全身振动对非特异性慢性下腰痛平衡或本体感觉的影响:一项系统评价
Effect of Whole-Body Vibration on Balance or Proprioception in Nonspecific Chronic Low Back Pain: A Systematic Review.
作者信息
Tariq Nuaima, Khan Zainy, Veqar Zubia
机构信息
Jamia Millia Islamia, New Delhi, India.
出版信息
J Chiropr Med. 2023 Dec;22(4):284-293. doi: 10.1016/j.jcm.2023.04.006. Epub 2023 Jun 14.
OBJECTIVE
This systematic review aimed to investigate the effect of whole-body vibration (WBV) on balance or proprioception for patients with nonspecific chronic low back pain (NSCLBP).
METHODS
A comprehensive search was conducted using 5 databases-PubMed, Web of Science, Cochrane Library, Science Direct, and Physiotherapy Evidence Database-from inception to January 2022. Randomized clinical trials that examined the efficacy of WBV on balance or proprioception in patients with NSCLBP were incorporated. The methodological quality of each included study was assessed using the Physiotherapy Evidence Database scale.
RESULTS
Our search strategy yielded 5309 articles, of which 7 published randomized clinical trials (313 patients) met the inclusion criteria. Three of the 4 included studies that investigated balance reported significant improvements after WBV, of which 2 were of high methodological quality. The remaining 3 studies investigating proprioception also showed significant improvements after WBV intervention.
CONCLUSION
Although some studies seem to provide promising results regarding the efficacy of WBV or WBV combined with exercise in improving balance and proprioception in patients with NSCLBP, at present, no definite conclusions can be drawn due to article heterogeneity and lack of clinical trials.
目的
本系统评价旨在研究全身振动(WBV)对非特异性慢性下腰痛(NSCLBP)患者平衡能力或本体感觉的影响。
方法
从数据库建立至2022年1月,使用5个数据库——PubMed、科学引文索引、考克兰图书馆、科学Direct和物理治疗证据数据库进行全面检索。纳入了检验WBV对NSCLBP患者平衡能力或本体感觉疗效的随机临床试验。使用物理治疗证据数据库量表评估每项纳入研究的方法学质量。
结果
我们的检索策略共获得5309篇文章,其中7篇已发表的随机临床试验(313例患者)符合纳入标准。在4项纳入的研究中,有3项研究调查了平衡能力,结果显示WBV后有显著改善,其中2项研究的方法学质量较高。其余3项研究调查了本体感觉,结果也显示WBV干预后有显著改善。
结论
尽管一些研究似乎在WBV或WBV联合运动改善NSCLBP患者平衡能力和本体感觉的疗效方面提供了有前景的结果,但目前由于文章的异质性和缺乏临床试验,无法得出明确结论。
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