PDF(Pubmed)
Abstract：
Low back pain is a pervasive issue worldwide, having considerable prevalence and a significant impact on disability. As low back pain is a complicated condition with many potential contributors, the use of therapeutic exercise, combined with other techniques such as self-determination theory programmes, has the potential to improve several outcomes. The aim of this systematic review was to explore the effectiveness of combined exercise and self-determination theory programmes on chronic low back pain. This study was designed according to Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines. A systematic search in three databases (PubMed/MEDLINE, Web of Science, and Scopus) was conducted from September to November 2023. After screening, a total of five random control trials with patients with chronic low back pain were included in this systematic review and meta-analysis. The results showed significant differences in disability (SMD = -0.98; 95% CI = -1.86, -0.09; p = 0.03) and in quality of life (SMD = 0.23; 95% CI = 0.02, 0.44; p = 0.03) in favour of the intervention group versus the control group.
摘要：
腰背痛是全球普遍存在的问题，具有相当大的患病率和对残疾的重大影响。由于腰背痛是一种复杂的疾病，有许多潜在的原因，使用治疗性锻炼，结合其他技术，如自决理论方案，有可能改善几个结果。这项系统评价的目的是探讨运动和自决理论联合计划对慢性下腰痛的有效性。本研究是根据系统评价和荟萃分析指南的首选报告项目设计的。在三个数据库(PubMed/MEDLINE，WebofScience,和Scopus）于2023年9月至11月进行。筛选后,本系统综述和荟萃分析共纳入了5项针对慢性下腰痛患者的随机对照试验.结果显示，干预组与对照组相比，残疾（SMD=-0.98；95％CI=-1.86，-0.09；p=0.03）和生活质量（SMD=0.23；95％CI=0.02，0.44；p=0.03）存在显着差异。
