Department of Physiotherapy, University of Limerick, Ireland.
Physiotherapy. 2012 Mar;98(1):13-23. doi: 10.1016/j.physio.2011.04.350. Epub 2011 Jun 8.
It is commonly assumed that patients with chronic low back pain are less active than healthy individuals. There has been a recent increase in the number of studies published comparing the physical activity levels of patients with chronic low back pain and healthy individuals.
The aim of this systematic review was to determine, based on the current body of evidence, if patients with chronic low back pain have a lower level and/or altered pattern of physical activity compared with asymptomatic, healthy individuals.
The electronic databases Embase, Medline, ISI Web of Knowledge, Cinahl, Sport Discus and Nursing and Allied Health were searched from the beginning of each database until the end of December 2009.
Studies which compared the level and/or pattern of physical activity of patients with chronic low back pain and healthy controls were included. The quality of the included studies was assessed using an assessment tool based on the Newcastle-Ottawa Scale. The scale was modified for the purposes of this study.
Seven studies were included in the final review. Four studies recruited adult patients (18-65 years), two studies examined older adults (≥65 years) and one study recruited adolescents (<18 years). Pooled data revealed no significant difference in the overall activity level of adults or adolescents with CLBP, however there is evidence that older adults with chronic low back pain are less active than controls. The results suggest that patients exhibit an altered pattern of physical activity over the course of a day compared to controls. Major methodological limitations were identified and are discussed.
There is no conclusive evidence that patients with chronic low back pain are less active than healthy individuals. Based on a limited number of studies, there is some evidence that the distribution of activities over the course of a day is different between patients with chronic low back pain and controls.
人们普遍认为慢性下背痛患者的活动量比健康个体少。最近发表的比较慢性下背痛患者和健康个体活动水平的研究数量有所增加。
本系统评价的目的是根据现有证据确定慢性下背痛患者的活动水平是否低于或模式改变，与无症状健康个体相比。
从每个数据库的开始到 2009 年 12 月底，检索了电子数据库 Embase、Medline、ISI Web of Knowledge、Cinahl、Sport Discus 和护理与联合健康。
纳入了比较慢性下背痛患者和健康对照组活动水平和/或模式的研究。使用基于纽卡斯尔-渥太华量表的评估工具评估纳入研究的质量。该量表在本研究中进行了修改。
最终综述共纳入 7 项研究。四项研究招募了成年患者（18-65 岁），两项研究检查了老年人（≥65 岁），一项研究招募了青少年（<18 岁）。汇总数据显示，慢性下背痛的成年或青少年患者的整体活动水平没有显著差异，但有证据表明，慢性下背痛的老年人活动量低于对照组。结果表明，与对照组相比，患者在一天中的活动模式发生了改变。确定了主要的方法学局限性，并进行了讨论。
没有确凿的证据表明慢性下背痛患者的活动量低于健康个体。基于少数研究，有一些证据表明，慢性下背痛患者和对照组之间一天中活动的分布不同。
