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慢性颈痛与姿势康复:文献综述。

Chronic neck pain and postural rehabilitation: A literature review.

机构信息

Nitte Institute of Physiotherapy, NITTE (Deemed to be University), Mangalore, Karnataka, 575018, India.

出版信息

J Bodyw Mov Ther. 2022 Oct;32:201-206. doi: 10.1016/j.jbmt.2022.04.017. Epub 2022 Apr 20.

DOI:10.1016/j.jbmt.2022.04.017
PMID:36180150
Abstract

Chronic Neck Pain is a major disease leading to disability in individuals around the world. Various rehabilitative approaches are being used worldwide to treat neck pain. This literature review highlights efficacy of those techniques used in correcting posture in chronic neck pain. In total 17 articles are included in this review (10 articles on exercises, Pilates 3, global postural re-education (GPR) 1, patient education 2, proprioceptive neuromuscular facilitation 1). The effects of the techniques were examined on individual outcomes (pain, disability), quality of life (QoL), and psychological aspects and the targeted aspects of physical function (muscle strength, mobility and endurance). Most of the techniques are effective compared to control group and few techniques in combination with other interventions like exercise and education had better improvements in outcomes, few techniques compared to one another found to be equally significant on reducing pain and disability. To date, it was challenging to affirm superiority of one technique over other. Further high quality research is needed to confirm the effect of these techniques with appropriate evaluation methods.

摘要

慢性颈痛是导致全球人群残疾的主要疾病。目前,全球范围内使用了各种康复方法来治疗颈痛。本文献综述重点介绍了纠正慢性颈痛患者姿势的技术的疗效。本综述共纳入了 17 篇文章(10 篇关于运动的文章、3 篇普拉提、1 篇全球姿势再教育、2 篇患者教育、1 篇本体感觉神经肌肉促进法)。这些技术的效果通过个体结果(疼痛、残疾)、生活质量(QoL)、心理方面以及身体功能的特定方面(肌肉力量、活动度和耐力)进行了评估。与对照组相比,大多数技术都是有效的,而少数几种技术与运动和教育等其他干预措施相结合时,在改善效果方面有更好的改善,少数几种技术在减轻疼痛和残疾方面发现同样有效。迄今为止,还难以肯定一种技术比另一种技术更具优势。需要进一步开展高质量的研究,使用适当的评估方法来证实这些技术的效果。

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引用本文的文献

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Healthcare (Basel). 2025 Jul 14;13(14):1689. doi: 10.3390/healthcare13141689.
2
Influence of pain neuroscience education and exercises for the management of neck pain: A meta-analysis of randomized controlled trials.疼痛神经科学教育和颈部疼痛管理练习的影响:一项随机对照试验的荟萃分析。
Medicine (Baltimore). 2024 Nov 29;103(48):e40760. doi: 10.1097/MD.0000000000040760.
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Durable Effect of Acupuncture for Chronic Neck Pain: A Systematic Review and Meta-Analysis.
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Curr Pain Headache Rep. 2024 Sep;28(9):957-969. doi: 10.1007/s11916-024-01267-x. Epub 2024 Jun 10.
4
Cross-Cultural Adaptation, Reliability, and Validity of the Polish Version of the Neck Outcome Score.《颈部结果评分波兰语版的跨文化适应、信度和效度》
Clin Pract. 2023 Oct 30;13(6):1352-1359. doi: 10.3390/clinpract13060121.