Dueñas Lirios, Aguilar-Rodríguez Marta, Voogt Lennard, Lluch Enrique, Struyf Filip, Mertens Michel G C A M, Meulemeester Kayleigh De, Meeus Mira
Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, 46010 Valencia, Spain.
Physiotherapy in Motion, Multi-Specialty Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain.
J Clin Med. 2021 Dec 18;10(24):5946. doi: 10.3390/jcm10245946.
The current systematic review aimed to compare the effect of injury-focused (specific) exercises versus more general (non-specific) exercises on pain in patients with chronic neck or shoulder pain. We searched PubMed, EMBASE, and Web of Science. Two reviewers screened and selected studies, extracted outcomes, assessed risk of bias, and rated the quality of evidence. A total of nine eligible studies, represented in 13 articles, were identified, with a considerable risk of bias. One article investigated the acute effect of single bouts of exercise on pain and reported an immediate pain reduction after non-specific exercise. Regarding short-term effects, seven out of the nine studies found no differences in pain between interventions, with inconsistent results among two other studies. Concerning the long-term effects, while pain reduction seems to be favored by specific exercises (two out of four articles), the best format is still unclear. Based on the acute effects, a single bout of non-specific exercise seems to be a better option for pain-relief for patients with chronic neck or shoulder pain. For short-term effects, there are no differences in pain between specific and non-specific exercises. Regarding long-term effects, specific exercises seem to be the best option. Nevertheless, more studies are warranted.
本系统评价旨在比较针对损伤的（特定的）运动与更一般的（非特定的）运动对慢性颈部或肩部疼痛患者疼痛的影响。我们检索了PubMed、EMBASE和科学网。两名评价者筛选并选择研究、提取结果、评估偏倚风险并对证据质量进行评级。共识别出9项符合条件的研究，以13篇文章呈现，存在相当大的偏倚风险。一篇文章研究了单次运动对疼痛的急性影响，报告非特定运动后疼痛立即减轻。关于短期影响，9项研究中有7项发现干预措施之间疼痛无差异，另外两项研究结果不一致。关于长期影响，虽然特定运动似乎更有利于减轻疼痛（4篇文章中有2篇），但最佳形式仍不清楚。基于急性影响，单次非特定运动似乎是慢性颈部或肩部疼痛患者缓解疼痛的更好选择。对于短期影响，特定运动和非特定运动之间疼痛无差异。关于长期影响，特定运动似乎是最佳选择。然而，仍需要更多研究。
