无不良反应。
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Efficacy of Laser Therapy in the Treatment of Shoulder Impingement Syndrome: A Systematic Review and Meta-Analysis
Abstract Background Laser therapy is used as a noninvasive treatment for musculoskeletal diseases, including shoulder pain, but its efficacy in shoulder impingement syndrome remains controversial. This study aimed to systematically evaluate the efficacy and safety of laser therapy in shoulder impingement syndrome. Methods The PubMed, Embase, and Cochrane Library databases were searched from its establishment to June 2021. Randomized controlled trials (RCTs) in shoulder impingement syndrome were included. The primary outcome was pain, and the secondary outcomes were function and range of motion. Meta-analysis was performed with RevMan 5.3. Results A total of 12 RCTs and 669 participants were included. The results showed that laser therapy exhibited significant efficacy in shoulder impingement syndrome, especially in terms of pain release (MD=1.26, 95% CI=0.55–1.97, P=0.0005) and range of motion (MD=4.27, 95% CI=1.93–6.61, P=0.0003). However, the effect of shoulder function was uncertain (SMD=0.43, 95% CI=0–0.85, P=0.05). The subgroup analysis of pain showed that the efficacy of the laser therapy was related to the wavelength of the laser and the number of combined treatments. No adverse events were reported in the included trials. Conclusions Laser therapy can significantly relieve pain in shoulder impingement syndrome and has no adverse reactions.
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来源期刊
CiteScore
1.10
自引率
25.00%
发文量
70
审稿时长
3 months
期刊介绍: The Journal of Physical and Rehabilitation Medicine offers you the most up-to-date information about physical medicine in clinic and practice, as well as interdisciplinary information about rehabilitation medicine and spa medicine. Publishing 6 issues a year, the journal includes selected original research articles and reviews as well as guidelines and summaries of the latest research findings. The journal also publishes society news and editorial material. “Online first” publication ensures rapid dissemination of knowledge.
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