de F Silva Angélica, Maia Laísa B, Mendonça Vanessa A, Dos Santos Jousielle M, Coelho-Oliveira Ana C, Santos Joyce N V, Moreira Leticia L V, Mascarenhas Rodrigo de O, Gonçalves Gabriele T, Oliveira Vinícius C, Teixeira Leonardo A C, Rapin Amandine, Lacerda Ana C R, Taiar Redha
Postgraduate Program in Rehabilitation and Functional Performance (PPGReab), Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina 39100-000, Brazil.
Department of Physiotherapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina 39100-000, Brazil.
Diagnostics (Basel). 2022 Nov 23;12(12):2910. doi: 10.3390/diagnostics12122910.
To investigate the efficacy of hip strengthening on pain, disability, and hip abductor strength in musculoskeletal conditions of the trunk and lower limbs, we searched eight databases for randomized controlled trials up to 8 March 2022 with no date or language restrictions. Random-effect models estimated mean differences (MDs) with 95% confidence intervals (CIs), and the quality of evidence was assessed using the GRADE approach. Very low quality evidence suggested short-term effects (≤3 months) of hip strengthening on pain intensity (MD of 4.1, 95% CI: 2.1 to 6.2; two trials, n = 48 participants) and on hip strength (MD = 3.9 N, 95% CI: 2.8 to 5.1; two trials, n = 48 participants) in patellofemoral pain when compared with no intervention. Uncertain evidence suggested that hip strengthening enhances the short-term effect of the other active interventions on pain intensity and disability in low back pain (MD = -0.6 points, 95% CI: 0.1 to 1.2; five trials, n = 349 participants; MD = 6.2 points, 95% CI: 2.6 to 9.8; six trials, n = 389 participants, respectively). Scarce evidence does not provide reliable evidence of the efficacy of hip strengthening in musculoskeletal conditions of the trunk and lower limbs.
为了研究强化髋关节对躯干和下肢肌肉骨骼疾病患者疼痛、功能障碍及髋关节外展肌力量的疗效，我们检索了8个数据库，纳入截至2022年3月8日的随机对照试验，无日期及语言限制。采用随机效应模型估计平均差（MDs）及95%置信区间（CIs），并使用GRADE方法评估证据质量。极低质量证据表明，与不进行干预相比，强化髋关节对髌股关节疼痛患者的疼痛强度（MD为4.1，95%CI：2.1至6.2；两项试验，n = 48名参与者）和髋关节力量（MD = 3.9 N，95%CI：2.8至5.1；两项试验，n = 48名参与者）有短期（≤3个月）影响。不确定证据表明，强化髋关节可增强其他积极干预措施对腰痛患者疼痛强度和功能障碍的短期影响（MD = -0.6分，95%CI：0.1至1.2；五项试验，n = 349名参与者；MD = 6.2分，95%CI：2.6至9.8；六项试验，n = 389名参与者）。缺乏证据表明强化髋关节对躯干和下肢肌肉骨骼疾病有疗效。
Cochrane Database Syst Rev. 2019-11-17
Cochrane Database Syst Rev. 2015-10-29
Cochrane Database Syst Rev. 2020-4-9
Spine (Phila Pa 1976). 2020-11-1
Scand J Med Sci Sports. 2020-11
J Sports Sci Med. 2020-2-24
BMC Musculoskelet Disord. 2019-10-22
Zotero 插件
