| 司翔月,李芳蕾,钱菁华.腰痛患者抗阻训练的剂量-反应关系的Meta分析[J].中国康复,2024,39(4):229-236 |
| 腰痛患者抗阻训练的剂量-反应关系的Meta分析 |
| Dose-response relationships of resistance training in low back pain patients: a systematic review and Meta-Analysis |
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| DOI： |
| 中文关键词: 抗阻训练 非特异性腰痛 Meta分析 Meta回归 亚组分析 |
| 英文关键词: resistance training non-specific low back pain Meta analysis Meta regression subgroup analysis |
| 基金项目:北京康复医院2020年引进人才项目（2020R-007) |
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| 中文摘要: |
| 目的：探讨抗阻训练（RT）治疗慢性非特异性腰痛(CNSLBP) 的临床疗效，通过分析提供RT的剂量与腰部功能改善的关系，以及影响结果最显著的剂量区间。方法：计算机检索2022年12月前CNKI、维普数据库、万方数据库、PubMed、MEDLINE、 Embase、Web of Science、Cochrane对照试验注册中心发表的RT治疗CNLBP的随机对照试验。对纳入文献进行筛选，资料提取，质量评价后，采用Stata 14软件进行Meta分析，Meta回归分析以及亚组分析。结果：共纳入13篇RCT，19项结果。RT对腰部功能改善有显著影响［SMD=-1.01，95%CI（-1.42，-0.60），P＜0.01］。每组次数（P=0.026）对腰部功能改善影响显著。训练次数10~12个/组（SMD=-2.38），训练周期为9~12周(SMD=-1.68），训练频率1~2次/周（SMD=-1.08），训练组数为1组（SMD=-1.96），训练时长30~39min（SMD=-0.89），训练强度大于70%1RM（SMD=-2.12），组间休息0～30s（SMD=-0.92）对腰部功能改善更有效。结论：RT可以显著改善患者腰部功能受限。未来的研究应特别关注训练变量的详细描述，以便深入分析CNSLBP在RT后的剂量-反应关系。 |
| 英文摘要: |
| Objective: To explore the clinical efficacy of resistance training in the treatment of chronic non-specific low back pain (CNLBP), to provide dose-response relationships of（resistance training，RT） variables and lumbar function improvement through analysis, and to find the parameter range that most significantly affects the results. Methods: Randomized controlled trials about RT for CNLBP were electronically searched in CKNI, VIP, Wanfang, pubMed, MEDLINE, Embase, Web of Science and Cochrane Central Register of Controlled Trials before Jan. 2022. After literature screening, data extraction, quality evaluation, the results of Meta-analysis, Meta-regression and subgroup analysis were conducted by Stata 14 software. Results: A total of 13 RCTs with 19 outcomes were included. RT had a significant effect on the improvement of lumbar function ［SMD=-1.01, 95%CI (-1.42,-0.60),P<0.01］. The number of times per group (P=0.026) had significant effects on functional improvement. The effect sizes were the most effective when the training number was 10-12 per group (SMD=-2.38), the training duration was 9-12 weeks (SMD=-1.68), the training frequency was 1-2 times/week (SMD=-1.08), the training group was 1 group (SMD=-1.96), the training time was 30~39 min (SMD=-0.89), the training intensity was more than 70%1RM (SMD=-2.12), and the rest between groups was 0-30 s (SMD=-0.92). Conclusion: RT could relieve functional limitations significantly in patients with CNLBP. Future studies should pay special attention to the detailed description of training variables for further analysis of the dose-response relationship of CNSLBP after RT. |
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