The systematic reviews(SRs) including a meta-analysis are considered as the top level of evidence.Although the existence of more than a hundred of low back pain(LBP)-related SRs seems very appealing and might therefor...The systematic reviews(SRs) including a meta-analysis are considered as the top level of evidence.Although the existence of more than a hundred of low back pain(LBP)-related SRs seems very appealing and might therefore suggest significant evidence on the topic,adeep analysis indicates that several of these SRs included only very few studies.Other SRs raise concerns because they included some randomized controlled trials which had a low methodological quality,or some studies which differed significantly regarding the studied populations and/or the experimental procedure.The sometimes controversial results of different SRs conducted on the same topic also highlight the significant influence of the inclusion/exclusion criteria used in the SRs to select the articles.To conclude,although meta-analysis is at the top of the evidence pyramid and have several strengths,the conclusions drawn from SRs should always be interpreted with caution because they can also have weaknesses.This is true,whether it be for LBP-related SRs including a meta-analysis,or any other.Therefore a critical analysis of any SR is always needed before integrating the results of the SR in its own clinical practice.Furthermore,clinical reasoning remains crucial,especially to consider the potential differences between one's patient and the patients included in the meta-analysis.展开更多
目的分析成年高尔夫球员腰部损伤的风险因素及健康与康复干预策略的证据。方法采用主题词检索方法,在PubMed、Web of Science、EBSCO、Scopus、Cochrane图书馆、中国知网、维普和万方数据库,检索成年高尔夫球员腰部损伤的相关文献,检索...目的分析成年高尔夫球员腰部损伤的风险因素及健康与康复干预策略的证据。方法采用主题词检索方法,在PubMed、Web of Science、EBSCO、Scopus、Cochrane图书馆、中国知网、维普和万方数据库,检索成年高尔夫球员腰部损伤的相关文献,检索时间为建库至2024年4月1日。提取作者、国家、发表时间、研究对象、腰部损伤风险因素和干预策略,并进行Scoping综述。结果最终纳入英文文献9篇,来自美国、澳大利亚、韩国、葡萄牙和南非5个国家,涉及237例高尔夫球员,研究类型涉及调查研究3篇、前瞻性纵向队列研究1篇和随机对照试验或准实验设计5篇。研究对象包括职业高尔夫球员和业余高尔夫球员。造成腰部损伤风险因素主要有过量重复的不规范挥杆技术动作造成腰椎过度扭转和腰部肌群过度使用,腹直肌、竖脊肌和背阔肌激活模式异常导致无法维持大强度挥杆动作中的脊柱稳定,以及躯干与髋关节旋转功能受限造成挥杆动作中腰椎过度补偿。腰部损伤健康与康复干预策略有充分利用肌电、超声生物反馈技术,加强对腰部薄弱肌群和挥杆技术动作的筛查,进一步优化训练负荷和规范挥杆技术动作,加强躯干和髋关节的功能性训练,加强腰腹、核心肌群和深层肌群的力量训练。结论成年高尔夫球员腰部损伤的风险因素主要涉及过量重复的不规范挥杆技术动作、腰腹与核心肌群力量不足、躯干与髋关节功能受限。有效的干预策略包括充分利用肌电、超声生物反馈技术优化训练负荷,规范挥杆技术动作、加强躯干和髋关节的功能训练、增强腰腹,核心肌群与深层肌群的力量训练。这些策略有助于减少高尔夫球员的腰部损伤风险,提升运动表现和身心健康。展开更多
目的:系统评价腰背肌锻炼对护士职业性腰背痛的干预效果。方法:检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、PubMed、EMbase、MedLine、Web of Science、CIN...目的:系统评价腰背肌锻炼对护士职业性腰背痛的干预效果。方法:检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、PubMed、EMbase、MedLine、Web of Science、CINAHL和the Cochrane Library,收集有关腰背肌锻炼对护士职业性腰背痛的随机对照试验,检索时限为建库至2023年9月30日。由2名研究者独立进行文献筛选、资料提取、文献质量评价后,使用Stata 17.0软件进行Meta分析。结果:共纳入11篇文献,涉及664名护士。Meta分析结果表明,腰背肌锻炼可以改善护士的视觉模拟评分法(VAS)评分[SMD=-3.47,95%CI(-4.89,-2.06),P<0.001];腰背肌锻炼可以改善护士的功能障碍[SMD=-2.42,95%CI(-4.55,-0.28),P=0.026]。结论:现有证据表明,腰背肌锻炼对改善护士职业性腰背痛的疼痛和功能障碍有一定效果。受纳入研究数量的限制及干预任务有一定的异质性且干预时间跨度较大等缺点,上述结论仍需更多高质量的临床研究进一步验证。展开更多
慢性下腰痛(Chronic Low Back Pain,CLBP)不仅是临床常见疾病,亦是全球范围内严重的社会与经济问题。Pilates运动对慢性下腰痛而言是一种重要的康复训练手段,其对改善患者躯体症状,摆脱疼痛困扰,减轻社会经济负担具有重大意义。本文对...慢性下腰痛(Chronic Low Back Pain,CLBP)不仅是临床常见疾病,亦是全球范围内严重的社会与经济问题。Pilates运动对慢性下腰痛而言是一种重要的康复训练手段,其对改善患者躯体症状,摆脱疼痛困扰,减轻社会经济负担具有重大意义。本文对慢性下腰痛相关概念、Pilates运动原理、我国Pilates运动研究状况以及Pilates运动对慢性下腰痛患者意义做一综述,以期为慢性下腰痛患者的康复护理提供新的理念与方法。展开更多
文摘The systematic reviews(SRs) including a meta-analysis are considered as the top level of evidence.Although the existence of more than a hundred of low back pain(LBP)-related SRs seems very appealing and might therefore suggest significant evidence on the topic,adeep analysis indicates that several of these SRs included only very few studies.Other SRs raise concerns because they included some randomized controlled trials which had a low methodological quality,or some studies which differed significantly regarding the studied populations and/or the experimental procedure.The sometimes controversial results of different SRs conducted on the same topic also highlight the significant influence of the inclusion/exclusion criteria used in the SRs to select the articles.To conclude,although meta-analysis is at the top of the evidence pyramid and have several strengths,the conclusions drawn from SRs should always be interpreted with caution because they can also have weaknesses.This is true,whether it be for LBP-related SRs including a meta-analysis,or any other.Therefore a critical analysis of any SR is always needed before integrating the results of the SR in its own clinical practice.Furthermore,clinical reasoning remains crucial,especially to consider the potential differences between one's patient and the patients included in the meta-analysis.
文摘目的分析成年高尔夫球员腰部损伤的风险因素及健康与康复干预策略的证据。方法采用主题词检索方法,在PubMed、Web of Science、EBSCO、Scopus、Cochrane图书馆、中国知网、维普和万方数据库,检索成年高尔夫球员腰部损伤的相关文献,检索时间为建库至2024年4月1日。提取作者、国家、发表时间、研究对象、腰部损伤风险因素和干预策略,并进行Scoping综述。结果最终纳入英文文献9篇,来自美国、澳大利亚、韩国、葡萄牙和南非5个国家,涉及237例高尔夫球员,研究类型涉及调查研究3篇、前瞻性纵向队列研究1篇和随机对照试验或准实验设计5篇。研究对象包括职业高尔夫球员和业余高尔夫球员。造成腰部损伤风险因素主要有过量重复的不规范挥杆技术动作造成腰椎过度扭转和腰部肌群过度使用,腹直肌、竖脊肌和背阔肌激活模式异常导致无法维持大强度挥杆动作中的脊柱稳定,以及躯干与髋关节旋转功能受限造成挥杆动作中腰椎过度补偿。腰部损伤健康与康复干预策略有充分利用肌电、超声生物反馈技术,加强对腰部薄弱肌群和挥杆技术动作的筛查,进一步优化训练负荷和规范挥杆技术动作,加强躯干和髋关节的功能性训练,加强腰腹、核心肌群和深层肌群的力量训练。结论成年高尔夫球员腰部损伤的风险因素主要涉及过量重复的不规范挥杆技术动作、腰腹与核心肌群力量不足、躯干与髋关节功能受限。有效的干预策略包括充分利用肌电、超声生物反馈技术优化训练负荷,规范挥杆技术动作、加强躯干和髋关节的功能训练、增强腰腹,核心肌群与深层肌群的力量训练。这些策略有助于减少高尔夫球员的腰部损伤风险,提升运动表现和身心健康。
文摘慢性下腰痛(Chronic Low Back Pain,CLBP)不仅是临床常见疾病,亦是全球范围内严重的社会与经济问题。Pilates运动对慢性下腰痛而言是一种重要的康复训练手段,其对改善患者躯体症状,摆脱疼痛困扰,减轻社会经济负担具有重大意义。本文对慢性下腰痛相关概念、Pilates运动原理、我国Pilates运动研究状况以及Pilates运动对慢性下腰痛患者意义做一综述,以期为慢性下腰痛患者的康复护理提供新的理念与方法。
