慢性下背痛患者表面肌电图的临床应用和可重复性：系统评价和荟萃分析方案。

Clinical utility and reproducibility of surface electromyography in individuals with chronic low back pain: a protocol for a systematic review and meta-analysis.

机构信息

Faculty of Health and Medical Sciences (FHMS), The University of Adelaide, Adelaide Medical School, Adelaide, South Australia, Australia

Precision Health Future Science Platform, CSIRO at South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.

出版信息

BMJ Open. 2022 May 16;12(5):e058652. doi: 10.1136/bmjopen-2021-058652.

DOI:10.1136/bmjopen-2021-058652

PMID:35577472

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9114948/

Abstract

INTRODUCTION

Chronic low back pain (CLBP) is one of the most common disorders presenting in primary healthcare. Kinematic studies of low lumbar pelvic mobility allied with surface electromyography (sEMG) may assist in the assessment and management of CLBP. However, the applicability in the use of sEMG in the clinical setting remains uncertain. In this protocol, we aim to review the clinical utility and reproducibility of the sEMG component of these kinematic studies in patients with CLBP.

METHODS AND ANALYSIS

This protocol was informed by the Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P) and results will be reported in line with the PRISMA. Searches will be conducted on PubMed, Scopus, Web of Science, Embase, CINAHL and Google Scholar databases, along with a comprehensive review of grey literature. Two reviewers will conduct the searches and independently screen them, according to title and abstract. Two independent reviewers will then assess the full-text versions of those selected articles and assess the risk of bias using the defined protocol inclusion criteria. The risk of bias within the studies included will be assessed via the Quality Assessment of Diagnostic Accuracy Studies tool, V.2 and the Grading of Recommendations Assessment, Development and Evaluation guidelines will be used to assess certainty of evidence for recommendations based on the risk of bias findings. Meta-analysis will be conducted where appropriate on groups of studies with low heterogeneity. In instances of higher heterogeneity, meta-synthesis will instead be completed, comparing results in terms of increased or decreased clinical utility and/or reproducibility of sEMG.

ETHICS AND DISSEMINATION

Ethics approval was not required for this research. It is anticipated that the results will influence the use, interpretation and further development of sEMG in management and assessment of these patients.

PROSPERO REGISTRATION NUMBER

CRD42021273936.

摘要

简介

慢性下腰痛（CLBP）是初级保健中最常见的疾病之一。下腰椎骨盆运动学研究与表面肌电图（sEMG）联合使用，可能有助于 CLBP 的评估和管理。然而，sEMG 在临床中的应用适用性仍不确定。在本方案中，我们旨在综述这些运动学研究中 sEMG 成分在 CLBP 患者中的临床实用性和可重复性。

方法和分析

本方案依据系统评价和荟萃分析报告的首选报告项目（PRISMA-P）制定，结果将按照 PRISMA 报告。将在 PubMed、Scopus、Web of Science、Embase、CINAHL 和 Google Scholar 数据库中进行检索，并对灰色文献进行全面综述。两名审查员将根据标题和摘要进行检索，并独立筛选。然后，两名独立的审查员将评估所选文章的全文，并根据定义的方案纳入标准评估偏倚风险。将使用诊断准确性研究工具第 2 版（Quality Assessment of Diagnostic Accuracy Studies tool, V.2）评估纳入研究的偏倚风险，并使用推荐评估、制定与评价分级指南（Grading of Recommendations Assessment, Development and Evaluation guidelines）根据偏倚发现评估推荐意见的证据确定性。如果适当，将对异质性较低的研究组进行荟萃分析。在异质性较高的情况下，将完成元综合分析，根据 sEMG 的临床实用性和/或可重复性的增加或减少比较结果。