背景:颈部疼痛是一种与疼痛相关的负担,残疾,和经济成本。颈部疼痛与神经肌肉功能和生物力学的可观察变化有关。先前的研究表明运动学控制受损,包括流动性降低,速度,和颈椎运动的平稳性。然而,这些损伤与患者报告的疼痛和残疾之间的关联强度尚不清楚,因此难以开发新的相关康复策略.本系统综述的目的是综合现有的关于颈部功能临床生物力学指标(ROM,力量,加速度,准确度,平滑度,等。)和患者报告的颈部疼痛和残疾。
方法:本方案遵循Cochrane指南,并符合系统评价和荟萃分析方案(PRISMA-P)的首选报告项目。MEDLINE,EMBASE,CINAHL,SPORTDiscus,将搜索WebofScience和Scopus,连同灰色文学,截至2023年11月20日,使用从初始范围搜索得出的术语和关键字。观察性研究,包括队列和横断面研究,将包括探索颈部临床生物力学与患者报告的颈部疼痛或残疾结局之间的关联。两名评审员将独立进行研究选择,数据提取,和偏见风险评估(国家卫生研究所工具)。数据将使用随机效应荟萃分析方法或使用改进的建议分级进行定性合成,评估,开发和评估(等级)方法,取决于可用数据的同质性。
■这篇综述通过系统地综合颈部功能损害与患者报告的结果之间的关系的发现,解决了文献中的差距。它将确定颈部疼痛康复的优先事项和当前知识的差距。
结果:本次审查的结果将通过同行评审的出版物传播,会议介绍,并在开放获取网站上发布语言摘要。
背景:PROSPERO注册号:CRD42023417317。https://www.crd.约克。AC.uk/prospro/display_record.php?ID=CRD42023417317。
BACKGROUND: Neck pain is a burdensome condition associated with pain, disability, and economic cost. Neck pain has been associated with observable changes in neuromuscular function and biomechanics. Prior research shows impairments in kinematic control, including reduced mobility, velocity, and smoothness of cervical motion. However, the strength of association between these impairments and patient-reported pain and disability is unclear rendering development of novel and relevant rehabilitation strategies difficult. The aim of this systematic
review is to synthesize existing evidence on the strength of association between clinical biomechanical metrics of neck function (ROM, strength, acceleration, accuracy, smoothness, etc.) and patient-reported neck pain and disability.
METHODS: This protocol follows Cochrane guidelines and adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P). MEDLINE, EMBASE, CINAHL, SPORTDiscus, Web of Science and Scopus will be searched, along with the gray literature, up to 20 November 2023, using terms and keywords derived from initial scoping searches. Observational studies, including cohorts and cross-sectional studies, that explore associations between clinical biomechanics of the neck and patient-reported outcomes of neck pain or disability will be included. Two reviewers will independently perform study selection, data extraction, and risk of bias assessment (National Institute of Health tool). Data will be synthesized using either a random effects meta-analytic approach or qualitatively using a modified Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach, dependent on the homogeneity of data available.
UNASSIGNED: This
review addresses a gap in the literature by systematically synthesizing findings on the relationship between neck function impairments and patient-reported outcomes. It will identify priorities for neck pain rehabilitation and gaps in current knowledge.
RESULTS: The results of this
review will be disseminated through a peer-reviewed publication, conference presentation, and lay language summaries posted on an open-access website.
BACKGROUND: PROSPERO Registration number: CRD42023417317. https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023417317.