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脊柱康复学校对非特异性背痛的影响:一项系统评价和荟萃分析。

The Effects of Back Schools on Non-Specific Back Pain: A Systematic Review and Meta-Analysis.

作者信息

Hernandez-Lucas Pablo, Leirós-Rodríguez Raquel, Lopez-Barreiro Juan, García-Soidán José L

机构信息

Faculty of Physiotherapy, University of Vigo, Campus A Xunqueira, 36005 Pontevedra, Spain.

SALBIS Research Group, Nursing and Physical Therapy Department, University of Leon, Astorga Ave., 24401 Ponferrada, Spain.

出版信息

J Pers Med. 2024 Feb 29;14(3):272. doi: 10.3390/jpm14030272.

DOI:10.3390/jpm14030272
PMID:38541015
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10971154/
Abstract

BACKGROUND

Non-specific back pain is a global concern. Exercise and health education are crucial components in its management. The Back School is a theoretical practical program that integrates both elements. The objective of this study is to determine if Back School-based programs are effective in reducing pain, disability, and kinesiophobia in patients with non-specific back pain.

METHODS

A systematic review of research involving participants with non-specific back pain was carried out on databases such as PubMed, Scopus, Web of Science, and Medline.

RESULTS

In total, 25 papers were chosen for review. All of these papers focused on the effects on the lumbar area, with the exception of one paper that specifically targeted the cervical region. The pain variable showed statistically significant results with standardized mean differences of -1.01 (950 confidence interval = -1.39 to -0.63; < 0.001), and the disability variable had standardized mean differences of -0.98 (95% confidence interval = -1.38 to -0.58; < 0.001), and only one study analysed the kinesiophobia variable and concluded that Back School programs have a positive effect on kinesiophobia between the baseline and post-intervention levels.

CONCLUSIONS

Back School programs have shown effectiveness in reducing non-specific back pain and lowering disability rates.

摘要

背景

非特异性背痛是一个全球性问题。运动和健康教育是其管理的关键组成部分。“回校计划”是一个将这两个要素整合在一起的理论实践项目。本研究的目的是确定基于“回校计划”的项目是否能有效减轻非特异性背痛患者的疼痛、残疾和运动恐惧。

方法

对PubMed、Scopus、科学网和Medline等数据库进行了一项涉及非特异性背痛参与者的研究的系统综述。

结果

总共选择了25篇论文进行综述。除了一篇专门针对颈椎区域的论文外,所有这些论文都关注对腰椎区域的影响。疼痛变量显示出具有统计学意义的结果,标准化平均差为-1.01(95%置信区间=-1.39至-0.63;P<0.001),残疾变量的标准化平均差为-0.98(95%置信区间=-1.38至-0.58;P<0.001),只有一项研究分析了运动恐惧变量,并得出结论,“回校计划”项目在基线水平和干预后水平之间对运动恐惧有积极影响。

结论

“回校计划”项目已显示出在减轻非特异性背痛和降低残疾率方面的有效性。

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本文引用的文献

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BMC Musculoskelet Disord. 2022 Jan 3;23(1):26. doi: 10.1186/s12891-021-04957-4.
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Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021.干预措施治疗急性和慢性下背痛:2021 年修订版。
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Implementing the 27 PRISMA 2020 Statement items for systematic reviews in the sport and exercise medicine, musculoskeletal rehabilitation and sports science fields: the PERSiST (implementing Prisma in Exercise, Rehabilitation, Sport medicine and SporTs science) guidance.
慢性下腰痛的临床检查、诊断及保守治疗:一项叙述性综述
Life (Basel). 2024 Aug 29;14(9):1090. doi: 10.3390/life14091090.
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Quality of Life in Patients with Chronic Low Back Pain and Differences by Sex: A Longitudinal Study.慢性下腰痛患者的生活质量及性别差异:一项纵向研究
J Pers Med. 2024 May 8;14(5):496. doi: 10.3390/jpm14050496.
在运动医学、肌肉骨骼康复和运动科学领域实施 27 项 PRISMA 2020 声明条目进行系统评价:PERSiST(在运动、康复、运动医学和运动科学中实施 PRISMA)指南。
Br J Sports Med. 2022 Feb;56(4):175-195. doi: 10.1136/bjsports-2021-103987. Epub 2021 Oct 8.
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Exercise therapy for chronic low back pain.慢性下背痛的运动疗法。
Cochrane Database Syst Rev. 2021 Sep 28;9(9):CD009790. doi: 10.1002/14651858.CD009790.pub2.
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Low back pain.下背痛。
Lancet. 2021 Jul 3;398(10294):78-92. doi: 10.1016/S0140-6736(21)00733-9. Epub 2021 Jun 8.
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Efficacy of Core Stability in Non-Specific Chronic Low Back Pain.核心稳定性训练对非特异性慢性下腰痛的疗效
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The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.PRISMA 2020 声明:系统评价报告的更新指南。
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