Effects of water therapy on disease activity, functional capacity, spinal mobility and severity of pain in patients with ankylosing spondylitis: a systematic review and meta-analysis
Effects of water therapy on disease activity, functional capacity, spinal mobility and severity of pain in patients with ankylosing spondylitis: a systematic review and meta-analysis
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水疗法对强直性脊柱炎患者疾病活动性、功能能力、脊柱活动度和疼痛严重程度的影响：系统评价和荟萃分析
DOI：
10.1080/09638288.2019.1645218
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发表时间：
2019-07-27
影响因子：
2.2
通讯作者：
Wei, Quan
中科院分区：
文献类型：
--
作者：
Liang, Zejun;Fu, Chenying;Wei, Quan
摘要 目的评价水疗法对强直性脊柱炎患者疾病活动度、功能能力、脊柱活动度和疼痛的疗效。方法检索PubMed、Ovid、web of science、Cochrane Library、Physiotherapy Evidence Database、CNKI、VIP、Wan Fang、Open Gray等研究水疗法对强直性脊柱炎患者影响的随机对照试验。两名研究人员独立筛选文献数据库，然后使用物理治疗证据数据库量表评估方法学质量并提取数据。结果包括疾病活动性、功能能力、脊柱活动度和疼痛。结果共有8项研究（n = 383）符合纳入标准。分析表明，水疗法对强直性脊柱炎患者的疾病活动度和疼痛有显着影响，但对脊柱活动度或功能能力没有影响。结论水疗法可以降低强直性脊柱炎患者的疾病活动度、减轻疼痛，从而使患者受益。需要更多精心设计的随机对照试验来证实结果。对康复的影响 水疗法可以减少强直性脊柱炎患者的疾病活动度和疼痛，但不能改善功能能力或脊柱活动能力。由于其在治疗期间和治疗后的镇痛作用，当强直性脊柱炎患者无法很好地耐受陆地治疗时，水疗法仍然是一种替代选择。
Abstract Purpose To evaluate the efficacy of water therapy for disease activity, functional capacity, spinal mobility, and pain in patients with ankylosing spondylitis. Methods PubMed, Ovid, web of science, Cochrane library, Physiotherapy Evidence Database, CNKI, VIP, Wan Fang, and Open Grey were searched for randomized controlled trials that investigated the effects of water therapy on patients with ankylosing spondylitis. Two researchers independently screened the literature databases and then assessed methodological qualities using the Physiotherapy Evidence Database scale and extracted data. Outcomes included were disease activity, functional capacity, spinal mobility, and pain. Results A total of eight studies (n = 383) met the inclusion criteria. Analysis demonstrated that water therapy had a significant effect on disease activity and pain, but not on spinal mobility, or functional capacity in patients with ankylosing spondylitis. Conclusion Water therapy can benefit patients with ankylosing spondylitis by reducing disease activity and alleviating pain. More well-designed randomized controlled trials are needed to confirm the results. IMPLICATIONS FOR REHABILITATION Water therapy can reduce disease activity and pain in patients with ankylosing spondylitis, but cannot improve functional capacity or spinal mobility. Due to its analgesic effect both during and after treatment, water therapy remains an alternative for patients with ankylosing spondylitis when land-based therapy is not well tolerated.