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坐姿对腰椎间盘生物力学影响的系统评价。

Biomechanical repercussion of sitting posture on lumbar intervertebral discs: A systematic review.

机构信息

Universidade Estadual Do Oeste Do Paraná - Unioeste, Brazil.

Universidade Federal Do Paraná - UFPR, Brazil.

出版信息

J Bodyw Mov Ther. 2024 Apr;38:384-390. doi: 10.1016/j.jbmt.2024.01.018. Epub 2024 Feb 10.


DOI:10.1016/j.jbmt.2024.01.018
PMID:38763583
Abstract

BACKGROUND: The static sitting position contributes to increased pressure on the lumbar intervertebral disc, which can lead to dehydration and decreased disc height. OBJECTIVE: To systematically investigate the of sitting posture on degeneration of the lumbar intervertebral disc. MATERIALS AND METHODS: One researcher carried out a systematic literature search of articles with no language or time limits. Studies from 2006 to 2018 were found. The searches in all databases were carried out on January 28, 2022, using the following databases: Pubmed, Scopus, Embase, Cochrane, and Physiotherapy Evidence Database (PEDro) databases, and for the grey literature: Google scholar, CAPES Thesis and Dissertation Bank, and Open Grey. The acronym PECOS was used to formulate the question focus of this study: P (population) - male and female subjects; E (exposure) - sitting posture; C (comparison) - other posture or sitting posture in different periods; O (outcomes) - height and degeneration of the lumbar intervertebral disc(s), imaging exam; and S (study) - cross-sectional and case control. RESULTS: The risk of bias was in its moderate totality in its outcome: height and degeneration of the lumbar intervertebral disc(s) - imaging. Of the four selected studies, three found a decrease in the height of the disc(s) in sitting posture. CONCLUSION: The individual data from the manuscripts suggest that the sitting posture causes a reduction in the height of the lumbar intervertebral disc. It was also concluded that there is a need for new primary studies with a more in-depth design and sample size.

摘要

背景:静态坐姿会增加腰椎间盘的压力,导致椎间盘脱水和高度降低。 目的:系统研究坐姿对腰椎间盘退变的影响。 材料与方法:一位研究人员对无语言和时间限制的文献进行了系统检索。检索到 2006 年至 2018 年的研究。所有数据库的搜索均于 2022 年 1 月 28 日在以下数据库中进行:Pubmed、Scopus、Embase、Cochrane 和 Physiotherapy Evidence Database(PEDro)数据库,以及灰色文献:Google Scholar、Capes 论文和学位论文数据库和 Open Grey。本研究使用 PECOS 首字母缩写词来制定问题焦点:P(人群)-男性和女性受试者;E(暴露)-坐姿;C(比较)-其他姿势或不同时期的坐姿;O(结果)-腰椎间盘高度和退变,影像学检查;S(研究)-横断面和病例对照。 结果:在结局方面(即椎间盘高度和退变-影像学),总体偏倚风险处于中度水平。在四项选择的研究中,有三项发现坐姿会导致椎间盘高度降低。 结论:来自这些文献的个体数据表明,坐姿会导致腰椎间盘高度降低。此外,还需要新的、设计更深入、样本量更大的原始研究。

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引用本文的文献

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