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首页> 外文期刊>The Journal of Musculoskeletal and Neuronal Interactions >The effectiveness of McKenzie method compared to manual therapy for treating chronic low back pain: a systematic review
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The effectiveness of McKenzie method compared to manual therapy for treating chronic low back pain: a systematic review

机译:与手动疗法相比,McKenzie方法治疗慢性下腰痛的有效性:系统评价

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The aim of this study was to evaluate the effectiveness of the McKenzie method compared to manual therapy in themanagement of patients with chronic low back pain (CLBP). Randomised controlled trials evaluating the McKenzie methodin treating CLBP in adults compared to manual therapy (MT) were searched in MEDLINE, CINAHL, Cochrane Library, andPEDro. The primary outcomes were pain and disability. Five trials were eligible for inclusion in the review, of which, mosthad a score of 8 out of 11 on the PEDro scale. At 2-3 months, all studies reported significant improvement in the painlevel in the McKenzie group, and more than that in the MT group. At 6 months, significant improvements had occurredin the disability index reported by two trials in the McKenzie group than the MT group. At 12 months follow-up, therewere no significant differences in measures of LBP, but three studies reported that the McKenzie method group had abetter disability level than the MT group. In patients with CLBP, many pain measures showed that the McKenzie methodis a successful treatment to decrease pain in the short term, while the disability measures determined that the McKenziemethod is better in enhancing function in the long term.
机译:这项研究的目的是评估与手动治疗相比,McKenzie方法在管理慢性下背痛(CLBP)患者中的有效性。在MEDLINE,CINAHL,Cochrane Library和PEDro中检索了评估McKenzie方法治疗成人CLBP与手动治疗(MT)相比的随机对照试验。主要结果是疼痛和残疾。有五项试验符合纳入评价的条件,其中,在PEDro量表中,多数得分为11分中的8分。在2-3个月时,所有研究均显示McKenzie组的疼痛水平明显改善,并且比MT组的疼痛水平改善更多。在6个月时,McKenzie组的两项试验报告的残疾指数明显好于MT组。在12个月的随访中,LBP的测量值无显着差异,但三项研究报告说,McKenzie方法组的残疾水平高于MT组。在CLBP患者中,许多止痛措施表明McKenzie方法是短期内减轻疼痛的成功疗法,而残疾措施则确定了McKenziemethod在长期内可更好地增强功能。

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