手法治疗干预对肌筋膜触发点患者活动范围的影响：一项系统评价与Meta分析
Effect of Manual Therapy Interventions on Range of Motion Among Individuals with Myofascial Trigger Points: A Systematic Review and Meta-Analysis.
作者信息
Guzmán-Pavón María José, Cavero-Redondo Iván, Martínez-Vizcaíno Vicente, Torres-Costoso Ana Isabel, Reina-Gutiérrez Sara, Álvarez-Bueno Celia
机构信息
Faculty of Physiotherapy and Nursing, Universidad de Castilla-La Mancha, Toledo, Spain.
Health and Social Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain.
出版信息
Pain Med. 2022 Jan 3;23(1):137-143. doi: 10.1093/pm/pnab224.
OBJECTIVE
Patients with myofascial trigger points (MTPs) frequently manifest restricted range of motion (ROM) during physical evaluation. Multiple manual therapy interventions have been developed for the treatment of MTPs, but their effect on ROM has not been clarified through a systematic review and meta-analysis. Thus, this systematic review aimed to assess the effect of manual therapy interventions on ROM among individuals with MTPs.
METHODS
A systematic search was conducted in PubMed, Web of Science, Cochrane, Scopus, and Clinical Trials.gov. Articles analyzing the effect of manual therapy interventions on ROM were included. The risk of bias was assessed with the Cochrane Risk of Bias (RoB) 2 tool. The DerSimonian-Laird method was used to compute the pooled effect size (ES) and its 95% confidence interval (95% CI) for ROM.
RESULTS
A total of 13 randomized controlled trials were included in this systematic review and meta-analysis. The pooled ES for ROM was 0.52 (95% CI: 0.42-0.63). The pooled ES for ROM evaluated in centimeters was 0.36 (95% CI: 0.14-0.59), and the pooled ES for ROM evaluated in degrees was 0.57 (95% CI: 0.47-0.68).
CONCLUSION
Manual therapy interventions may be an effective approach for improving ROM among individuals with MTPs.
目的
肌筋膜触发点（MTP）患者在体格检查中常表现出活动范围（ROM）受限。已开发出多种手法治疗干预措施来治疗MTP，但尚未通过系统评价和荟萃分析阐明其对ROM的影响。因此，本系统评价旨在评估手法治疗干预措施对患有MTP的个体ROM的影响。
方法
在PubMed、科学网、Cochrane、Scopus和临床试验.gov进行了系统检索。纳入分析手法治疗干预措施对ROM影响的文章。使用Cochrane偏倚风险（RoB）2工具评估偏倚风险。采用DerSimonian-Laird方法计算ROM的合并效应量（ES）及其95%置信区间（95%CI）。
结果
本系统评价和荟萃分析共纳入13项随机对照试验。ROM的合并ES为0.52（95%CI：0.42-0.63）。以厘米为单位评估的ROM合并ES为0.36（95%CI：0.14-0.59），以度为单位评估的ROM合并ES为0.57（95%CI：0.47-0.68）。
结论
手法治疗干预措施可能是改善患有MTP的个体ROM的有效方法。
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