传统中医锻炼对中老年颈痛患者疼痛和残疾的影响：一项随机对照试验的系统评价和荟萃分析
Traditional Chinese Exercises on Pain and Disability in Middle-Aged and Elderly Patients With Neck Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
作者信息
Kong Lingjun, Ren Jun, Fang Sitong, He Tianxiang, Zhou Xin, Fang Min
机构信息
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Institute of Tuina, Shanghai Institute of Traditional Chinese Medicine, Shanghai, China.
出版信息
Front Aging Neurosci. 2022 Jun 10;14:912945. doi: 10.3389/fnagi.2022.912945. eCollection 2022.
BACKGROUND
With the change of life and work style, more middle-aged and elderly individuals are suffering from neck pain. In China, traditional Chinese exercises (TCEs) are widely used in the management of neck pain, such as Tai Chi, Qigong, Yijinjing, Baduanjin, Liuzijue, and Five-animal exercises. However, the evidence of TCEs for neck pain maintains controversial. Therefore, the current systematic review was conducted to evaluate the effects of TCEs on pain and disability of middle-aged and elderly patients with neck pain.
METHODS
A comprehensive literature search was performed in six electronic databases from their inception to January 2022 for randomized controlled trials of TCEs for neck pain. The methodological quality of the included studies was assessed by PEDro scale. The subgroup analysis was conducted based on different TCEs. The statistic was applied to assess the heterogeneity.
RESULTS
Twenty-one studies were included in our review, which were conducted in China, United States, and Germany between 2003 and 2021. Most (86%) of them exceeded the cut off score 6. TCEs included Baduanjin, Yijinjing, Tai Chi, Qigong, and Five-animal exercises. The aggregated results indicated that TCEs showed positive complementary effects in relieving pain (, 1.12; 95% , 0.78-1.45; < 0.00001), especially Baduanjin exercises. Baduanjin exercises also showed beneficial complementary effects in improving flexion (, 0.65; 95% , 0.28-1.03; = 0.0006) and extension (, 0.66; 95% , 0.12-1.19; = 0.02) of the neck. In addition, the aggregated results indicated that TCEs alone showed beneficial effects in improving disability (, 0.74; 95% , 0.40-1.08; < 0.0001) and relieving pain (, 0.81; 95% , 0.50-1.13; < 0.00001) compared with waiting list. The follow-up effects of TCEs were still insufficient.
CONCLUSION
There was the positive evidence to support the clinical use of TCEs, as a complementary therapy, for middle-aged and elderly patients with neck pain, especially Baduanjin exercises. However, the evidence supporting the effects of TCEs alone for the middle-aged and elderly patients with neck pain was limited due to the small sample size.
SYSTEMATIC REVIEW REGISTRATION
https://inplasy.com/inplasy-2022-4-0083/, identifier INPLASY202240083.
背景
随着生活和工作方式的改变，越来越多的中老年人饱受颈部疼痛之苦。在中国，传统中式锻炼方法（TCEs）被广泛用于颈部疼痛的管理，如太极拳、气功、易筋经、八段锦、六字诀和五禽戏。然而，TCEs对颈部疼痛疗效的证据仍存在争议。因此，开展本系统评价以评估TCEs对中老年颈部疼痛患者疼痛和功能障碍的影响。
方法
对6个电子数据库从建库至2022年1月进行全面文献检索，以查找TCEs治疗颈部疼痛的随机对照试验。采用PEDro量表评估纳入研究的方法学质量。基于不同的TCEs进行亚组分析。应用 统计量评估异质性。
结果
我们的评价纳入了21项研究，这些研究于2003年至2021年在中国、美国和德国开展。其中大多数（86%）超过了6分的截断分数。TCEs包括八段锦、易筋经、太极拳和气功。汇总结果表明，TCEs在缓解疼痛方面显示出积极的辅助作用（，1.12；95% ，0.78 - 1.45；< 0.00001），尤其是八段锦锻炼。八段锦锻炼在改善颈部前屈（，0.65；95% ，0.28 - 1.03； = 0.0006）和后伸（，0.66；95% ，0.12 - 1.19； = 0.02）方面也显示出有益的辅助作用。此外，汇总结果表明，与等待名单相比，单独的TCEs在改善功能障碍（，0.74；95% , 0.40 - 1.08；< 0.0001）和缓解疼痛（，0.81；95% , 0.
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