振动训练对慢性非特异性腰痛患者疼痛和功能障碍影响的Meta分析

Meta-analysis of the Effects of Vibration Training on Pain and Dysfunction in Patients with Chronic Nonspecific Low Back Pain

目的:分析振动训练对慢性非特异性腰痛(CNLBP)患者疼痛、功能障碍、生活质量的影响。方法:检索中国知网、万方数据库、中国生物医学数据库、维普、PubMed、Cochrane library、Embase、Scopus数据库,检索与振动训练治疗CNLBP相关的文章,时限为2013年1月—2023年1月。由2名研究人员独立完成文献纳入、信息提取、方法质量学评价,再通过Revman 5.4软件进行数据处理。结果:共纳入13篇文献,共765例受试者。振动训练能改善患者的疼痛感[随机效应模型(SMD)=1.04,95%CI (0.78,1.30),P<0.001]、功能水平[SMD=1.11,95%CI (0.73,1.49),P<0.001]、生活质量[SMD=1.32,95%CI (0.54,2.10),P<0.05]。亚组分析则指出,被动振动在减痛上的作用优于主动振动[SMD=1.04,95%CI (0.78,1.30),P<0.05];局部振动在提高功能水平上的作用优于全身振动[SMD=1.20,95%CI(0.72,1.68),P<0.05]。结论:振动训练可以改善CNLBP患者的疼痛感、功能障碍程度、生活质量。

Objective:To analyze the effect of vibration training on pain,dysfunction and quality of life in patients with chronic nonspecific low back pain.Methods:CNKI,Wanfang Data,CBM,VIP,PubMed,Cochrane library,Embase and Scopus database were searched for articles related to vibration therapy CNLBP.The time limit was from January 2013 to January 2023.Two researchers independently completed literature inclusion,information extraction,method quality evaluation,and then data processing were performed by Revman 5.4.Results:A total of 13 articles involving 765 subjects were included.Vibration training could improve patients’pain[SMD=1.04,95%CI(0.78,1.30),P<0.001],functional level[SMD=1.11,95%CI(0.73,1.49),P<0.001],quality of life[SMD=1.32,95%CI(0.54,2.10),P<0.05].Subgroup analysis showed that passive vibration was superior to active vibration in reducing pain[SMD=1.04,95%CI(0.78,1.30),P<0.05].Local vibration was superior to whole body vibration in improving functional level[SMD=1.20,95%CI(0.72,1.68),P<0.05].Conclusion:Vibration training can improve the pain,dysfunction and quality of life of CNLBP patients.