稳定性运动治疗慢性非特异性腰痛疗效的Meta分析

目的通过Meta分析的方法比较稳定性运动和常规运动治疗慢性非特异性腰痛的临床疗效。方法计算机检索PubMed、The Cochrane Library、PEDro、CNKI、CBM和VIP数据库,搜集稳定性运动治疗腰痛疗效的相关随机对照试验(randomized controlled trial,RCT),检索时限均为2009年1月至2019年8月。由2位研究者独立筛选文献、提取资料、质量评价及风险评估后,采用RevMan 5.3软件进行Meta分析。结果共纳入18个RCT,共计1125例。Meta分析结果表明,稳定性运动与常规运动相比,能显著改善患者短期疼痛MD=-8.73,95%CI(-12.88,-4.58),Z=4.13,P<0.0001]和短期功能障碍MD=-5.75,95%CI(-7.30,-4.20),Z=7.27,P<0.00001]。但在改善患者中期疼痛MD=1.9,95%CI(-0.93,4.74),Z=1.31,P=0.19]和长期疼痛MD=-4.08,95%CI(-11.58,3.41),Z=1.07,P=0.29]方面差异无统计学意义。结论稳定性运动与常规运动均可改善腰痛患者的疼痛和功能障碍,稳定性运动的短期疗效更优,中、长期疗效差异无统计学意义。

A meta-analysis of stabilization exercise for chronic non-specific low back pain

Objective To review the clinical efficacy of stabilization exercise versus general exercise for chronic non-specific low back pain.Methods We searched databases including PubMed,The Cochrane Library,PEDro,CNKI,and VIP to collect randomized controlled trials(RCTs)investigating the efficacy of stabilization exercise versus general exercise for low back pain from Jan.2009 to Aug.2019.Two reviewers independently screened literature,extracted data,evaluated methodological quality and assessed the risk of bias.A meta-analysis was performed using RevMan 5.3 software.Results A total of 18 RCTs involving 1125 patients were finally included.Compared with the control group,stabilization intervention group could relieve short-term painMD=-8.73,95%CI(-12.88,-4.58),Z=4.13,P<0.0001]and improve short-term functionsMD=-5.75,95%CI(-7.30,-4.20),Z=7.27,P<0.00001].However,no significant differences were observed in reducing pain at mid-termMD=1.9,95%CI(-0.93,4.74),Z=1.31,P=0.19]or long-termMD=-4.08,95%CI(-11.58,3.41),Z=1.07,P=0.29].Conclusions Both exercises can relieve pain and improve functions for low back pain patients.Compared with general exercise,stabilization exercise is more effective in the short term.However,no significant mid-term or long-term differences are observed between the two groups.