PDF(Pubmed)
Abstract：
Non-specific low back pain (NSLBP) in children and adolescents has increased in recent years, and the evidence of the physiotherapy interventions in back care needs to be updated. Our main goal was to quantify the effects of preventive physiotherapy interventions on improving behavior and knowledge related to back care and prevention of NSLBP in children and adolescents. Based on two previous meta-analyses, Cochrane Library, MEDLINE, PEDro, Web of Science, LILACS, IBECS, PsycINFO, and IME databases and several journals were searched. Two researchers independently extracted data and assessed the risk of bias in the studies using the RoB2 tool. Data were described according to PRISMA guidelines. A total of 24 studies (28 reports) were included. In the posttest, the behavior variable obtained an overall effect size of d+ = 1.48 (95%CI: 0.40 to 2.56), and the knowledge variable obtained an effect size of d+ = 1.41 (95%CI: 1.05 to 1.76). Physiotherapy has demonstrated beneficial impacts on behavior and knowledge concerning back care and to prevent NSLBP in children and adolescents. Interventions focusing on postural hygiene and exercise should be preferred, especially those that are shorter in number of weeks, more intense, and incorporate as many intervention hours as possible.
摘要：
近年来，儿童和青少年的非特异性下腰痛（NSLBP）有所增加，背部护理中的物理治疗干预措施的证据需要更新。我们的主要目标是量化预防性物理治疗干预措施对改善儿童和青少年背部护理和预防NSLBP相关行为和知识的影响。基于之前的两项荟萃分析，科克伦图书馆,MEDLINE,PEDro,WebofScience,LILACS,IBECS,PsycINFO,检索了IME数据库和几种期刊。两名研究人员使用RoB2工具独立提取数据并评估研究中的偏倚风险。根据PRISMA指南描述数据。共纳入24项研究（28例报告）。在后测中，行为变量获得的总体效应大小为d+=1.48(95CI：0.40至2.56)，知识变量获得的效应大小为d+=1.41(95CI：1.05至1.76)。物理治疗已证明对有关背部护理的行为和知识以及预防儿童和青少年的NSLBP的有益影响。以姿势卫生和运动为重点的干预措施应优先,尤其是那些周数较短的，更强烈，尽可能多的干预时间。
