Qi Yanan, Zhuang Miaoqing, Liang Rui, Shaharudin Shazlin
Exercise & Sports Science Programme, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Department of Nursing and Rehabilitation, Xi'an Jiaotong University City College, Xi'an, Shaanxi, China.
Prev Med Rep. 2025 Apr 14;54:103072. doi: 10.1016/j.pmedr.2025.103072. eCollection 2025 Jun.
To assess the efficacy of traditional Chinese exercises (TCEs) in mitigating pain and disability among older and middle-aged individuals suffering from low back pain (LBP).
From inception to November 2024, seven electronic databases were searched for TCEs treatment of LBP in the literature of randomized controlled trials: the Chinese Science and Technology Periodical Databases, PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure, and Wanfang Data Knowledge Service Platform. The primary outcomes of emphasis were pain severity and disability. This review has been registered in the PROSPERO database (CRD42024626811). A meta-analysis was conducted using Review Manager 5.4 software.
Eleven of the 856 studies that were found through a search of seven electronic databases satisfied the requirements for inclusion. The conducted meta-analysis demonstrated a notable decrease in Visual Analogue Scale (VAS) pain scores [Mean Difference (MD) = -1.38, 95 % CI (-1.79, -0.97)] and Oswestry Disability Index (ODI) scores [MD = -4.36, 95 % CI (-6.84, -1.87)] for patients suffering from LBP who practiced TCEs, compared to those in the control group. The evidence for reductions in both VAS pain scores and ODI scores was rated as low quality in the Grading of Recommendations Assessment, Development and Evaluation.
TCEs such as Tai Chi, Baduanjin, and Five-Animal exercises can help patients with LBP to some extent, but it is crucial to choose the appropriate type, intensity, and duration.
评估传统中式锻炼（TCEs）对缓解中老年腰痛（LBP）患者疼痛及功能障碍的疗效。
从建库至2024年11月，检索了七个电子数据库中关于TCEs治疗LBP的随机对照试验文献：中国科技期刊数据库、PubMed、Embase、Cochrane图书馆、科学网、中国知网和万方数据知识服务平台。重点关注的主要结局是疼痛严重程度和功能障碍。本综述已在PROSPERO数据库（CRD42024626811）中注册。使用Review Manager 5.4软件进行荟萃分析。
通过检索七个电子数据库找到的856项研究中，有11项符合纳入要求。进行的荟萃分析表明，与对照组相比，进行TCEs的LBP患者的视觉模拟量表（VAS）疼痛评分[平均差（MD）=-1.38，95%置信区间（-1.79，-0.97）]和Oswestry功能障碍指数（ODI）评分[MD=-4.36，95%置信区间（-6.84，-1.87）]显著降低。在推荐分级评估、制定和评价中，VAS疼痛评分和ODI评分降低的证据质量均被评为低质量。
太极拳、八段锦和五禽戏等TCEs在一定程度上可以帮助LBP患者，但选择合适的类型、强度和持续时间至关重要。
