关键词: Qigong Tai Chi chronic low back pain elderly people traditional Chinese exercise

来  源:   DOI:10.3389/fnagi.2022.935925   PDF(Pubmed)

Abstract:
UNASSIGNED: Increasing lines of evidence indicate that traditional Chinese exercise (TCE) has potential benefits in improving chronic low back pain (CLBP) symptoms. To assess the clinical efficacy of TCE in the treatment of CLBP, we performed a systematic review of existing randomized controlled trials (RCTs) of CLBP and summarized the neural mechanisms underlying TCE in the treatment of CLBP.
UNASSIGNED: A systematic search was conducted in four electronic databases: PubMed, Embase, the Cochrane Library, and EBSCO from January 1991 to March 2022. The quality of all included RCTs was evaluated by the Physiotherapy Evidence Database Scale (PEDro). The primary outcomes included pain severity and pain-related disability.
UNASSIGNED: A total of 11 RCTs with 1,256 middle-aged and elderly patients with CLBP were included. The quality of all 11 included RCTs ranged from moderate to high according to PEDro. Results suggested that TCE could considerably reduce pain intensity in patients with CLBP. Overall, most studies did not find any difference in secondary outcomes (quality of life, depression, and sleep quality).
UNASSIGNED: The neurophysiological mechanism of TCE for treating CLBP could be linked to meditation and breathing, posture control, strength and flexibility training, and regulation of pain-related brain networks. Our systematic review showed that TCE appears to be effective in alleviating pain in patients with CLBP.
摘要:
UASSIGNED:越来越多的证据表明,中国传统运动(TCE)在改善慢性腰痛(CLBP)症状方面具有潜在的益处。评估TCE治疗CLBP的临床疗效,我们对现有的CLBP随机对照试验(RCT)进行了系统评价,并总结了TCE治疗CLBP的神经机制.
UNASSIGNED:在四个电子数据库中进行了系统搜索:PubMed,Embase,Cochrane图书馆,和EBSCO从1991年1月到2022年3月。通过物理治疗证据数据库量表(PEDro)评估所有纳入的RCT的质量。主要结果包括疼痛严重程度和疼痛相关残疾。
UNASSIGNED:共纳入11项RCT,其中1256例中老年CLBP患者。根据PEDro,所有11项RCT的质量范围从中等到高。结果表明,TCE可以显着降低CLBP患者的疼痛强度。总的来说,大多数研究在次要结局(生活质量,抑郁症,和睡眠质量)。
未经授权:TCE治疗CLBP的神经生理机制可能与冥想和呼吸有关,姿势控制,力量和灵活性训练,和调节与疼痛相关的大脑网络。我们的系统评价显示,TCE似乎可有效缓解CLBP患者的疼痛。
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