Department of Physical Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Phys Ther. 2021 Aug 1;101(8). doi: 10.1093/ptj/pzab120.
The purpose of this review was to evaluate the effects of sling exercise on pain intensity, disability, and health-related quality of life in adults with neck pain.
The Cochrane Central Register of Controlled Trials, EMBASE, Physiotherapy Evidence Database (PEDro), and 6 other databases were searched from inception to July 2020. The reference lists of relevant articles to identify additional trials were also screened. Randomized controlled trials were included if they investigated the effects of sling suspension therapy in patients with neck pain, including mechanical neck disorders, cervicogenic headache, and neck disorders with radicular findings. Studies were required to be published in English or Chinese. The methodological quality and levels of evidence of studies were assessed using the PEDro scale and the Grading of Recommendations Assessment, Development and Evaluation approach, respectively. The random-effects model was used to perform meta-analyses.
Eleven randomized controlled trials were included (n = 595). The mean total PEDro score was 4.64 (SD = 1.21) of 10, which indicated a fair methodological quality. The intervention groups showed significant improvements in pain intensity (SMD = -1.23; 95% CI = -1.88 to -0.58) immediately postintervention compared with the control groups. No significant effects were found for disability, cervical range of motion, and health-related quality of life. However, sensitivity analyses revealed significant short-term improvements in pain intensity, disability, and cervical range of motion and sustained effects on disability at intermediate-term follow-up.
Sling exercise appears to be beneficial for improvements in pain intensity (moderate- to low-level evidence) among patients with neck pain. However, no definitive conclusion could be made regarding the effect of sling exercise for neck pain due to methodological limitations and high heterogeneity in the included studies.
This review provides overall moderate- to very low-level evidence for health care professionals who may consider including sling exercise in the intervention program for patients with neck pain.
本次综述的目的在于评估吊带运动疗法对颈痛患者疼痛强度、残疾和健康相关生活质量的影响。
我们检索了 Cochrane 对照试验中心注册库、EMBASE、物理治疗证据数据库（PEDro）和其他 6 个数据库，检索时间截至 2020 年 7 月。我们还筛选了相关文章的参考文献列表以确定其他试验。如果研究调查了吊带悬带疗法对颈痛患者（包括机械性颈部疾病、颈源性头痛和神经根性颈痛）的影响，则纳入随机对照试验。研究必须发表于英文或中文。使用 PEDro 量表和推荐评估、制定与评价分级法评估研究的方法学质量和证据水平。使用随机效应模型进行荟萃分析。
共纳入 11 项随机对照试验（n = 595）。总 PEDro 评分为 4.64（SD = 1.21），表明方法学质量中等。与对照组相比，干预组在干预后即刻疼痛强度显著改善（SMD = -1.23；95% CI = -1.88 至 -0.58）。残疾、颈椎活动范围和健康相关生活质量未见显著影响。然而，敏感性分析显示，疼痛强度、残疾和颈椎活动范围在短期有显著改善，且在中期随访时残疾仍有持续效应。
吊带运动疗法似乎有益于颈痛患者的疼痛强度改善（中等到低质量证据）。但是，由于纳入研究存在方法学局限性和高度异质性，因此对于吊带运动疗法对颈痛的效果无法得出明确结论。
本综述为可能考虑将吊带运动疗法纳入颈痛患者干预方案的医护人员提供了总体中等至非常低质量证据。
