本研究旨在系统回顾有关应用超声弹性成像(SE)评估下腰背痛(LBP)患者腰骨盆肌僵硬度的研究。所有相关文章都是从现有的电子数据库中检索到的,包括PubMed,WebofScience,Scopus,EMBASE,科克伦图书馆,和CINAHL,使用关键词“声弹性成像”,“弹性成像技术”,“肌肉僵硬度”,“弹性模量”,“腰痛”。经过初始搜索,符合纳入标准的研究(即,发表在英语和超声弹性成像用于评估LBP患者和健康个体的腰骨盆肌硬度)。此外,任何动物研究,研讨会和/或会议的摘要,和/或非英语语言的文章被排除在外。使用物理治疗证据数据库(PEDro)量表评估研究的质量。总的来说,我们选择了8项相关研究进行综述.三项研究被认为具有优异的质量,使用PEDro量表,有5人被认为质量相当。所有综述的研究都报道,SE可以被认为是一种非侵入性的方法,用于量化腰骨盆肌刚度的变化。与健康人相比,LBP患者的肌肉僵硬度明显更高,以及不同测试体位的LBP患者亚组(P<0.05)。只有一项研究对健康个体的SE的可靠性进行了研究,而另一位检查了SE成像的有效性。本系统评价的结果表明,SE成像是识别LBP患者发生的肌肉变化并评估康复治疗效果的可靠且有效的工具。
This study aimed to systematically
review studies conducted on the application of sonoelastography (SE) to evaluate lumbopelvic muscle stiffness in patients with low back pain (LBP). All relevant articles were retrieved from the available electronic databases, including PubMed, Web of Science, Scopus, EMBASE, Cochrane library, and CINAHL, using the keywords \"Sonoelastography\", \"Elasticity Imaging Technique\", \"Muscle Stiffness\", \"Modulus Elasticity\", \"Low Back Pain\". After initial searches, studies that met the inclusion criteria (i.e., published in English and sonoelastography were used to assess lumbopelvic muscle stiffness in both patients with LBP and healthy individuals) were enrolled. Also, any animal research, abstract of the seminar and/or conference, and/or non-English-language article were excluded. The quality of the studies was assessed using the Physiotherapy Evidence Database (PEDro) scale. In total, eight relevant studies were selected for
review. Three studies were considered to have excellent quality, and five were considered fair quality using the PEDro scale. All reviewed studies have reported that SE can be considered a non-invasive method for quantifying changes in lumbopelvic muscle stiffness. Muscle stiffness was significantly higher in LBP patients compared to healthy persons, as well as across subgroups of LBP patients in various test postures (P˂0.05). Only one study was conducted on the reliability of SE in healthy individuals, while another examined the validity of SE imaging. The results of the present systematic
review indicated that SE imaging is a reliable and valid tool to identify muscle changes that occur in patients with LBP and evaluate the effects of rehabilitation treatment.