摘要
目的系统评价八段锦对非器质性颈肩疼痛及功能障碍的治疗效果。方法检索PubMed、Embase、The Cochrane Library、Web of Science、中国知网、万方数据、中国生物医学文献数据库和维普网,筛选出相关随机对照试验的研究报告,采用Revman 5.4软件进行Meta分析,采用Comprehensive Meta-Analysis V3软件进行发表偏倚检验。结果共纳入8篇文献,包含424例颈肩部疼痛患者,其中试验组215例,采用八段锦训练,对照组209例,采用常规颈肩部训练或不干预。Meta分析结果显示,治疗后试验组疼痛评分、Northwick Park颈痛量表评分明显低于对照组,差异有统计学意义(P<0.001)。治疗后试验组颈椎后伸活动度明显大于对照组(P=0.04),而两组其他方向的颈椎活动度比较差异无统计学意义(P>0.05)。治疗后试验组生理健康总评分明显高于对照组(P=0.03),而两组心理健康总评分比较差异无统计学意义(P=0.40)。GRADE证据分级结果显示:当前证据支持八段锦可改善非器质性颈肩疼痛及功能障碍,但证据质量低或非常低;对颈椎后伸活动度和生理健康可能有益,但证据受限;对心理健康和其他方向的颈椎活动度无明确获益证据。结论相较于常规颈肩部训练或不干预,八段锦在减轻非器质性颈肩部疼痛,增加颈椎后伸活动度,提升日常生活能力及生理健康水平方面可能更有优势,但仍需更多高质量研究提供支持。
Objective To systematically evaluate the effect of Baduanjin on non-organic neck and shoulder pain and functional impairment.Method Relevant randomized controlled trials were selected by searching Pubmed,Embase,The Cochrane Library,Web of Science,China National Knowledge Infrastructure(CNKI),Wanfang Data,Chinese Biomedical Literature Database(CBM),and VIP Database.Revman5.4 software was used for meta-analysis,and Comprehensive Meta-Analysis V3 software was used for publication bias testing.Result A total of 8 studies with 424 patients were included in the analysis.The experimental group practiced Baduanjin;while the control group received conventional neck and shoulder exercises or no treatment.The meta-analysis results showed that the pain scores and Northwick Park Neck Pain Questionnaire(NPQ)scores of the experimental group were signifi cantly lower than those of the control group after treatment,and the difference was statistically signifi cant(P<0.001).The cervical extension was significantly greater in the experimental group than in the control group after treatment(P=0.04),while the difference in other cervical range of motion between the two groups was not statistically signifi cant(P>0.05).The total physiological health score of the experimental group was significantly higher than that of the control group after treatment(P=0.03),while the difference in the total psychological health score of the two groups was not statistically signifi cant when compared(P=0.40).The results of the GRADE evidence grading showed that:current evidence supports that Baduanjin improves non-organic neck and shoulder pain and functional impairment but the quality of the evidence is low or very low;it may be benefi cial to cervical extension and physiological health,but the evidence is limited;there is no clear evidence of benefi t for psychological health and other cervical range of motion.Conclusion Compared with conventional neck and shoulder exercises or no treatment,Baduanjin may be superior in reducing non-organic neck and shoulder pain,increasing range of motion of cervical extention,and improving daily living ability and physiological health,but more high-quality research is needed to provide support.
作者
周莉
班宜奎
张勇
李筱叶
王卉昕
穆晓红
Zhou Li;Ban Yikui;Zhang Yong;Li Xiaoye;Wang Huixin;Mu Xiaohong(Department of Rehabilitation,Dongzhimen Hospital,Beijing University of Traditional Chinese Medicine,Beijing 100700,China;Department of Orthopedics,Dongzhimen Hospital,Beijing University of Traditional Chinese Medicine,Beijing 100700,China)
出处
《中国医刊》
2025年第7期826-832,共7页
Chinese Journal of Medicine
基金
中央高水平中医医院临床科研项目(DZMG-XZYY-23007)
北京中医药大学东直门医院2023年度科技创新专项(DZMKJCX-2023-023)
北京中医药大学东直门医院第二批青苗人才培养计划(DZMYS-201711)。
