Effects of proprioceptive exercises on pain and function in chronic neck- and low back pain rehabilitation: a systematic literature review.
Effects of proprioceptive exercises on pain and function in chronic neck- and low back pain rehabilitation: a systematic literature review.
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DOI：
10.1186/1471-2474-15-382
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发表时间：
2014-11-19
影响因子：
2.3
通讯作者：
de Bruin ED
中科院分区：
文献类型：
--
作者：
McCaskey MA;Schuster-Amft C;Wirth B;Suica Z;de Bruin ED
本体感觉训练（PrT）作为预防性或康复性的运动方法在各种运动和康复环境中得到广泛应用。它对疼痛和功能的影响评价很差。本系统性综述的目的是总结和分析PrT对慢性（≥3个月）颈部或背部疼痛患者疼痛缓解和功能恢复影响的现有数据。检索了相关的电子数据库，从其各自成立到2014年2月。随机对照试验比较PrT与传统疗法或非活性对照的患者颈部或腰痛。两位综述作者独立筛选文章并评估偏倚风险（RoB）。数据提取由第一作者进行，并由第二作者交叉检查。根据GRADE指南对结果质量进行评估和评级。疼痛和功能状态结果被提取并定性和定量合成。总共有18项研究涉及1380例受试者，描述了与PrT相关的干预措施（1994-2013年）。6项研究关注颈部，12项研究关注腰痛。PrT的三个主要方向被确定为：歧视性知觉练习与体感刺激的背部（pPrT，n = 2），多模式的不稳定表面上的练习（mPrT，n = 13），或关节复位运动与头眼协调（rPrT，n = 3）。对照组需要常规护理、家庭训练、教育治疗、强化、伸展和耐力训练或非活动对照。研究质量较低，RoB被认为是中度至高度，序列生成和组分配不清楚的患病率较高（>60%）。低质量的证据表明PrT可能比根本不干预更有效。低质量的证据表明，PrT并不比传统的物理疗法更有效。低质量的证据表明PrT不如教育和行为方法。关于本体感觉练习的相关高质量研究很少。证据的描述性总结表明，在颈部和腰痛康复和功能恢复中加入PrT没有一致的益处。本文的在线版本（doi：10.1186/1471-2474-15-382）包含补充材料，可供授权用户使用。
Proprioceptive training (PrT) is popularly applied as preventive or rehabilitative exercise method in various sports and rehabilitation settings. Its effect on pain and function is only poorly evaluated. The aim of this systematic review was to summarise and analyse the existing data on the effects of PrT on pain alleviation and functional restoration in patients with chronic (≥3 months) neck- or back pain. Relevant electronic databases were searched from their respective inception to February 2014. Randomised controlled trials comparing PrT with conventional therapies or inactive controls in patients with neck- or low back pain were included. Two review authors independently screened articles and assessed risk of bias (RoB). Data extraction was performed by the first author and crosschecked by a second author. Quality of findings was assessed and rated according to GRADE guidelines. Pain and functional status outcomes were extracted and synthesised qualitatively and quantitatively. In total, 18 studies involving 1380 subjects described interventions related to PrT (years 1994–2013). 6 studies focussed on neck-, 12 on low back pain. Three main directions of PrT were identified: Discriminatory perceptive exercises with somatosensory stimuli to the back (pPrT, n = 2), multimodal exercises on labile surfaces (mPrT, n = 13), or joint repositioning exercise with head-eye coordination (rPrT, n = 3). Comparators entailed usual care, home based training, educational therapy, strengthening, stretching and endurance training, or inactive controls. Quality of studies was low and RoB was deemed moderate to high with a high prevalence of unclear sequence generation and group allocation (>60%). Low quality evidence suggests PrT may be more effective than not intervening at all. Low quality evidence suggests that PrT is no more effective than conventional physiotherapy. Low quality evidence suggests PrT is inferior to educational and behavioural approaches. There are few relevant good quality studies on proprioceptive exercises. A descriptive summary of the evidence suggests that there is no consistent benefit in adding PrT to neck- and low back pain rehabilitation and functional restoration. The online version of this article (doi:10.1186/1471-2474-15-382) contains supplementary material, which is available to authorized users.
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影响因子：
2.4
作者：
della Volpe, R.;Popa, T.;Rossi, A.
通讯作者：
Rossi, A.
影响因子：
3
作者：
Claeys, Kurt;Brumagne, Simon;Janssens, Lotte
通讯作者：
Janssens, Lotte
影响因子：
3
作者：
Furlan, Andrea D.;Pennick, Victoria;van Tulder, Maurits
通讯作者：
van Tulder, Maurits
DOI：
10.1016/j.annrmp.2007.05.007
发表时间：
2007-11-01
期刊：
Annales de Readaptation et de Medecine Physique
影响因子：
--
作者：
Demoulin, C.;Distree, V.;Vanderthommen, M.
通讯作者：
Vanderthommen, M.
影响因子：
3.2
作者：
Costa, Leonardo O. P.;Maher, Christopher G.;Jennings, Matthew D.
通讯作者：
Jennings, Matthew D.