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治疗性运动对减少乐器演奏者疼痛的疗效:系统评价与荟萃分析

Efficacy of Therapeutic Exercise in Reducing Pain in Instrumental Musicians: Systematic Review and Meta-Analysis.

作者信息

Iglesias-Carrasco Cristina, de-la-Casa-Almeida María, Suárez-Serrano Carmen, Benítez-Lugo Maria-Luisa, Medrano-Sánchez Esther M

机构信息

Department of Physical Therapy, Faculty of Nursing, Physical Therapy and Podiatry, Universidad de Sevilla, 6, Avenzoar St., 41009 Sevilla, Spain.

Research Group CTS305, Department of Physical Therapy, Faculty of Nursing, Physical Therapy and Podiatry, Universidad de Sevilla, 6, Avenzoar St., 41009 Sevilla, Spain.

出版信息

Healthcare (Basel). 2024 Jul 5;12(13):1340. doi: 10.3390/healthcare12131340.

DOI:10.3390/healthcare12131340
PMID:38998874
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11241052/
Abstract

Playing-related pain poses a significant health concern for musicians, often impacting their ability to perform. Therapeutic exercise emerges as a viable approach to alleviate these symptoms, offering a low-cost intervention with minimal side effects. This review seeks to examine and assess the efficacy of therapeutic exercise in reducing pain intensity among instrumental musicians. Three major databases (PubMed, Web of Science, and Scopus) were systematically searched from November 2023 to June 2024. The inclusion criteria required studies to be randomized clinical trials focusing on pain intensity in instrumental musicians, published in the last 10 years. Two independent researchers assessed the characteristics and methodological quality of the selected studies. Out of 305 identified studies, 15 underwent full-text reviews, with 5 ultimately included in the analysis. The total participant count was 273, with an average intervention duration of 32.5 min per session, twice weekly for eight weeks. Overall, therapeutic exercise interventions demonstrated favorable effects, with three studies exhibiting good methodological quality. The meta-analysis revealed significant positive results favoring exercise in reducing pain intensity, with positive responses observed across all clinical populations, so therapeutic exercise appears to be an effective approach for reducing pain intensity in musicians experiencing playing-related pain.

摘要

与演奏相关的疼痛给音乐家带来了重大的健康问题,常常影响他们的演奏能力。治疗性运动成为缓解这些症状的一种可行方法,提供了一种低成本且副作用最小的干预措施。本综述旨在研究和评估治疗性运动在降低器乐演奏者疼痛强度方面的疗效。从2023年11月到2024年6月,对三个主要数据库(PubMed、科学网和Scopus)进行了系统检索。纳入标准要求研究为聚焦器乐演奏者疼痛强度的随机临床试验,且发表于过去10年。两名独立研究人员评估了所选研究的特征和方法学质量。在305项识别出的研究中,15项进行了全文审查,最终5项纳入分析。参与者总数为273人,每次干预平均时长为32.5分钟,每周两次,共八周。总体而言,治疗性运动干预显示出良好效果,三项研究呈现出良好的方法学质量。荟萃分析显示,在降低疼痛强度方面,运动有显著的积极结果,所有临床人群均观察到积极反应,因此治疗性运动似乎是减轻与演奏相关疼痛的音乐家疼痛强度的有效方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b688/11241052/967a8220b647/healthcare-12-01340-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b688/11241052/cd3e44f4706a/healthcare-12-01340-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b688/11241052/e5945b5a4b9b/healthcare-12-01340-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b688/11241052/967a8220b647/healthcare-12-01340-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b688/11241052/cd3e44f4706a/healthcare-12-01340-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b688/11241052/e5945b5a4b9b/healthcare-12-01340-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b688/11241052/967a8220b647/healthcare-12-01340-g003.jpg

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