普拉提对慢性下腰痛患者疼痛、功能障碍和生活质量的疗效：系统评价和荟萃分析。
Efficacy of Pilates on Pain, Functional Disorders and Quality of Life in Patients with Chronic Low Back Pain: A Systematic Review and Meta-Analysis.
机构信息
College of Physical Education and Health, Guangxi Normal University, Guilin 541006, China.
College of Physical Education and Health, Geely University of China, Chengdu 641432, China.
出版信息
Int J Environ Res Public Health. 2023 Feb 6;20(4):2850. doi: 10.3390/ijerph20042850.
BACKGROUND
Chronic low back pain (CLBP) is a common health problem. Pilates is a unique exercise therapy. This meta-analysis aims to evaluate the efficacy of Pilates on pain, functional disorders, and quality of life in patients with chronic low back pain (CLBP).
METHODS
PubMed, Web of Science, CNKI, VIP, Wanfang Data, CBM, EBSCO, and Embase were searched. Randomized controlled trials of Pilates in the treatment of CLBP were collected based on the inclusion and exclusion criteria. The meta-analysis was performed using RevMan 5.4 and Stata 12.2.
RESULTS
19 randomized controlled trials with a total of 1108 patients were included. Compared with the controls, the results showed the following values: Pain Scale [standard mean difference; SMD = -1.31, 95%CI (-1.80, -0.83), < 0.00001], Oswestry Disability Index (ODI) [mean difference; MD = -4.35, 95%CI (-5.77, -2.94), < 0.00001], Roland-Morris Disability Questionnaire (RMDQ) [MD = -2.26, 95%CI (-4.45, -0.08), = 0.04], 36-item Short-Form (SF-36) (Physical Function (PF) [MD = 5.09, 95%CI (0.20, 9.99), = 0.04], Role Physical (RP) [MD = 5.02, 95%CI (-1.03, 11.06), = 0.10], Bodily Pain (BP) [MD = 8.79, 95%CI (-1.57, 19.16), = 0.10], General Health (GH) [MD = 8.45, 95%CI (-5.61, 22.51), = 0.24], Vitality (VT) [MD = 8.20, 95%CI(-2.30, 18.71), = 0.13], Social Functioning (SF) [MD = -1.11, 95%CI (-7.70, 5.48), = 0.74], Role Emotional (RE) [MD = 0.86, 95%CI (-5.53, 7.25), = 0.79], Mental Health (MH) [MD = 11.04, 95%CI (-12.51, 34.59), = 0.36]), Quebec Back in Disability Scale (QBPDS) [MD = -5.51, 95%CI (-23.84, 12.81), = 0.56], and the sit-and-reach test [MD = 1.81, 95%CI (-0.25, 3.88), = 0.09].
CONCLUSIONS
This meta-analysis reveals that Pilates may have positive efficacy for pain relief and the improvement of functional disorders in CLBP patients, but the improvement in quality of life seems to be less obvious.
REGISTRATION
PROSPERO CRD42022348173.
背景
慢性下腰痛（CLBP）是一种常见的健康问题。普拉提是一种独特的运动疗法。本荟萃分析旨在评估普拉提对慢性下腰痛（CLBP）患者疼痛、功能障碍和生活质量的疗效。
方法
根据纳入和排除标准，检索 PubMed、Web of Science、CNKI、VIP、Wanfang Data、CBM、EBSCO 和 Embase 中关于普拉提治疗 CLBP 的随机对照试验。使用 RevMan 5.4 和 Stata 12.2 进行荟萃分析。
结果
共纳入 19 项随机对照试验，共 1108 例患者。与对照组相比，结果显示：疼痛量表[标准均数差；SMD = -1.31，95%CI（-1.80，-0.83）， < 0.00001]、Oswestry 残疾指数（ODI）[平均差；MD = -4.35，95%CI（-5.77，-2.94）， < 0.00001]、Roland-Morris 残疾问卷（RMDQ）[MD = -2.26，95%CI（-4.45，-0.08）， = 0.04]、36 项简明健康调查问卷（SF-36）（PF [MD = 5.09，95%CI（0.20，9.99）， = 0.04]、RP [MD = 5.02，95%CI（-1.03，11.06）， = 0.10]、BP [MD = 8.79，95%CI（-1.57，19.16）， = 0.10]、GH [MD = 8.45，95%CI（-5.61，22.51）， = 0.24]、VT [MD = 8.20，95%CI（-2.30，18.71）， = 0.13]、SF [MD = -1.11，95%CI（-7.70，5.48）， = 0.74]、RE [MD = 0.86，95%CI（-5.53，7.25）， = 0.79]、MH [MD = 11.04，95%CI（-12.51，34.59）， = 0.36]）、魁北克背部残疾量表（QBPDS）[MD = -5.51，95%CI（-23.84，12.81）， = 0.56]和坐立伸展测试[MD = 1.81，95%CI（-0.25，3.88）， = 0.09]。
结论
本荟萃分析表明，普拉提可能对缓解慢性下腰痛患者的疼痛和改善功能障碍有积极作用，但改善生活质量的效果似乎不太明显。
注册
PROSPERO CRD42022348173。
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