Kong Lingyu, Zhang Zhiqi, Li Yanyan, Zhu Xinrui, Fan Jia, Meng Lingyue, Zhang Qiuxia
School of Physical Education, Soochow University, Suzhou, 215021, PR China.
School of Bioscience and Technology, Weifang Medical University, Weifang, 261053, PR China.
Iran J Public Health. 2024 Sep;53(9):1910-1923. doi: 10.18502/ijph.v53i9.16447.
Low back pain (LBP) is a prevalent health issue that imposes heavy burdens on personal health status and social healthcare. Dynamic Neuromuscular Stabilization (DNS)/Vojta therapy has demonstrated effectiveness in managing conditions related to musculoskeletal system. However, its effects on individuals with LBP remain incompletely understood. We aimed to evaluate the effects of DNS/Vojta therapy on pain intensity and physical function in individuals with LBP.
A search of studies was conducted on several academic databases from inception through April 13, 2023. This study included clinical trials that evaluated the effects of DNS/Vojta therapy on the outcomes in individuals with LBP. The methodological quality of studies was assessed using PEDro scale, Cochrane Collaboration tool, and ROBINS-I scale. Meta-analysis was performed using Review Manager software (RevMan version 5.4.1, The Cochrane Collaboration, 2020).
This systematic review and meta-analysis identified twelve eligible studies, which demonstrated that DNS/Vojta therapy significantly alleviated pain intensity (SMD=-1.09; 95%Cl [-1.74, -0.44]; Z=3.28; =0.001), reduced disability severity (SMD=-0.91; 95%Cl [-1.48, -0.34]; Z=3.12; =0.002), and improved quality of life (SMD=1.05; 95%CI [0.14, 1.96]; Z=2.27; =0.02) in individuals with LBP, while no significant improvements were observed in static and dynamic balance ability or spine flexibility.
DNS/Vojta therapy is a promising approach for providing great benefits for individuals with LBP, particularly in terms of reducing pain intensity and disability severity, and improving quality of life, which is worth further in clinical application.
腰痛（LBP）是一个普遍存在的健康问题，给个人健康状况和社会医疗保健带来沉重负担。动态神经肌肉稳定（DNS）/沃伊塔疗法已证明在管理与肌肉骨骼系统相关的病症方面有效。然而，其对腰痛患者的影响仍未完全了解。我们旨在评估DNS/沃伊塔疗法对腰痛患者疼痛强度和身体功能的影响。
从数据库建立至2023年4月13日，在多个学术数据库中进行了研究检索。本研究纳入了评估DNS/沃伊塔疗法对腰痛患者结局影响的临床试验。使用PEDro量表、Cochrane协作工具和ROBINS-I量表评估研究的方法学质量。使用Review Manager软件（RevMan版本5.4.1，Cochrane协作组织，2020年）进行荟萃分析。
本系统评价和荟萃分析确定了12项符合条件的研究，这些研究表明，DNS/沃伊塔疗法显著减轻了腰痛患者的疼痛强度（标准化均数差[SMD]=-1.09；95%置信区间[CI][-1.74，-0.44]；Z=3.28；P=0.001），降低了残疾严重程度（SMD=-0.91；95%CI[-1.48，-0.34]；Z=3.12；P=0.002），并改善了生活质量（SMD=1.05；95%CI[0.14，1.96]；Z=2.27；P=0.02），而在静态和动态平衡能力或脊柱灵活性方面未观察到显著改善。
DNS/沃伊塔疗法是一种有前景的方法，可为腰痛患者带来诸多益处，特别是在减轻疼痛强度和残疾严重程度以及改善生活质量方面，值得在临床应用中进一步推广。
