Tedeschi Roberto
Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Pain Manag Nurs. 2024 Oct;25(5):436-441. doi: 10.1016/j.pmn.2024.04.011. Epub 2024 Apr 30.
Chronic low back pain (CLBP) is a common and challenging condition. This scoping review explores the literature on mindful breathing's role in managing CLBP, either alone or alongside physiotherapy.
A thorough database search identified studies on mindful breathing and CLBP. Various study designs, from descriptive to randomized controlled trials, were included.
Reviewed studies suggest that mindful breathing can improve body awareness and patients with CLBP. In a randomized controlled trial both mindful breathing and physiotherapy groups reported significant pain reduction (VAS: -2.7 mindful breathing, VAS: -2.4 physiotherapy) and improved quality of life (SF-36*: +14.9 mindful breathing, SF-36: +21.0 physiotherapy). Yu et al. found that combining mindful breathing with core stability exercises yielded superior outcomes (ORR* = 96.67%) compared to core exercises alone (ORR = 73.33%).
Mindful breathing holds promise for chronic low back pain management, with studies revealing pain reduction and improved quality of life. Combining it with core stability exercises enhances outcomes. However, standardized protocols are lacking, limiting clinical use. Future research should focus on precise guidelines for integration into practice. Mindful breathing offers a holistic approach to pain management.
慢性下腰痛（CLBP）是一种常见且具有挑战性的病症。本范围综述探讨了关于正念呼吸在单独或与物理治疗一起管理CLBP中作用的文献。
通过全面的数据库搜索确定了关于正念呼吸和CLBP的研究。纳入了从描述性研究到随机对照试验的各种研究设计。
综述的研究表明，正念呼吸可以提高身体意识并改善CLBP患者的状况。在一项随机对照试验中，正念呼吸组和物理治疗组均报告疼痛显著减轻（视觉模拟评分法[VAS]：正念呼吸组为-2.7，物理治疗组为-2.4），生活质量得到改善（36项简短健康调查[SF-36]：正念呼吸组提高14.9，物理治疗组提高21.0）。Yu等人发现，与单独进行核心锻炼相比，将正念呼吸与核心稳定性锻炼相结合产生了更好的效果（总体缓解率[ORR]* = 96.67%，单独进行核心锻炼的ORR = 73.33%）。
正念呼吸在慢性下腰痛管理方面具有前景，研究表明其可减轻疼痛并改善生活质量。将其与核心稳定性锻炼相结合可提高效果。然而，缺乏标准化方案，限制了临床应用。未来的研究应侧重于制定精确的指南以纳入实践。正念呼吸为疼痛管理提供了一种整体方法。
