治疗髋关节相关疼痛的运动疗法方案是否有充分描述？干预描述的系统评价
Are Exercise Therapy Protocols For The Treatment of Hip-Related Pain Adequately Described? A Systematic Review of Intervention Descriptions.
作者信息
Estberger August, Kemp Joanne L, Thorborg Kristian, Pålsson Anders, Ageberg Eva
机构信息
Department of Health Sciences Lund University, Lund, Sweden.
La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport La Trobe University.
出版信息
Int J Sports Phys Ther. 2023 Feb 1;18(1):38-54. doi: 10.26603/001c.68069. eCollection 2023.
BACKGROUND
Hip-related pain is an umbrella term encompassing pain from non-arthritic hip joint pathologies, such as femoroacetabular impingement syndrome, hip dysplasia, and labral tears. Exercise therapy is commonly recommended for these conditions, but the reporting completeness of these interventions is currently unclear.
PURPOSE
The aim of this systematic review was to assess the reporting completeness of exercise therapy protocols for people with hip-related pain.
STUDY DESIGN
Systematic review according to PRISMA guidelines.
MATERIALS AND METHODS
A systematic search was conducted, searching the MEDLINE, CINAHL, and Cochrane databases. The search results were independently screened by two researchers. Inclusion criteria were studies using exercise therapy in people with non-arthritic hip-related pain. Two independent researchers used the Cochrane risk of bias tool version 2 to analyze risk of bias, and the Consensus on Exercise Reporting Template (CERT) checklist and score (1-19) to synthesize reporting completeness.
RESULTS
Fifty-two studies used exercise therapy for hip-related pain, but only 23 were included in the synthesis as 29 studies had no description of the intervention. CERT scores ranged from 1 to 17 (median 12, IQR 5-15). The most well-described items were tailoring (87%), and the least well-described items were motivation strategies (9%) and starting level (13%). Studies used exercise therapy alone (n=13), or in combination with hip arthroscopy (n=10).
CONCLUSION
Only 23 of 52 eligible studies reported sufficient details to be included in the CERT synthesis. The median CERT score was 12 (IQR 5-15), with no study reaching the maximum score of 19. Lack of reporting makes it difficult to replicate interventions in future research, and to draw conclusions on efficacy and dose-response to exercise therapy for hip-related pain.
LEVEL OF EVIDENCE
Level 1, systematic review.
背景
髋关节相关疼痛是一个统称，涵盖非关节炎性髋关节病变引起的疼痛，如股骨髋臼撞击综合征、髋关节发育不良和盂唇撕裂。运动疗法通常被推荐用于这些病症，但目前这些干预措施的报告完整性尚不清楚。
目的
本系统评价的目的是评估针对髋关节相关疼痛患者的运动疗法方案的报告完整性。
研究设计
根据PRISMA指南进行系统评价。
材料与方法
进行了系统检索，检索了MEDLINE、CINAHL和Cochrane数据库。检索结果由两名研究人员独立筛选。纳入标准为使用运动疗法治疗非关节炎性髋关节相关疼痛患者的研究。两名独立研究人员使用Cochrane偏倚风险工具第2版分析偏倚风险，并使用运动报告模板共识（CERT）清单和评分（1 - 19）来综合报告完整性。
结果
52项研究使用运动疗法治疗髋关节相关疼痛，但只有23项被纳入综合分析，因为29项研究未描述干预措施。CERT评分范围为1至17（中位数12，四分位间距5 - 15）。描述最详细的项目是个性化定制（87%），描述最不详细的项目是激励策略（9%）和起始水平（13%）。研究单独使用运动疗法（n = 13），或与髋关节镜检查联合使用（n = 10）。
结论
52项符合条件的研究中只有23项报告了足够的细节以纳入CERT综合分析。CERT评分中位数为12（四分位间距5 - 15），没有研究达到最高分数19。报告不足使得未来研究难以复制干预措施，并难以就运动疗法对髋关节相关疼痛的疗效和剂量反应得出结论。
证据水平
1级，系统评价。
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