瑜伽在慢性腰痛患者中应用效果的系统评价

Systematic Evaluation of the Application Effect of Yoga on Chronic Back Pain Patients

目的系统评价瑜伽在慢性腰痛(low back pain,LBP)患者中的应用效果。方法计算机检索6个中英文数据库,并按纳入排除标准选取21篇文献共计19项研究进行分析。结果纳入研究的主要结局指标为LBP评分和功能障碍评分;与药物疗法、常规理疗相比,瑜伽疗法能够有效缓解患者的LBP,改善其功能障碍,且疗效具有长期性;但瑜伽疗法的效果是否优于其他运动疗法尚存在争议。结论瑜伽疗法可有效缓解慢性LBP患者的相关症状,在临床实践中应予以推广;未来研究应寻找瑜伽疗法的最佳练习方式、时间、频率,关注其作用机制,以推动瑜伽疗法科学化发展。

Objective To systematically evaluate the application effect of yoga therapy in patients with chronic low back pain. Methods Six databases were retrieved, a total of 21 articles and 19 studies were included. Results The major outcome indicators were LBP score and dysfunction score. The yoga therapy can effectively ease the LBP, and improve the dysfunction,with long-term curative effect, but whether yo- ga therapy was superior to other exercise therapies remains controversial. Conclusions Yoga therapy can relieve related symptoms of patients with chronic low back pain effectively and should be promoted in clini- cal practice. Further researches should pay attention to the best practice measures, time and frequency of yoga therapy as well as its mechanism, in order to promote scientific development of yoga therapy.