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首页> 外文期刊>The journal of orthopaedic and sports physical therapy >Effects of Pilates-based exercises on pain and disability in individuals with persistent nonspecific low back pain: a systematic review with meta-analysis.
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Effects of Pilates-based exercises on pain and disability in individuals with persistent nonspecific low back pain: a systematic review with meta-analysis.

机译：基于普拉提的运动对持续性非特异性下腰痛患者的疼痛和残疾的影响：荟萃分析的系统评价。

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STUDY DESIGN: A systematic review with meta-analysis. OBJECTIVES: To compare pain and disability in individuals with persistent nonspecific low back pain who were treated with Pilates exercises compared to minimal or other interventions. METHODS: Searches of Medline, CINAHL, Embase, Cochrane library, PEDro, and ProQuest Dissertations and Thesis databases were conducted. Randomized controlled trials (RCTs) were selected and reviewed if they compared pain and disability in individuals with persistent nonspecific low back pain who were treated with Pilates exercises compared to other treatment approaches. Quality of the trials was evaluated. Data for pain and disability scores were extracted. Narrative synthesis plus meta-analyses were performed, with either a fixed-effects or random-effects model, standardized mean differences (SMDs), and tests for heterogeneity. RESULTS: Seven RCTs were identified and included in the meta-analyses. Data pooling was performed using RevMan 5. When compared to minimal intervention, Pilates-based exercise provided superior pain relief (pooled SMD, -2.72; 95% CI: -5.33, -0.11; P = .04) but the pooled disability scores were not significantly different (pooled SMD, -0.74; 95% CI: -1.81, 0.33;P = .17). No significant differences were found when comparing Pilates-based exercise to other forms of exercise for pain (pooled SMD, 0.03; 95% CI: -0.52, 0.58; P = .92) or disability scores (pooled SMD, -0.41; 95% CI: -0.96, 0.14; P = .14). CONCLUSION: Pilates-based exercises are superior to minimal intervention for pain relief. Existing evidence does not establish superiority of Pilates-based exercise to other forms of exercise to reduce pain and disability for patients with persistent nonspecific low back pain. However, the relatively low quality of existing studies and the heterogeneity of pooled studies in this systematic review combine to suggest that these results should be interpreted with caution. LEVEL OF EVIDENCE: Therapy, level 1a.
机译：研究设计：荟萃分析的系统评价。目的：比较与常规或其他干预措施相比，普拉提运动治疗的持续性非特异性下背痛患者的疼痛和残疾情况。方法：对Medline，CINAHL，Embase，Cochrane库，PEDro和ProQuest论文和论文数据库进行了搜索。选择和审查随机对照试验（RCT），以比较使用普拉提运动治疗的持续性非特异性下背痛患者与其他治疗方法相比，疼痛和残疾情况。评价了试验的质量。提取疼痛和残疾分数的数据。使用固定效应或随机效应模型，标准化均值差（SMD）以及异质性测试，进行叙述性合成加荟萃分析。结果：确定了七个随机对照试验，并纳入荟萃分析。使用RevMan 5进行数据汇总。与最小干预相比，基于普拉提的运动可提供更好的疼痛缓解（合并SMD，-2.72; 95％CI：-5.33，-0.11; P = .04），但合并的残疾评分为差异不显着（合并SMD为-0.74; 95％CI：-1.81，0.33; P = .17）。将基于普拉提的运动与其他形式的疼痛进行比较（合并的SMD，0.03; 95％CI：-0.52，0.58; P = .92）或残疾评分（合并的SMD，-0.41; 95％）时，没有发现显着差异。 CI：-0.96，0.14; P ＝ 0.14）。结论：基于普拉提的运动优于最小的疼痛缓解干预。现有证据并未证明普拉提运动比其他形式的运动在减轻持续性非特异性下腰痛患者的疼痛和残疾方面具有优势。但是，现有研究的相对较低的质量以及本系统评价中汇集研究的异质性综合表明，应谨慎解释这些结果。证据级别：治疗，级别1a。

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