Department of Kinesiology and Health Sciences, University of Waterloo, 200 University Ave W, Waterloo, ON, N2L 3G1, Canada.
School of Health and Exercise Sciences, University of British Columbia, Kelowna, BC, Canada.
Arch Osteoporos. 2023 Feb 25;18(1):36. doi: 10.1007/s11657-023-01224-y.
This systematic review analyzes the effects of bracing and taping after osteoporotic vertebral fractures. Spinal orthose may have positive effects on pain, but the evidence is of very low certainty. Clinical judgment is recommended when prescribing spinal orthoses.
To examine the effects of bracing and taping interventions on pain, physical functioning, health-related quality of life, back extensor strength, kyphosis curvature, and adverse events in individuals with vertebral fragility fractures.
Four databases were searched from inception up to January 2022. We included randomized controlled trials testing the effect of bracing or taping interventions compared with a non-intervention control in adults ≥ 45 years with vertebral fragility fractures. Narrative syntheses were presented for all the outcomes. We assessed the risk of bias using the Cochrane Risk of Bias Assessment Tool and the certainty of evidence using the Grading of Recommendations Assessment, Development and Evaluation.
Three studies were included. Soft bracing interventions exhibited inconsistent effects on pain. One study showed no difference between groups, and another study should a decrease in pain in the soft bracing group compared to the control group. Rigid bracing interventions did not have a significant change in pain between the control and intervention groups. One study demonstrated a decrease in pain at rest (VAS: - 10.8 ± 19.3) and during movement (VAS: - 20.9 ± 29.8) after a taping intervention. The other outcomes were not consistent across studies.
Spinal orthoses may improve pain in people with vertebral fractures; however, we cannot draw definitive conclusions on the efficacy or harms of bracing or taping due to the very low certainty evidence and the small number of studies. Effects on other outcomes are uncertain.
本系统评价分析了骨质疏松性椎体骨折后支具和贴扎的效果。脊柱矫形器可能对疼痛有积极影响，但证据的确定性非常低。在开具脊柱矫形器时，建议临床判断。
研究支具和贴扎干预对疼痛、身体功能、健康相关生活质量、腰背伸肌力量、后凸曲率以及椎体脆性骨折患者不良事件的影响。
从建库起至 2022 年 1 月，我们在四个数据库中进行了检索。我们纳入了比较支具或贴扎干预与非干预对照组在年龄≥45 岁、椎体脆性骨折的成年人中效果的随机对照试验。我们对所有结局进行了叙述性综合。我们使用 Cochrane 偏倚风险评估工具评估偏倚风险，并使用推荐评估、制定与评价分级评估证据确定性。
纳入了三项研究。软支具干预对疼痛的影响不一致。一项研究显示组间无差异，另一项研究显示软支具组的疼痛较对照组减轻。硬支具干预在对照组和干预组之间疼痛没有显著变化。一项研究显示贴扎干预后静息时（VAS：-10.8±19.3）和活动时（VAS：-20.9±29.8）疼痛减轻。其他结局在不同研究中不一致。
脊柱矫形器可能改善椎体骨折患者的疼痛；然而，由于极低确定性证据和研究数量少，我们不能对支具或贴扎的疗效或危害得出明确结论。其他结局的效果不确定。
