治疗性运动对头前倾并发颈痛患者颈部功能和生活质量影响的Meta分析

doi:10.3969/j.issn.1006-9771.2023.02.010

Abstract

Abstract:

Objective To systematically analyze the effect of therapeutic exercise on neck function and quality of life in patients with neck pain and forward head posture. Methods Randomized controlled trials about the effects of exercise training on forward head posture and neck pain were searched from PubMed, Web of science, Embase, Medline, Science Direct, EBSCO, Springlink, CNKI, VIP, and Wanfang Data from database establishment to April, 2022. The literature was screened by two researchers independently. Cochrane bias risk assessment tool and Physiotherapy Evidence Database Scale were used to evaluate the quality of the included articles. Revman 5.4 software was used for meta-analysis. Results A total of 416 patients from eleven literatures were included. Level 1a evidence indicated scapula stability training could effectively improve cranial vertebral angle (MD = 3.62, 95%CI 2.41 to 4.83, P < 0.001), and relieve pain (MD = 1.32, 95%CI 0.18 to 2.46, P = 0.02). Level 1b evidence indicated scapula stability training could reduce functional disability (MD = -0.92, 95%CI -1.11 to -0.74, P < 0.001). Level 1b evidence indicated deep cervical flexor training could improve cranial vertebral angle (MD = -0.83, 95%CI -1.56 to -0.10, P = 0.03), relieve pain (MD = 0.93, 95%CI 0.54 to 1.32, P < 0.001), and improve neck functional disability (MD = 2.17, 95%CI 1.39 to 2.95, P < 0.001). Conclusion Scapula stability training and deep cervical flexor training can effectively improve cranial vertebral angle, relieve neck pain, and improve neck function.

Key words: forward head posture, neck pain, exercise, quality of life, neck function, meta-analysis

CLC Number:

R681.5

SUN Ximei, LIU Hua, CHAI Liangwei, LI Kaiyang, MA Jing. Effect of therapeutic exercise on functional disability and quality of life in patients with forward head posture and neck pain: a meta-analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(2): 214-222.

Figures/Tables 7

References 44

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纳入文献	n		运动干预		干预时间	结局指标
纳入文献	对照组	试验组	对照组	试验组	干预时间	CVA	VAS	NDI	生活质量
Gupta等^[21](2013)	15	15	姿势矫正	颈深屈肌训练	4周	√	√	√
Lee等^[22](2016)	14	14	拉伸练习	普拉提运动	10周	√	√	√
Im等^[23](2016)	7	8	放松练习	肩胛骨稳定性训练	4周	√	√	√	√
Chung等^[24](2018)	19	22	自我姿势矫正	颈深屈肌训练	8周		√	√
Fathollahnejad等^[25](2019)	20	40	姿势矫正	肩胛骨稳定性训练	6周	√	√	√
Letafatkar等^[26](2020)	24	24	姿势矫正	本体感觉，力量耐力练习	8周	√	√	√	√
Mehri等^[27](2020)	16	16	自我锻炼	肩颈肌肉强化训练	8周	√	√
Sikka等^[28](2020)	15	15	姿势教育	颈深屈肌训练	4周	√	√	√
Abadiyan等^[29](2021)	20	40	日常姿势矫正	拉伸紧张肌肉，训练薄弱肌肉	8周	√	√	√	√
Kang等^[30](2021)	16	16	颈椎伸展练习	肩胛骨稳定性训练	6周	√	√	√
Dareh-Deh等^[31](2022)	20	20	姿势矫正	肩胛骨稳定性训练	8周	√	√

研究	资格标准	随机分配	分配隐藏	基线相似	被试施盲	治疗师施盲	评估者施盲	被试流失率 ≤ 15%	意向性分析	组间统计比较	变异性测量	总分
Gupta等^[21](2013)	√	√		√				√		√	√	5
Lee等^[22](2016)	√	√		√	√		√	√	√	√	√	8
Im等^[23](2016)	√	√		√				√		√	√	5
Chung等^[24](2018)	√	√	√	√				√			√	5
Fathollahnejad等^[25](2019)	√	√	√		√	√	√	√		√	√	8
Letafatkar等^[26](2020)	√	√	√	√	√	√	√	√	√	√		9
Mehri等^[27](2020)	√	√		√	√		√	√	√	√	√	8
Sikka等^[28](2020)	√	√	√	√	√	√	√	√		√		8
Abadiyan等^[29](2021)	√	√	√	√	√		√	√		√	√	8
Kang等^[30](2021)	√	√	√	√				√		√		5
Dareh-Deh等^[31](2022)	√	√	√		√	√	√	√		√	√	8

Effect of therapeutic exercise on functional disability and quality of life in patients with forward head posture and neck pain: a meta-analysis

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