运动方案可能有助于预防新的颈部疼痛发作：系统评价和荟萃分析。

Exercise programs may be effective in preventing a new episode of neck pain: a systematic review and meta-analysis.

机构信息

Department of Health Professions, Macquarie University.

The University of Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney.

出版信息

J Physiother. 2018 Jul;64(3):159-165. doi: 10.1016/j.jphys.2018.05.003. Epub 2018 Jun 19.

DOI:10.1016/j.jphys.2018.05.003

PMID:29908853

Abstract

QUESTION

What is the effectiveness of interventions that aim to prevent a new episode of neck pain?

DESIGN

Systematic review and meta-analysis of randomised, controlled trials.

PARTICIPANTS

People without neck pain at study entry.

INTERVENTION

Any intervention aiming to prevent a future episode of neck pain.

OUTCOME MEASURES

New episode of neck pain.

RESULTS

Five trials including a total of 3852 individuals met the inclusion criteria. The pooled results from two randomised, controlled trials (500 participants) found moderate-quality evidence that exercise reduces the risk of a new episode of neck pain (OR 0.32, 95% CI 0.12 to 0.86). One of the meta-analysed trials included some co-interventions with the exercise. There was low-quality evidence from three randomised, controlled trials (3352 participants) that ergonomic programs do not reduce the risk of a new neck pain episode (OR 1.00, 95% CI 0.74 to 1.35).

CONCLUSION

This review found moderate-quality evidence supporting the effectiveness of an exercise program for reducing the risk of a new episode of neck pain. There is a need for high-quality randomised, controlled trials evaluating interventions to prevent new episodes of neck pain.

REGISTRATION

PROSPERO CRD42017055174. [de Campos TF, Maher CG, Steffens D, Fuller JT, Hancock MJ (2018) Exercise programs may be effective in preventing a new episode of neck pain: a systematic review. Journal of Physiotherapy 64: 159-165].

摘要

问题

旨在预防颈部疼痛新发作的干预措施的有效性如何？

设计

系统评价和随机对照试验的荟萃分析。

参与者

研究开始时没有颈部疼痛的人。

干预措施

旨在预防未来颈部疼痛发作的任何干预措施。

结局测量

颈部疼痛新发作。

结果

五项试验共纳入 3852 名符合条件的个体。两项随机对照试验（500 名参与者）的汇总结果发现，中等质量证据表明运动可降低新发颈部疼痛的风险（OR 0.32，95%CI 0.12 至 0.86）。其中一项荟萃分析试验包含了一些与运动相关的联合干预措施。三项随机对照试验（3352 名参与者）的低质量证据表明，人体工程学方案并不能降低新发颈部疼痛发作的风险（OR 1.00，95%CI 0.74 至 1.35）。