Cefalì Antonello, Santini Davide, Lopez Giovanni, Maselli Filippo, Rossettini Giacomo, Crestani Mauro, Lullo Graziana, Young Ian, Dunning James, de Abreu Raphael Martins, Mourad Firas
Department of Health, LUNEX University of Applied Sciences, 4671 Differdange, Luxembourg.
Luxembourg Health & Sport Sciences Research Institute A.s.b.l., 4671 Differdange, Luxembourg.
J Clin Med. 2025 Jan 22;14(3):709. doi: 10.3390/jcm14030709.
Given the relationship between reduced pulmonary and respiratory muscle function in neck pain, incorporating breathing exercises into neck pain management may be beneficial. : The purpose of this study was to investigate the benefits of breathing exercises for treating neck pain. : We searched PubMed (MEDLINE), PEDro, CINAHL, Scopus, and EMBASE databases, up to the 28 of February 2024. Randomized controlled trials evaluating the impact of breathing exercises on reducing pain and disability in both persistent and recent neck pain were selected. A meta-analysis was conducted for each outcome of interest; however, if quantitative methods were not possible, a qualitative synthesis approach was used. The risk of bias was assessed using the Cochrane RoB 2.0 Tool (version 22 August 2019). We used the GRADE approach to judge the certainty of the evidence. : Five studies were included. Meta-analysis showed a statistically significant reduction in pain (standardized mean difference (SMD), -10.16; 95% CI: -14.82, -5.50) and disability (SMD, -0.80; 95% CI: -1.49, -0.11), in favor of breathing exercises. Qualitative synthesis for pulmonary functional parameters resulted in a statistically significant improvement for FVC, MIP, MEP, and MVV, in favor of breathing exercises. : Breathing exercises showed significant short-term effects in reducing pain and disability for persistent neck pain. They also provided benefits for functional respiratory parameters. However, the evidence certainty is low.
鉴于颈部疼痛与肺功能和呼吸肌功能降低之间的关系，将呼吸练习纳入颈部疼痛管理可能有益。本研究的目的是调查呼吸练习对治疗颈部疼痛的益处。我们检索了截至2024年2月28日的PubMed（MEDLINE）、PEDro、CINAHL、Scopus和EMBASE数据库。选择了评估呼吸练习对减轻持续性和近期颈部疼痛的疼痛和残疾影响的随机对照试验。对每个感兴趣的结局进行了荟萃分析；然而，如果无法采用定量方法，则使用定性综合方法。使用Cochrane RoB 2.0工具（2019年8月22日版本）评估偏倚风险。我们使用GRADE方法判断证据的确定性。纳入了五项研究。荟萃分析显示，疼痛（标准化均值差（SMD），-10.16；95%置信区间：-14.82，-5.50）和残疾（SMD，-0.80；95%置信区间：-1.49，-0.11）在统计学上有显著降低，支持呼吸练习。肺功能参数的定性综合结果显示，用力肺活量（FVC）、最大吸气压力（MIP）、最大呼气压力（MEP）和最大分钟通气量（MVV）在统计学上有显著改善，支持呼吸练习。呼吸练习在减轻持续性颈部疼痛的疼痛和残疾方面显示出显著的短期效果。它们还对呼吸功能参数有益。然而，证据的确定性较低。
