瑜伽干预颈痛效果的Meta分析

Effects of Yoga on patients with neck pain:a meta-analysis

目的系统评价瑜伽在干预颈痛患者疼痛、功能障碍和关节活动度方面的临床疗效。方法计算机检索PubMed、The Cochrane Library、Embase、中国知网、万方、维普数据库,收集国内外有关瑜伽干预颈痛的随机对照试验。对所得文献进行筛选、资料提取和偏倚风险评价后,采用RevMan5.3软件对数据进行Meta分析。结果最终纳入中英文文献6篇,共计384名患者。Meta分析结果显示:瑜伽减轻患者颈部疼痛优于对照组[MD(95%CI)=-1.20(-1.40,-1.00),P<0.01],改善患者颈部功能障碍优于对照组[MD(95%CI)=-5.33(-7.19,-3.47),P<0.01],提升患者颈部前屈[MD(95%CI)=8.04(5.24,10.84),P<0.01]、后伸[MD(95%CI)=8.57(5.41,11.74),P<0.01]活动度优于对照组。亚组分析结果显示:瑜伽在减轻颈椎病、非特异性颈痛患者的疼痛程度方面均优于对照组。结论瑜伽干预在改善颈痛患者的疼痛、颈部功能障碍和关节活动度方面具有显著效果。

Objective To systematically review the clinical efficacy of Yoga in intervening pain,dysfunction and joint range of motion in patients with neck pain.Methods The databases of PubMed,Cochrane Library,Embase,CNKI,WanFang Data and VIP were subject to computer retrieval,and randomized controlled trials about Yoga in the treatment of neck pain at home and abroad were colleced.The acquired literature were subject to the meta-analysis with RevMan5.3 software after literature screening,data extraction and bias risk evaluation.Results Finally,a total of 384 patients with 6 literature were included.Meta-analysis showed that head pain relief of patients undergoing Yoga(MD[95%CI]=-1.20[-1.40,-1.00],P<0.01)was better than that of patients in the control group,the neck dysfunction improvement of patients undergoing Yoga(MD[95%CI]=-5.33[-7.19,-3.47],P<0.01)was better than that of patients in the control group,and the range of motion of improved neck ante-flexion(MD[95%CI]=8.04[5.24,10.84],P<0.01),rear protraction(MD[95%CI]=8.57[5.41,11.74],P<0.01)were better than those in the control group.Subgroup analysis showed that Yoga was better than conventional intervention in the control group for relieving pain in patients with cervical spondylosis or non-specific neck pain.Conclusion Yoga delivers significant effects in relieving the pain,neck dysfunction and range of motion of patients with neck pain.