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渥太华小组关于腰痛治疗性按摩的循证临床实践指南。

Ottawa Panel evidence-based clinical practice guidelines on therapeutic massage for low back pain.

作者信息

Brosseau Lucie, Wells George A, Poitras Stéphane, Tugwell Peter, Casimiro Lynn, Novikov Michael, Loew Laurianne, Sredic Danijel, Clément Sarah, Gravelle Amélie, Kresic Daniel, Hua Kevin, Lakic Ana, Ménard Gabrielle, Sabourin Stéphanie, Bolduc Marie-André, Ratté Isabelle, McEwan Jessica, Furlan Andrea D, Gross Anita, Dagenais Simon, Dryden Trish, Muckenheim Ron, Côté Raynald, Paré Véronique, Rouhani Alexandre, Léonard Guillaume, Finestone Hillel M, Laferrière Lucie, Haines-Wangda Angela, Russell-Doreleyers Marion, De Angelis Gino, Cohoon Courtney

机构信息

Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, Ontario, Canada.

出版信息

J Bodyw Mov Ther. 2012 Oct;16(4):424-55. doi: 10.1016/j.jbmt.2012.04.002. Epub 2012 Jun 23.

DOI:10.1016/j.jbmt.2012.04.002
PMID:23036876
Abstract

OBJECTIVE

To update evidence-based clinical practice guidelines (EBCPG) on massage therapy compared to control or other treatment for adults (>18 years) suffering from acute, sub-acute and chronic low back pain (LBP).

METHODS

A literature search was performed for relevant articles between January 1, 1948 and December 31, 2010. Eligibility criteria were then applied focussing on participants, interventions, controls, and outcomes, as well as methodological quality. Recommendations based on this evidence were then assigned a grade (A, B, C, C+, D, D+, D-) based on their strength.

RESULTS

A total of 100 recommendations were formulated from 11 eligible articles, including 37 positive recommendations (25 grade A and 12 grade C+) and 63 neutral recommendations (49 grade C, 12 grade D, and 2 grade D+).

DISCUSSION

These guidelines indicate that massage therapy is effective at providing pain relief and improving functional status.

CONCLUSION

The Ottawa Panel was able to demonstrate that massage interventions are effective to provide short term improvement of sub-acute and chronic LBP symptoms and decreasing disability at immediate post treatment and short term relief when massage therapy is combined with therapeutic exercise and education.

摘要

目的

更新关于按摩疗法与对照或其他治疗方法相比,对患有急性、亚急性和慢性腰痛(LBP)的成年人(>18岁)疗效的循证临床实践指南(EBCPG)。

方法

检索了1948年1月1日至2010年12月31日期间的相关文章。然后应用纳入标准,重点关注参与者、干预措施、对照和结果以及方法学质量。基于这些证据的建议随后根据其强度被评为(A、B、C、C+、D、D+、D-)等级。

结果

从11篇符合条件的文章中总共制定了100条建议,包括37条积极建议(25条A级和12条C+级)和63条中性建议(49条C级、12条D级和2条D+级)。

讨论

这些指南表明按摩疗法在缓解疼痛和改善功能状态方面是有效的。

结论

渥太华小组能够证明,当按摩疗法与治疗性运动和教育相结合时,按摩干预措施可有效在短期内改善亚急性和慢性腰痛症状,并在治疗后即刻和短期内减轻残疾程度。

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