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普拉提训练对慢性下腰痛患者疼痛和功能障碍的影响：一项基于随机对照试验的系统评价和荟萃分析

Effect of pilates training on pain and disability in patients with chronic low back pain: a systematic review and meta-analysis based on randomized controlled trials.

作者信息

Huang Junzhen, Park Hun-Young

机构信息

Department of Sports Medicine and Science, Graduated School, Konkuk University, Seoul, Republic of Korea.

Physical Activity and Performance Institute (PAPI), Konkuk University, Seoul, Republic of Korea.

出版信息

Phys Act Nutr. 2023 Mar;27(1):16-29. doi: 10.20463/pan.2023.0003. Epub 2023 Mar 31.

DOI:10.20463/pan.2023.0003
PMID:37132207
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10164513/
Abstract

PURPOSE: This systematic review and meta-analysis study evaluated the effects of Pilates on pain and disability in patients with chronic low back pain. METHODS: Six electronic databases were searched between January 2012 and December 2022. From these databases, only randomized controlled trials were selected. The criteria for assessing methodological quality using the PEDro scale were selected. The risk of bias was assessed using the Cochrane Risk of Bias Tool RoB 2.0. Additionally, the primary outcomes were pain and disability in this analysis. RESULTS: The corresponding results confirmed that Pilates training led to a significant improvement in pain (Visual Analog Scale: weighted mean difference = -29.38, 95% confidence interval, -33.24 to -25.52, I² value = 56.70%; Pain Numerical Rating Scale: weighted mean difference = -2.12, 95% confidence interval, -2.54 to -1.69, I² value = 0.00%) and disability (Roland- Morris Disability Index: weighted mean difference = -4.73, 95% confidence interval, -5.45 to -4.01, I² value = 41.79%). Six months after completion of Pilates training, the improvement in pain (Pain Numerical Rating Scale: weighted mean difference = -1.67, 95% confidence interval, -2.03 to -1.32, I² value = 0.00%) and disability (Roland-Morris Disability Index: weighted mean difference = -4.24, 95% confidence interval, -5.39 to -3.09, I² value = 52.79%) was maintained. CONCLUSION: Pilates training may be an effective strategy to improve pain and disability in patients with chronic low back pain.

摘要

目的：本系统评价和荟萃分析研究评估了普拉提对慢性下腰痛患者疼痛和功能障碍的影响。 方法：检索了2012年1月至2022年12月期间的六个电子数据库。从这些数据库中，仅选择随机对照试验。选择了使用PEDro量表评估方法学质量的标准。使用Cochrane偏倚风险工具RoB 2.0评估偏倚风险。此外，本分析的主要结局是疼痛和功能障碍。 结果：相应结果证实，普拉提训练导致疼痛显著改善（视觉模拟量表：加权平均差=-29.38，95%置信区间，-33.24至-25.52，I²值=56.70%；疼痛数字评定量表：加权平均差=-2.12，95%置信区间，-2.54至-1.69，I²值=0.00%）和功能障碍（罗兰-莫里斯功能障碍指数：加权平均差=-4.73，95%置信区间，-5.45至-4.01，I²值=41.79%）。普拉提训练完成六个月后，疼痛（疼痛数字评定量表：加权平均差=-1.67，95%置信区间，-2.03至-1.32，I²值=0.00%）和功能障碍（罗兰-莫里斯功能障碍指数：加权平均差=-4.24，95%置信区间，-5.39至-3.09，I²值=52.79%）的改善得以维持。 结论：普拉提训练可能是改善慢性下腰痛患者疼痛和功能障碍的有效策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f39c/10164513/d8c881a11fb9/pan-2023-0003f11.jpg
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[8]
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[9]
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[10]
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