McNeely Margaret L, Torrance G, Magee D J
Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Canada.
Man Ther. 2003 May;8(2):80-91. doi: 10.1016/s1356-689x(02)00066-8.
The purpose of this systematic review was to assess the evidence concerning the effectiveness of physiotherapy intervention in the treatment of low back pain related to spondylolysis and spondylolisthesis. A literature search of published and unpublished articles resulted in the retrieval of 71 potential studies on the subject area. Fifty-two of the 71 articles were studies, and these studies were reviewed using preset relevance criteria. Given the inclusion and exclusion criteria chosen for this systematic review, there were very few acceptable studies and only two studies met the relevance criteria for the critical appraisal. Both studies provide evidence to suggest that specific exercise interventions, alone or in combination with other treatments, have a positive effect on low-back pain due to spondylolysis and spondylolisthesis; however, the type of exercise used was different in the two studies. In this review, very few prospective studies were found that examined the efficacy of physiotherapy on the topic area; therefore, few conclusions can be made, and further research is warranted.
本系统评价的目的是评估物理治疗干预在治疗与椎弓根峡部裂和腰椎滑脱相关的下腰痛方面的有效性证据。对已发表和未发表的文章进行文献检索后，共检索到71项关于该主题领域的潜在研究。71篇文章中有52篇为研究，这些研究采用预设的相关性标准进行了综述。鉴于本次系统评价所选择的纳入和排除标准，可接受的研究非常少，只有两项研究符合关键评价的相关性标准。两项研究均提供了证据表明，特定的运动干预，单独或与其他治疗方法联合使用，对因椎弓根峡部裂和腰椎滑脱引起的下腰痛有积极影响；然而，两项研究中使用的运动类型不同。在本综述中，很少发现有前瞻性研究探讨物理治疗在该主题领域的疗效；因此，几乎无法得出结论，有必要进行进一步的研究。
