■这项荟萃分析的目的是评估颈部疼痛(NP)患者的胸部操作(TM)的有效性和安全性。
■本荟萃分析的目的是评估颈部疼痛(NP)患者的胸部操作(TM)的有效性和安全性。
■从成立到2023年10月,两位作者搜索了七个电子数据库。使用物理治疗证据数据库(PEDro)量表进行方法学质量评估。疼痛,颈椎活动范围(ROM),残疾,对NP患者的TM治疗和生活质量(QOL)进行了估计。
■包含914例患者的18项随机对照试验(RCT),PEDro评分为6.923±3.120。疼痛的汇集效应大小(SMD=-0.481,95%CI-0.653至-0.309,P=0.000),残疾(SMD=-1.435,95%CI-2.480至-0.390,P=0.007),QOL-物理成分得分(PCS)(SMD=0.658,95%CI0.290至1.025,P=0.000),屈曲的ROM(SMD=0.921,95%CI0.287至1.555,P=0.000),扩展的ROM(SMD=0.572,95%CI0.321至0.822,P=0.000),左侧屈的ROM(SMD=0.593,95%CI0.075至1.112,P=0.025)和左旋转的ROM(SMD=0.230,95%CI0.010至0.450,P=0.04)受TM组的青睐。
■TM提供缓解颈部疼痛的短期效果,增加宫颈ROM,NP患者的残疾没有严重的副作用。推荐持续治疗和分散治疗作为减轻疼痛和改善宫颈ROM的最佳选择,尤其是慢性NP患者(>3个月)。TM诱导的NP患者QOL的改善应通过更多高质量的RCT来验证。
UNASSIGNED: The purpose of this meta-analysis was to evaluate the effectiveness and safety of thoracic manipulation (TM) in patients with neck pain (NP).
UNASSIGNED: The purpose of this meta-analysis was to evaluate the effectiveness and safety of thoracic manipulation (TM) in patients with neck pain (NP).
UNASSIGNED: Seven electronic databases were searched from their inception through October 2023 by two authors. The methodological quality assessments were performed with the Physiotherapy Evidence Database (PEDro) scale. Pain, cervical range of motion (ROM), disability, and quality of life (QOL) were estimated for TM treatment in patients with NP.
UNASSIGNED: Eighteen randomized controlled trials (RCTs) with 914 patients were included with a PEDro score of 6.923 ± 3.120. Pooled effect sizes of pain (SMD =-0.481, 95% CI -0.653 to -0.309, P= 0.000), disability (SMD =-1.435, 95% CI -2.480 to -0.390, P= 0.007), QOL-physical component score (PCS) (SMD = 0.658, 95% CI 0.290 to 1.025, P= 0.000), ROM of flexion (SMD = 0.921, 95% CI 0.287 to 1.555, P= 0.000), ROM of extension (SMD = 0.572, 95% CI 0.321 to 0.822, P= 0.000), ROM of left lateral flexion (SMD = 0.593, 95% CI 0.075 to 1.112, P= 0.025) and ROM of left rotation (SMD = 0.230, 95% CI 0.010 to 0.450, P= 0.04) were favored by the TM group.
UNASSIGNED: TM provides short-term effect on relieving neck pain, increasing cervical ROM, and disability in patients with NP without serious side effects. Continuous therapy and distraction therapy are recommended as optimal choice on reducing pain and improving cervical ROM, especially in patients with chronic NP (> 3 months). The TM-induced improvements in the QOL of patients with NP should be verified by more further high-quality RCTs.