Traditional Chinese Exercises on Pain and Disability in Middle-Aged and Elderly Patients With Neck Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Traditional Chinese Exercises on Pain and Disability in Middle-Aged and Elderly Patients With Neck Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
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中国和老年颈部疼痛患者的疼痛和残疾的传统运动：对随机对照试验的系统评价和荟萃分析。
DOI：
10.3389/fnagi.2022.912945
复制
发表时间：
2022
影响因子：
4.8
通讯作者：
中科院分区：
文献类型：
--
作者：
随着生活和工作方式的改变，越来越多的中老年个体患上了颈痛。在中国，传统的中国体操(TCES)被广泛用于治疗颈部疼痛，如太极、气功、易筋经、八段锦、六子爵和五兽操。然而，TCES治疗颈部疼痛的证据仍然存在争议。因此，本研究对TCES对中老年颈痛患者疼痛和残疾的影响进行了系统评价。从最初到2022年1月，在六个电子数据库中进行了全面的文献搜索，以进行TCES治疗颈部疼痛的随机对照试验。采用Pedro量表对纳入研究的方法学质量进行评价。根据不同的TCE值进行亚组分析。异质性评价采用I2统计量。我们的综述纳入了21项研究，这些研究于2003年至2021年在美国中国和德国进行。大多数(86%)超过了6分。Tce包括八段锦、易筋经、太极拳、气功和五兽体操。结果表明，TCES对疼痛的缓解具有正向互补作用(SMD1.12；95%CI0.78~1.45；p<；0.00001)，尤其是八段锦运动。八段锦运动在改善颈部屈曲(SMD0.65；95%CI，0.28-1.03；p=0.0006)和伸展(SMD0.66；95%CI，0.12-1.19；p=0.02)方面也显示出有益的互补作用。此外，综合结果显示，与轮候名单相比，TCES单独在改善残疾(SMD0.74；95%CI，0.40-1.08；P<；0.0001)和缓解疼痛(SMD0.81；95%CI，0.50-1.13；P<；0.00001)方面显示出有益的效果。TCES的随访效果仍显不足。有积极的证据支持TCES作为一种补充疗法用于中老年颈痛患者的临床治疗，尤其是八段锦运动。然而，由于样本量小，支持TCES单独治疗中老年颈部疼痛患者的证据有限。Https://inplasy.com/inplasy-2022-4-0083/，标识符INPLASY202240083。
With the change of life and work style, more middle-aged and elderly individuals are suffering from neck pain. In China, traditional Chinese exercises (TCEs) are widely used in the management of neck pain, such as Tai Chi, Qigong, Yijinjing, Baduanjin, Liuzijue, and Five-animal exercises. However, the evidence of TCEs for neck pain maintains controversial. Therefore, the current systematic review was conducted to evaluate the effects of TCEs on pain and disability of middle-aged and elderly patients with neck pain. A comprehensive literature search was performed in six electronic databases from their inception to January 2022 for randomized controlled trials of TCEs for neck pain. The methodological quality of the included studies was assessed by PEDro scale. The subgroup analysis was conducted based on different TCEs. The I2 statistic was applied to assess the heterogeneity. Twenty-one studies were included in our review, which were conducted in China, United States, and Germany between 2003 and 2021. Most (86%) of them exceeded the cut off score 6. TCEs included Baduanjin, Yijinjing, Tai Chi, Qigong, and Five-animal exercises. The aggregated results indicated that TCEs showed positive complementary effects in relieving pain (SMD, 1.12; 95% CI, 0.78–1.45; p < 0.00001), especially Baduanjin exercises. Baduanjin exercises also showed beneficial complementary effects in improving flexion (SMD, 0.65; 95% CI, 0.28–1.03; p = 0.0006) and extension (SMD, 0.66; 95% CI, 0.12–1.19; p = 0.02) of the neck. In addition, the aggregated results indicated that TCEs alone showed beneficial effects in improving disability (SMD, 0.74; 95% CI, 0.40–1.08; p < 0.0001) and relieving pain (SMD, 0.81; 95% CI, 0.50–1.13; p < 0.00001) compared with waiting list. The follow-up effects of TCEs were still insufficient. There was the positive evidence to support the clinical use of TCEs, as a complementary therapy, for middle-aged and elderly patients with neck pain, especially Baduanjin exercises. However, the evidence supporting the effects of TCEs alone for the middle-aged and elderly patients with neck pain was limited due to the small sample size. https://inplasy.com/inplasy-2022-4-0083/, identifier INPLASY202240083.
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DOI：
10.1155/2013/502131
发表时间：
2013
期刊：
Evidence-based complementary and alternative medicine : eCAM
影响因子：
--
作者：
Lan C;Chen SY;Lai JS;Wong AM
通讯作者：
Wong AM
影响因子：
3.7
作者：
Solloway MR;Taylor SL;Shekelle PG;Miake-Lye IM;Beroes JM;Shanman RM;Hempel S
通讯作者：
Hempel S
影响因子：
3.5
作者：
Kose, Gulsah;Hepguler, Simin;Oder, Gonca
通讯作者：
Oder, Gonca
影响因子：
3.2
作者：
Maher, CG;Sherrington, C;Elkins, M
通讯作者：
Elkins, M
DOI：
10.1016/j.jmpt.2016.08.007
发表时间：
2016-10-01
影响因子：
1.3
作者：
Bussieres, Andre E.;Stewart, Gregory;Ornelas, Joseph
通讯作者：
Ornelas, Joseph