五禽戏锻炼治疗颈椎病有效性的Meta分析

A Meta-analysis of the efficacy of five mimic animal boxing in the treatment of cervical spondylosis

目的:系统评价五禽戏锻炼治疗颈椎病的有效性。方法:以计算机检索中国知网、维普网、万方数据库、中国生物医学文献服务系统、PubMed、Embase、Cochrane Library,筛选五禽戏锻炼治疗颈椎病的随机对照试验,检索时限均为建库至2022年8月。对照组采用常规非手术疗法,试验组单纯采用五禽戏锻炼或在对照组常规非手术疗法的基础上联合五禽戏锻炼。由2名研究人员独立筛选文献、提取资料并评价纳入研究的方法学质量后,采用RevMan5.4.1软件进行Meta分析。结果:共纳入7项研究,涉及618例患者,试验组308例、对照组310例。Meta分析结果显示,试验组治疗颈椎病的总有效率高于对照组[RR=1.17,95%CI(1.07,1.27),P=0.000],治疗后颈肩部疼痛视觉模拟量表评分和颈椎功能障碍指数降低的幅度均大于对照组[MD=-0.88,95%CI(-1.23,-0.52),P=0.000;MD=-5.08,95%CI(-6.30,-3.86),P=0.000],治疗后颈椎各方向活动度增加的幅度均大于对照组[前屈:MD=4.93,95%CI(3.33,6.53),P=0.000;后伸:MD=6.00,95%CI(1.80,10.19),P=0.005;左旋:MD=8.09,95%CI(6.56,9.62),P=0.000;右旋:MD=6.74,95%CI(5.18,8.31),P=0.000]。结论:现有证据表明,五禽戏锻炼可有效减轻颈椎病患者的疼痛症状、增加颈椎活动度、改善颈椎功能,是治疗颈椎病的有效方法。

Objective:To systematically evaluate the fficacy of five mimic animal boxing in the treatment of cervical spondylosis.Methods:The randomized controlled trials(RCTs)of five mimic animal boxing in the treatment of cervical spondylosis were retrieved from CNKI,VIP,Wanfang Data,SinoMed,PubMed,Embase,and Cochrane Library from database inception to August 2022.Conventional nonsurgical therapy was employed in the control group,while five mimic animal boxing aloneσr in combination with conventional non-surgical therapy was used in the experimental group.After literature screening,data extraction,and methodological quaity evaluat ion of the included RCTs were independently performed by two investigators,a Meta-analysis was conducted using RevMan 5.4.1 software.Results:Seven studies involving 618 patients were included,with 308 in the experimental group and 310 in the control group.As revealed by the results of he Meta-analysis,the overall fctive rate of cervical spondylosis treatment in the experimental group was higher than that in the control group(RR=1.17,95%CI(1.07,1.27),P=0.000).The reduction in neck and shoulder pain visual analogue scale(VAS)scores and the Neck Disability Index(NDI)after treatment was greater in the experimental group than in the control group(MD=-0.88,95%Cl(-1.23,-0.52),P=0.000;MD=-5.08.95%CI(-6.30,-3.86),P=0.000).The increase in cervical range of motion after treatment was greater in the experimental group than in the control group in all directions(anteflexion:;MD=4.93,95%Cl(3.33,6.53),P=0.000;retrflexion:;MD=6.00,95%CI(1.80,10.19),P=0.005;left rotation:MD=8.09,95%CI(6.56,9.62),P=0.000;right rotation:MD=6.74,95%CI(5.18,8.31),P=0.000).Condlusion:The existing evidence suggests that practieing five mimic animal boxing can efec tively llviate the pain symptoms,increase cervical spine mobility,and improve cervical spine funetion in patients with cervical spondylosis.It is an flective method for treating cervical spondylosis.