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首页> 外文期刊>Archives of Physical Medicine and Rehabilitation >Does aquatic exercise relieve pain in adults with neurologic or musculoskeletal disease? A systematic review and meta-analysis of randomized controlled trials.
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Does aquatic exercise relieve pain in adults with neurologic or musculoskeletal disease? A systematic review and meta-analysis of randomized controlled trials.

机译：水上运动能缓解患有神经系统疾病或肌肉骨骼疾病的成年人的疼痛吗？随机对照试验的系统评价和荟萃分析。

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OBJECTIVE: To evaluate the literature on the effectiveness of aquatic exercise in relieving pain in adults with neurologic or musculoskeletal disease. DATA SOURCES: A systematic literature search of 14 databases was examined for research on aquatic exercise over the period January 1980 to June 2006. STUDY SELECTION: Randomized controlled trials (RCTs) that included adults with neurologic or musculoskeletal disease, pain as an outcome measure, and exercise in water were included. DATA EXTRACTION: Information on the participants, interventions, and outcomes was extracted from the included studies. Quality appraisal was assessed using the Scottish Intercollegiate Guidelines Network criteria for RCTs. DATA SYNTHESIS: Nineteen studies met the inclusion criteria; 8 were of moderate to low risk of bias, and 5 of these had data suitable for meta-analyses. This showed that aquatic exercise has a small posttreatment effect in relieving pain compared with no treatment (P=.04; standardized mean difference [SMD], -.17; 95% confidence interval [CI], -.33 to -.01), but it is not possible to draw a firm conclusion because of the lack of consistency of evidence across studies. Comparable pain-relieving effects were found between aquatic and land-based exercise (P=.56; SMD=.11; 95% CI, -.27 to .50). CONCLUSIONS: There is sound evidence that there are no differences in pain-relieving effects between aquatic and land exercise. Compared with no treatment, aquatic exercise has a small pain-relieving effect; however, the small number of good-quality studies and inconsistency of results means that insufficient evidence limits firm conclusions. Future studies should aim for focused research questions on specific aquatic exercise techniques, using robust methodologic designs and detailed reporting of temperature, depth, and care setting.
机译：目的：评估水上运动对缓解神经系统疾病或肌肉骨骼疾病的成年人的疼痛效果的文献。数据来源：对1980年1月至2006年6月期间进行的水上运动研究进行了系统的文献检索，共检索到14个数据库。研究选择：随机对照试验（RCT），其中包括患有神经系统疾病或肌肉骨骼疾病，以疼痛为结果的成年人，和水中运动都包括在内。数据提取：从纳入的研究中提取有关参与者，干预措施和结果的信息。使用苏格兰跨院指南网络的RCT标准评估质量评估。数据综合：19项研究符合纳入标准。 8名具有中度到低度的偏见风险，其中5名具有适合荟萃分析的数据。这表明与不进行治疗相比，水上运动对缓解疼痛的治疗效果较小（P = .04;标准均值差[SMD]为-.17; 95％置信区间[CI]为-.33至-.01） ，但由于各研究缺乏证据的一致性，因此无法得出明确的结论。在水上运动和陆上运动之间都发现了类似的止痛效果（P = .56; SMD = .11; 95％CI，-。27至.50）。结论：有充分的证据表明，水上运动和陆地运动在缓解疼痛方面没有差异。与不进行治疗相比，水上运动具有较小的止痛作用。但是，高质量研究的数量少，结果不一致，意味着证据不足限制了可靠的结论。未来的研究应针对特定的水产养殖技术，针对研究重点，使用可靠的方法设计并详细报告温度，深度和护理环境。

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