Postgraduate Program in Medicine and Health, Federal University of Bahia (UFBA) Salvador, Bahia, Brazil; Physiotherapy Research Group, UFBA, Brazil; AF-Physioteherapy, Brazil.
Federal University of Rio de Janeiro, Rio de Janeiro, Brazil; International Proprioceptive Neuromuscular Facilitation Association (IPNFA), Brazil; Integrated Aquatic Therapy and Rehabilitation Center, Rio de Janeiro, Brazil.
Complement Ther Clin Pract. 2022 Feb;46:101505. doi: 10.1016/j.ctcp.2021.101505. Epub 2021 Nov 18.
and purpose: Although proprioceptive neuromuscular facilitation (PNF) exercises are used in rehabilitation practice, their effects in patients with low back pain (LBP) remain unclear. This study aimed to investigate the efficacy of PNF training for pain and disability in patients with LBP.
In this systematic review, we searched five databases from the earliest date available to October 2020. Three comparisons were performed: PNF versus control, PNF versus core strengthening, and PNF versus conventional physical therapy.
Sixteen studies met the eligibility criteria (722 patients). PNF training improved pain (standardized mean difference [SMD]: -2.6; 95% confidence interval [CI]: -4.2 to -0.9, n = 174) and disability (SMD: -3.29; 95% CI: -5.3 to -1.3, n = 144) compared to the control. PNF training also yielded a greater benefit for pain reduction (mean difference [MD]: -1.8, 95% CI: -2.2 to -0.3, n = 177) and disability improvement (MD: -6.6, 95% CI: -9.3 to -3.8, n = 113) than did core strengthening.
PNF training seems to be a useful strategy for decreasing pain and improving disability in patients with LBP. However, the quality of evidence for the outcomes of both pain and disability was low to moderate.
目的：尽管本体感觉神经肌肉促进（PNF）练习在康复实践中被广泛应用，但它们在腰痛（LBP）患者中的疗效仍不清楚。本研究旨在探讨 PNF 训练对 LBP 患者疼痛和残疾的疗效。
在本次系统评价中，我们从最早可获得的日期到 2020 年 10 月搜索了五个数据库。进行了三项比较：PNF 与对照组、PNF 与核心强化训练、PNF 与常规物理治疗。
符合纳入标准的研究有 16 项（722 名患者）。与对照组相比，PNF 训练可改善疼痛（标准化均数差 [SMD]：-2.6；95%置信区间 [CI]：-4.2 至-0.9，n=174）和残疾（SMD：-3.29；95%CI：-5.3 至-1.3，n=144）。与核心强化训练相比，PNF 训练在减轻疼痛（MD：-1.8，95%CI：-2.2 至-0.3，n=177）和改善残疾（MD：-6.6，95%CI：-9.3 至-3.8，n=113）方面具有更大的益处。
PNF 训练似乎是一种有用的策略，可以减轻 LBP 患者的疼痛并改善其残疾。然而，疼痛和残疾结局的证据质量均为低至中度。
