目的:本综述研究旨在评估治疗性锻炼对上交叉综合征(UCS)的影响。该研究采用了系统评价和荟萃分析方法来研究各种治疗锻炼对前头姿势的影响,圆形肩部,和与上交叉综合征相关的后凸畸形。
方法:该研究确定了每个自变量和因变量的相关关键词,并在科学数据库中进行了搜索,包括PubMed,WebofScience,Scopus,和谷歌学者,没有任何时间限制,直到2023年8月12日。总的来说,在选定的数据库中找到了4625篇文章,在输入到EndNote软件并删除重复数据后,这些数据减少到1085。审查了30项剩余研究的全文;包括十篇符合标准的文章。此外,谷歌学者数据库中的12项研究被纳入其中,22项研究使用综合荟萃分析软件(CMA版本3),数据异质性用I2和Q检验进行测量。漏斗图和Egger测试方法用于确定发表偏倚的可能性。JBI检查表用于评估研究质量。
结果:荟萃分析的结果表明,治疗性锻炼可有效改善前头,圆形肩部,和胸椎后凸角度(分别为CI95%=-1.85-1.161,P=0.001,P=0.001,CI95%=-1.822-1.15和P=0.001,CI95%=-1.83-1.09)。
结论:根据结果,似乎以力量锻炼的形式进行治疗性锻炼,伸展,基于肩部的练习,以所有肌肉为目标的令人难以置信的全面运动可能会有效地减少前头,圆形肩部,胸椎后凸,和整体UCS。
方法:
OBJECTIVE: This review study aimed to evaluate the impact of therapeutic exercises on Upper-Crossed Syndrome (UCS). The study utilized a systematic review and meta-analysis approach to investigate the effects of various therapeutic exercises on forward head posture, rounded shoulders, and hyperkyphosis associated with upper crossed syndrome.
METHODS: The study identified relevant keywords for each independent and dependent variable and conducted a search in scientific databases, including PubMed, Web of Science, Scopus, and Google Scholar, without any time limitations until 12 August 2023. Overall, 4625 articles were found in the selected databases, which were reduced to 1085 after being entered into the EndNote software and removing duplicate data. The full texts of 30 remaining studies were reviewed; ten articles meeting the criteria were included. Additionally, 12 studies from the Google Scholar database were included, resulting in 22 studies. Using Comprehensive meta-analysis software (CMA ver 3), data heterogeneity was measured with I2 and the Q tests. The Funnel Plot and Egger test methods were utilized to determine the possibility of publication bias. The JBI checklist was used to assess the quality of the studies.
RESULTS: The results of the meta-analysis showed that therapeutic exercises were effective in improving forward head, rounded shoulders, and thoracic kyphosis angles (CI 95% = -1.85-1.161, P = 0.001, P = 0.001, CI95%=-1.822-1.15, and P = 0.001, CI 95%= -1.83-1.09, respectively).
CONCLUSIONS: Based on the results, it appears that performing therapeutic exercises in the form of strength exercises, stretching, shoulder-based exercises, and incredibly comprehensive exercises that target all muscles may be effective in reducing forward head, rounded shoulders, thoracic kyphosis, and overall UCS.
METHODS: