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首页> 外文期刊>Pain research & management: the journal of the Canadian Pain Society = journal de la socie?te? canadienne pour le traitement de la douleur >Traditional Chinese Mind and Body Exercises for Neck Pain: A Meta-Analysis of Randomized Controlled Trials
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Traditional Chinese Mind and Body Exercises for Neck Pain: A Meta-Analysis of Randomized Controlled Trials

机译：颈部疼痛的传统汉语和身体锻炼：随机对照试验的荟萃分析

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Background. Neck pain is common and can have a significant impact on patients’ physical functionality, mobility, and quality of life (QOL). In clinical practice, traditional Chinese mind and body exercise (TCMBE) is a combination of different types of exercise based on traditional Chinese medicine, including qigong, tai chi, the 12-words-for-life-nurturing exercise, and so on, and many studies have found that it is safe and effective at helping patients with neck pain. Objective. The aim of this study was to investigate the effectiveness of TCMBE on pain intensity, functional mobility, and QOL in individuals with neck pain. Methods. The PubMed, MEDLINE, PEDro, and Embase databases were systematically searched for relevant studies. Randomized controlled trials reporting the effects of TCMBE on pain intensity, functional mobility, and QOL in individuals with neck pain were included. Screening, data extraction, and literature quality assessments were performed independently by two reviewers. RevMan5.4 software was used for data analysis. Results. Six studies with 716 participants met the inclusion criteria. Compared with the control groups, TCMBE had no therapeutic advantage in improving pain intensity (visual analogue scale: mean difference (MD)?=?1.8, 95% confidence interval (CI): ?7.70 to 11.46, and P =?0.70); functional mobility (neck disability index: MD?=?0.15, 95% CI: ?6.37 to 6.66, and P =?0.96; neck pain and disability scale: MD?=?1.31, 95% CI: ?4.10 to 6.71, and P =?0.64); or 36-item short-form health survey (SF-36) scores for physical function (MD?=?5.58, 95% CI: ?8.03 to 19.18, and P =?0.42), general health (MD?=?1.87, 95% CI: ?4.99 to 8.72, and P =?0.59), body pain (MD?=?2.26, 95% CI: ?3.80 to 8.32, and P =?0.46), vitality (MD?=?6.24, 95% CI: ?1.49 to 13.98, and P =?0.11), social function (MD?=?8.06, 95% CI: ?4.85 to 20.98, and P =?0.22), role physical (MD?=?–1.46, 95% CI: ?8.54 to 5.62, and P =?0.69), or role emotional (MD?=?6.5, 95% CI: ?3.45 to 16.45, and P =?0.2). However, TCMBE was less effective at improving mental health results based on the SF-36 survey (MD?=?3.37, 95% CI: 0.5 to 6.24, and P =?0.02). Conclusions. Based on the meta-analysis, there is insufficient evidence to support the clinical use of TCMBE in improving pain intensity and enhancing functional mobility and QOL in individuals with neck pain.
机译：背景。颈部疼痛是常见的，对患者的物理功能，移动性和生活质量（QOL）产生重大影响。在临床实践中，中文思想和身体运动（TCMBE）是基于中医的不同类型运动的组合，包括气功，太极拳，寿命为培育锻炼，等等，和许多研究发现，在帮助颈部疼痛的患者方面是安全有效的。客观的。本研究的目的是探讨TCMBE对颈部疼痛的个体疼痛强度，功能流动性和QoL的有效性。方法。有系统地搜索了PubMed，Medline，Pedro和Embase数据库的相关研究。随机对照试验报告TCMBE对颈部疼痛的个体疼痛强度，功能迁移率和QoL的影响。筛选，数据提取和文献质量评估由两名审稿人独立进行。 Revman5.4软件用于数据分析。结果。 716名参与者的六项研究符合纳入标准。与对照组相比，TCMBE在提高疼痛强度方面没有治疗优势（视觉模拟规模：平均差（MD）？=？1.8,95％置信区间（CI）：？7.70至11.46，P = 0.70）;功能性迁移率（颈部残疾指数：MD？= 0.15,95％CI：？6.37至6.66和P = 0.96;颈部疼痛和残疾缩放：MD？=？1.31,95％CI：？4.10至6.71，和p = 0.64）;或36项的物理功能的短型健康调查（SF-36）分数（MD？=？5.58,95％CI：？8.03至19.18，以及P = 0.42），一般健康（MD？=？1.87， 95％ci：4.99至8.72，p =？0.59），身体疼痛（md？=？2.26,95％ci：？3.80至8.32，p = 0.46），生命力（MD？=？6.24,95 ％ci：？1.49至13.98和p = 0.11），社交功能（MD？= 8.06,95％CI：？4.85到20.98和P = 0.22），角色物理（MD？=？ - 1.46， 95％CI：？8.54至5.62和P =？0.69），或作用情绪（MD？=？6.5,95％CI：3.45到16.45，P = 0.2）。然而，TCMBE在基于SF-36调查（MD？= 3.37,95％CI：0.5至6.24和P = 0.02）时，TCMBE在改善心理健康结果时不太有效结论。基于Meta分析，没有足够的证据来支持TCMBE改善疼痛强度和增强颈部疼痛的个体中的功能流动性和QoL的临床应用。

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