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电磁透热疗法治疗肌肉骨骼疾病的疗效：一项系统评价与荟萃分析

The Efficacy of Electromagnetic Diathermy for the Treatment of Musculoskeletal Disorders: A Systematic Review with Meta-Analysis.

作者信息

Pollet Joel, Ranica Giorgia, Pedersini Paolo, Lazzarini Stefano G, Pancera Simone, Buraschi Riccardo

机构信息

IRCCS Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.

出版信息

J Clin Med. 2023 Jun 9;12(12):3956. doi: 10.3390/jcm12123956.

DOI:10.3390/jcm12123956
PMID:37373650
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10299724/
Abstract

OBJECTIVE: This study aims to establish the effect of electromagnetic diathermy therapies (e.g., shortwave, microwave, capacitive resistive electric transfer) on pain, function, and quality of life in treating musculoskeletal disorders. METHODS: We conducted a systematic review according to the PRISMA statement and Cochrane Handbook 6.3. The protocol has been registered in PROSPERO: CRD42021239466. The search was conducted in PubMed, PEDro, CENTRAL, EMBASE, and CINAHL. RESULTS: We retrieved 13,323 records; 68 studies were included. Many pathologies were treated with diathermy against placebo, as a standalone intervention or alongside other therapies. Most of the pooled studies did not show significant improvements in the primary outcomes. While the analysis of single studies shows several significant results in favour of diathermy, all comparisons considered had a GRADE quality of evidence between low and very low. CONCLUSIONS: The included studies show controversial results. Most of the pooled studies present very low quality of evidence and no significant results, while single studies have significant results with a slightly higher quality of evidence (low), highlighting a critical lack of evidence in the field. The results did not support the adoption of diathermy in a clinical context, preferring therapies supported by evidence.

摘要

目的：本研究旨在确定电磁透热疗法（如短波、微波、电容电阻式电转移）在治疗肌肉骨骼疾病时对疼痛、功能和生活质量的影响。 方法：我们根据PRISMA声明和Cochrane手册6.3进行了系统评价。该方案已在PROSPERO注册：CRD42021239466。检索了PubMed、PEDro、CENTRAL、EMBASE和CINAHL数据库。 结果：我们检索到13323条记录；纳入了68项研究。许多病理情况采用透热疗法与安慰剂对照，作为单独干预措施或与其他疗法联合使用。大多数汇总研究未显示主要结局有显著改善。虽然对单项研究的分析显示了一些支持透热疗法的显著结果，但所有纳入的比较的证据质量等级在低到极低之间。 结论：纳入的研究结果存在争议。大多数汇总研究的证据质量极低且无显著结果，而单项研究有显著结果且证据质量略高（低），突出表明该领域严重缺乏证据。结果不支持在临床环境中采用透热疗法，而更倾向于有证据支持的疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aab/10299724/aec46e525d9a/jcm-12-03956-g020.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aab/10299724/b915f6fa17d4/jcm-12-03956-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aab/10299724/d91911433e47/jcm-12-03956-g010.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aab/10299724/ddfd79faddac/jcm-12-03956-g016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aab/10299724/6c651cb167fa/jcm-12-03956-g017.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aab/10299724/07bd6cb73b1e/jcm-12-03956-g018.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aab/10299724/98990d5bdc14/jcm-12-03956-g019.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aab/10299724/aec46e525d9a/jcm-12-03956-g020.jpg

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