PDF(Pubmed)
Abstract：
OBJECTIVE: This systematic review and meta-analysis study evaluated the effects of Pilates on pain and disability in patients with chronic low back pain.
METHODS: Six electronic databases were searched between January 2012 and December 2022. From these databases, only randomized controlled trials were selected. The criteria for assessing methodological quality using the PEDro scale were selected. The risk of bias was assessed using the Cochrane Risk of Bias Tool RoB 2.0. Additionally, the primary outcomes were pain and disability in this analysis.
RESULTS: The corresponding results confirmed that Pilates training led to a significant improvement in pain (Visual Analog Scale: weighted mean difference = -29.38, 95% confidence interval, -33.24 to -25.52, I² value = 56.70%; Pain Numerical Rating Scale: weighted mean difference = -2.12, 95% confidence interval, -2.54 to -1.69, I² value = 0.00%) and disability (Roland- Morris Disability Index: weighted mean difference = -4.73, 95% confidence interval, -5.45 to -4.01, I² value = 41.79%). Six months after completion of Pilates training, the improvement in pain (Pain Numerical Rating Scale: weighted mean difference = -1.67, 95% confidence interval, -2.03 to -1.32, I² value = 0.00%) and disability (Roland-Morris Disability Index: weighted mean difference = -4.24, 95% confidence interval, -5.39 to -3.09, I² value = 52.79%) was maintained.
CONCLUSIONS: Pilates training may be an effective strategy to improve pain and disability in patients with chronic low back pain.
METHODS: Six electronic databases were searched between January 2012 and December 2022. From these databases, only randomized controlled trials were selected. The criteria for assessing methodological quality using the PEDro scale were selected. The risk of bias was assessed using the Cochrane Risk of Bias Tool RoB 2.0. Additionally, the primary outcomes were pain and disability in this analysis.
RESULTS: The corresponding results confirmed that Pilates training led to a significant improvement in pain (Visual Analog Scale: weighted mean difference = -29.38, 95% confidence interval, -33.24 to -25.52, I² value = 56.70%; Pain Numerical Rating Scale: weighted mean difference = -2.12, 95% confidence interval, -2.54 to -1.69, I² value = 0.00%) and disability (Roland- Morris Disability Index: weighted mean difference = -4.73, 95% confidence interval, -5.45 to -4.01, I² value = 41.79%). Six months after completion of Pilates training, the improvement in pain (Pain Numerical Rating Scale: weighted mean difference = -1.67, 95% confidence interval, -2.03 to -1.32, I² value = 0.00%) and disability (Roland-Morris Disability Index: weighted mean difference = -4.24, 95% confidence interval, -5.39 to -3.09, I² value = 52.79%) was maintained.
CONCLUSIONS: Pilates training may be an effective strategy to improve pain and disability in patients with chronic low back pain.
摘要：
目的：这项系统综述和荟萃分析研究评估了普拉提对慢性下腰痛患者疼痛和残疾的影响。
方法：在2012年1月至2022年12月之间检索了六个电子数据库。从这些数据库中,仅选择了随机对照试验.选择使用PEDro量表评估方法学质量的标准。使用Cochrane偏差风险工具RoB2.0评估偏差风险。此外,本分析的主要结局是疼痛和残疾.
结果：相应的结果证实，普拉提训练导致疼痛的显着改善（视觉模拟量表：加权平均差=-29.38，95％置信区间，-33.24至-25.52，I²值=56.70%；疼痛数字评分量表：加权平均差=-2.12，95%置信区间，-2.54至-1.69，I²值=0.00%）和残疾（罗兰-莫里斯残疾指数：加权平均差=-4.73，95%置信区间，-5.45至-4.01，I²值=41.79%）。完成普拉提训练六个月后，疼痛的改善(疼痛数值评定量表：加权平均差=-1.67，95%置信区间，-2.03至-1.32，I²值=0.00％）和残疾（罗兰-莫里斯残疾指数：加权平均差=-4.24，95％置信区间，-5.39至-3.09，I²值=52.79%）保持不变。
结论：普拉提训练可能是改善慢性下腰痛患者疼痛和残疾的有效策略。
方法：在2012年1月至2022年12月之间检索了六个电子数据库。从这些数据库中,仅选择了随机对照试验.选择使用PEDro量表评估方法学质量的标准。使用Cochrane偏差风险工具RoB2.0评估偏差风险。此外,本分析的主要结局是疼痛和残疾.
结果：相应的结果证实，普拉提训练导致疼痛的显着改善（视觉模拟量表：加权平均差=-29.38，95％置信区间，-33.24至-25.52，I²值=56.70%；疼痛数字评分量表：加权平均差=-2.12，95%置信区间，-2.54至-1.69，I²值=0.00%）和残疾（罗兰-莫里斯残疾指数：加权平均差=-4.73，95%置信区间，-5.45至-4.01，I²值=41.79%）。完成普拉提训练六个月后，疼痛的改善(疼痛数值评定量表：加权平均差=-1.67，95%置信区间，-2.03至-1.32，I²值=0.00％）和残疾（罗兰-莫里斯残疾指数：加权平均差=-4.24，95％置信区间，-5.39至-3.09，I²值=52.79%）保持不变。
结论：普拉提训练可能是改善慢性下腰痛患者疼痛和残疾的有效策略。
