Tanaka Takako, Yanagita Yorihide, Morishita Tatsuya, Nagata Fumiya, Granados Santiago María, López-López Laura, Valenza Marie Carmen
Department of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki 852-8523, Japan.
Department of Rehabilitation, Tagami Hospital, Nagasaki 851-0251, Japan.
Healthcare (Basel). 2025 Jun 16;13(12):1444. doi: 10.3390/healthcare13121444.
Pneumonia is a leading cause of hospitalization worldwide, particularly among older adults and individuals with comorbidities. Physical therapy is increasingly recognized as a key component in improving health-related outcomes. The aim of this systematic review and meta-analysis was to evaluate the effectiveness of physiotherapy in patients with non-complicated hospital pneumonia. : A systematic review and meta-analysis were conducted to determine the impact of physical therapy on clinical outcomes in non-ICU (Intensive Care Unit) pneumonia patients compared with usual care. The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and was registered in PROSPERO (CRD42024565419). PubMed, Scopus, Web of Science, and Cochrane Library were systematically searched to identify randomized controlled trials from their inception to July 2024. The Cochrane Risk of Bias Tool version 2.0 (RoB 2) and the Downs and Black checklist were used for quality assessment. A quantitative synthesis was performed using the Review Manager (RevMan) version 5 software program. : We selected nine studies, which included 1349 hospitalized non-ICU pneumonia patients. The results showed significant differences in favor of physical therapy interventions compared to usual care, with a reduction in length of hospital stay ( = 0.009). Also, there were significant differences in dyspnea levels ( < 0.00001). : Physical therapy interventions may contribute to a reduced length of hospital stay and improved dyspnea levels in hospitalized non-ICU pneumonia patients.
肺炎是全球住院治疗的主要原因，在老年人和患有合并症的个体中尤为常见。物理治疗越来越被认为是改善健康相关结局的关键组成部分。本系统评价和荟萃分析的目的是评估物理治疗对非复杂性医院获得性肺炎患者的有效性。：进行了一项系统评价和荟萃分析，以确定与常规护理相比，物理治疗对非重症监护病房（ICU）肺炎患者临床结局的影响。该研究遵循系统评价和荟萃分析的首选报告项目（PRISMA）指南，并在国际前瞻性系统评价注册库（PROSPERO，注册号：CRD42024565419）中进行了注册。对PubMed、Scopus、科学网和考克兰图书馆进行了系统检索，以识别从创刊至2024年7月的随机对照试验。使用考克兰偏倚风险工具第2.0版（RoB 2）和唐斯-布莱克清单进行质量评估。使用Review Manager（RevMan）第5版软件程序进行定量合成。：我们纳入了9项研究，其中包括1349名住院的非ICU肺炎患者。结果显示，与常规护理相比，物理治疗干预有显著差异，住院时间缩短（ = 0.009）。此外，呼吸困难水平也有显著差异（ < 0.00001）。：物理治疗干预可能有助于缩短住院的非ICU肺炎患者的住院时间并改善呼吸困难水平。
