Drummond Christian, Lebedeva Valeriya, Kirker Kaitlin, Masaracchio Michael
Department of Physical Therapy, Long Island University, Brooklyn, New York.
J Strength Cond Res. 2024 Oct 1;38(10):1822-1833. doi: 10.1519/JSC.0000000000004135. Epub 2021 Sep 23.
Drummond, C, Lebedeva, V, Kirker, K, and Masaracchio, M. Sling exercise in the management of chronic low back pain: A systematic review and meta-analysis. J Strength Cond Res 38(10): 1822-1833, 2024-The purpose of this systematic review is to assess the effectiveness of sling exercise therapy (SET) in individuals with chronic low back pain (LBP). Eligible studies were randomized clinical trials or prospective cohort studies published in the English language that assessed SET on measures of pain, disability, or muscle attributes in chronic LBP. The search identified 1,204 studies, with 12 studies meeting the inclusion criteria. The average score was 7.3 on the Cochrane Risk of Bias Criteria. Meta-analysis comparing SET with general exercise revealed a nonsignificant effect for pain (mean difference [MD] 0.14; 95% confidence interval [CI]: -0.58, 0.87). Meta-analysis comparing SET with motor control training/lumbar stabilization revealed a significant effect favoring SET for pain (MD -4.13; 95% CI: -7.82 to -0.45) and disability (MD -3.19; 95% CI: -4.63 to -1.76). Meta-analysis comparing SET with no treatment revealed a significant effect favoring SET for pain (MD -1.05; 95% CI: -2.82 to -0.71). Meta-analysis comparing SET plus modalities with modalities revealed a significant effect favoring the SET plus modalities group for pain (MD -1.19; 95% CI: -1.48 to -0.89) and a nonsignificant effect for disability (MD -6.67; 95% CI: -17.25 to 3.92). Sling exercise therapy was more effective than all comparisons for various muscle attributes. The overall level of evidence ranged from very low to moderate. Sling exercise therapy is effective in reducing pain, disability, and improving core muscle activation, strength, thickness, and onset in patients with chronic LBP. Because SET demonstrated comparable outcomes with common active interventions, it provides an opportunity to implement pain-free exercises based on the patient's initial functional level early in the plan of care.
德拉蒙德、C、列别杰娃、V、柯克、K和马萨拉基奥、M。悬吊运动在慢性下腰痛管理中的应用：一项系统评价和荟萃分析。《力量与体能研究杂志》38(10): 1822 - 1833, 2024年——本系统评价的目的是评估悬吊运动疗法（SET）对慢性下腰痛（LBP）患者的有效性。符合条件的研究为以英文发表的随机临床试验或前瞻性队列研究，这些研究评估了SET对慢性LBP患者疼痛、功能障碍或肌肉属性的影响。检索共识别出1204项研究，其中12项研究符合纳入标准。根据Cochrane偏倚风险标准，平均评分为7.3分。将SET与一般运动进行比较的荟萃分析显示，对疼痛无显著影响（平均差[MD] 0.14；95%置信区间[CI]：-0.58, 0.87）。将SET与运动控制训练/腰椎稳定化进行比较的荟萃分析显示，SET对疼痛（MD -4.13；95% CI：-7.82至-0.45）和功能障碍（MD -3.19；95% CI：-4.63至-1.76）有显著优势。将SET与不治疗进行比较的荟萃分析显示，SET对疼痛有显著优势（MD -1.05；95% CI：-2.82至-0.71）。将SET加其他治疗方式与其他治疗方式进行比较的荟萃分析显示，SET加其他治疗方式组对疼痛有显著优势（MD -1.19；95% CI：-1.48至-0.89），对功能障碍无显著影响（MD -6.67；95% CI：-17.25至3.92）。对于各种肌肉属性，悬吊运动疗法比所有比较组都更有效。证据的总体水平从极低到中等不等。悬吊运动疗法在减轻慢性LBP患者的疼痛、功能障碍以及改善核心肌肉激活、力量、厚度和起始方面是有效的。由于SET与常见的主动干预措施显示出相当的效果，它为在护理计划早期根据患者的初始功能水平实施无痛运动提供了机会。
