Espírito Santo João, Moita João, Nunes Alexandre
Escola Superior de Saúde Atlântica, 2730-036 Barcarena, Portugal.
Portugal National Centre, Foundation COME Collaboration, 8125-196 Quarteira, Portugal.
Healthcare (Basel). 2024 Sep 13;12(18):1838. doi: 10.3390/healthcare12181838.
(1) Background: The aim of this review was to evaluate the effects of manual therapy for musculoskeletal pain in menopausal women. (2) Methods: A comprehensive search of manuscripts published from inception until 29 February 2024 was conducted on PubMed, EBSCO Information Services (EBSCOhost), Physiotherapy Evidence Database (Pedro), Web of Science, Scientific Electronic Library Online (SciELO), Cochrane Central Register of Controlled Clinical Trials, and Scopus using Medical Subject Headings (MeSH) and free terms. Randomized controlled trials (RCT) investigating the effects of manual therapy for musculoskeletal pain in postmenopausal women were included. Articles published in non-English or non-Portuguese languages, case reports, expert opinions, dissertations, conference papers, and gray literature were excluded. Studies were screened for population, musculoskeletal pain, intervention, and pain outcome by two independent reviewers using an ad hoc data extraction form. (3) Results: A total of 5 RCTs (4 with high risk of bias and 1 with low risk of bias) were included (total sample = 245), addressing thumb carpometacarpal osteoarthritis, thoracic kyphosis, chronic neck and backache, knee osteoarthritis, and sternocostal joint pain. The combined results of these studies showed improved musculoskeletal pain in menopausal women; duration of the follow-up was between 4 weeks to 6 months. Conclusions: The majority of studies included in this systematic review were effective in reducing musculoskeletal pain in menopausal women. These results come mainly from studies with a high risk of bias with small sample sizes, and the most representative follow-up period was short-term. Therefore, the results of this systematic review should be interpreted with caution.
(1) 背景：本综述的目的是评估手法治疗对绝经后女性肌肉骨骼疼痛的影响。(2) 方法：在PubMed、EBSCO信息服务平台（EBSCOhost）、物理治疗证据数据库（Pedro）、科学网、科学电子图书馆在线平台（SciELO）、Cochrane临床对照试验中心注册库和Scopus上，使用医学主题词（MeSH）和自由词，对从创刊至2024年2月29日发表的手稿进行全面检索。纳入研究绝经后女性肌肉骨骼疼痛手法治疗效果的随机对照试验（RCT）。排除非英文或非葡萄牙语发表的文章、病例报告、专家意见、学位论文、会议论文和灰色文献。由两名独立评审员使用专门的数据提取表，对研究的人群、肌肉骨骼疼痛、干预措施和疼痛结局进行筛选。(3) 结果：共纳入5项RCT（4项偏倚风险高，1项偏倚风险低）（总样本量 = 245），涉及拇指腕掌关节骨关节炎、胸椎后凸、慢性颈背痛、膝关节骨关节炎和胸肋关节疼痛。这些研究的综合结果显示绝经后女性的肌肉骨骼疼痛有所改善；随访时间为4周至6个月。结论：本系统综述纳入的大多数研究在减轻绝经后女性肌肉骨骼疼痛方面有效。这些结果主要来自偏倚风险高且样本量小的研究，最具代表性的随访期为短期。因此，对本系统综述的结果应谨慎解读。
