Specialized Hospital for Polio and Accident Victims, Roedovre, Denmark.
Department of Rehabilitation Medicine, Region Östergötland & Department of Medicine and Health, Linköping University, Sweden.
J Rehabil Med. 2022 Aug 18;54:jrm00322. doi: 10.2340/jrm.v54.2398.
This scoping review aimed to identify and synthesize existing research on active conservative management of primary spinal syringomyelia and associated symptoms and to discuss perspectives for clinical application using an activity-based approach.
PubMed, Embase, Scopus, and Web of Science were systematically searched for empirical studies of conservative management or therapies of adults with primary spinal syringomyelia from inception to April 2021. In addition, abstracts from relevant conferences were searched. Study characteristics and key findings were extracted, and findings descriptively synthesized.
Of 1,186 studies screened, 7 studies met the eligibility criteria (4 single case studies and 3 cohort studies, a total of 90 individuals). The interventions were primarily physiotherapeutic, mostly by posture correction and exercises, and effects were alleviation of pain, improved physical function, improved activities of daily living and quality of life. Analysis of factors triggering symptoms and rationale for choice of intervention based upon these was limited.
Evidence of active conservative management of primary spinal syringomyelia and associated symptoms is limited. Many variations and limitations in the existing research limit the conclusions. High-quality research is needed to enable healthcare professionals to apply evidencebased active conservative interventions.
本范围综述旨在确定和综合现有关于原发性脊髓空洞症及其相关症状的主动保守治疗的研究，并采用基于活动的方法讨论临床应用的观点。
系统检索了 PubMed、Embase、Scopus 和 Web of Science 从成立到 2021 年 4 月期间关于成人原发性脊髓空洞症保守治疗或疗法的实证研究，此外还检索了相关会议的摘要。提取研究特征和主要发现，并进行描述性综合。
在筛选的 1186 项研究中，有 7 项符合纳入标准（4 项单病例研究和 3 项队列研究，共 90 人）。干预措施主要是物理治疗，主要通过姿势矫正和运动，效果是缓解疼痛、改善身体功能、提高日常生活活动能力和生活质量。对基于这些因素触发症状的分析以及干预措施选择的基本原理的分析受到限制。
原发性脊髓空洞症及其相关症状的主动保守治疗的证据有限。现有研究中的许多变化和局限性限制了结论。需要高质量的研究，使医疗保健专业人员能够应用基于证据的主动保守干预措施。
