Efekti joge na pacijente sa hroničnim nespecifičnim bolom u vratu: PRISMA sistematski pregled i meta-analiza.
Medicine
Sažetak istraživanja
Pozadina Hronični nespecifični bol u vratu (CNNP) ima visoku prevalenciju i češći je među mlađim ljudima. Klinička praksa pokazuje da je joga efikasna u ublažavanju hronične boli.
Ciljevi Ova meta-analiza je imala za cilj da kvantitativno sumira efikasnost joge u liječenju CNNP-a. Izvori podataka Tražili smo ispitivanja u elektronskim bazama podataka od njihovog početka do januara 2019. Baze podataka na engleskom jeziku uključujući PubMed, MEDLINE, Cochrane Library, Embase, Scopus, Cochrane Central Register of Controlled Trials i Ind Med; Kineske baze podataka uključujući Kinesku nacionalnu infrastrukturu znanja (CNKI), WanFang bazu podataka i VIP informacije. Također smo izvršili ručnu pretragu ključnih časopisa i referentnih lista prihvatljivih radova kako bismo identificirali sve potencijalno relevantne studije koje smo možda propustili. Nismo postavili nikakva ograničenja u pogledu jezika ili datuma objavljivanja. Kriterijumi prihvatljivosti za studiju Uključili smo samo randomizirane kontrolirane studije (RCT) i q-RCT koji procjenjuju efekte joge na pacijente sa CNNP. Primarni ishodi za ovaj pregled bili su bol i invaliditet, a sekundarni ishodi bili su opseg pokreta grlića materice (CROM), kvalitet života (QoL) i raspoloženje. Učesnici i intervencije Uključene su staze koje su ispitivale kliničke ishode yoga intervencije kod odraslih sa CNNP u usporedbi s onima drugih terapija osim joge (npr. vježbanje, pilates, uobičajena njega itd.).
Metode procjene i sinteze studije Cochrane kriteriji rizika od pristrasnosti korišteni su za procjenu metodološkog kvaliteta, a softver RevMan 5.3 je korišten za provedbu meta-analize.
Rezultati Ukupno 10 ispitivanja (n = 686) u kojima se porede joga i druge intervencije osim joge uključeno je u metaanalizu.
Rezultati pokazuju da je joga imala pozitivne efekte na intenzitet bola u vratu (ukupni efekat: SMD = -1,13, 95% CI [-1,60, -0,66], Z = 4,75, P
Zaključci i implikacije ključnih nalaza Bilo je teško napraviti sveobuhvatan sažetak svih dokaza zbog različitih međusobnih sesija i alata joge U studiji dolazimo do vrlo opreznog zaključka da joga može ublažiti intenzitet bolova u vratu, poboljšati onesposobljenost funkcije povezane s bolom, povećati CROM, poboljšati kvalitet života i podići raspoloženje. www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42018108992.
Prikaži originalni naslov i sažetak na engleskom
Effects of yoga on patients with chronic nonspecific neck pain: A PRISMA systematic review and meta-analysis.
Background Chronic nonspecific neck pain (CNNP) has a high prevalence and is more common among younger people. Clinical practice suggests that yoga is effective in relieving chronic pain.
Objectives This meta-analysis aimed to quantitatively summarize the efficacy of yoga for treating CNNP. Data sources We searched for trials in the electronic databases from their inception to January 2019. English databases including PubMed, MEDLINE, Cochrane Library, Embase, Scopus, the Cochrane Central Register of Controlled Trials, and Ind Med; Chinese databases including China National Knowledge Infrastructure (CNKI), WanFang Database, and VIP Information. We also conducted a manual search of key journals and the reference lists of eligible papers to identify any potentially relevant studies we may have missed. We placed no limitations on language or date of publication. Study eligibility criteria We included only randomized controlled trials (RCTs) and q-RCTs evaluating the effects of yoga on patients with CNNP. The primary outcomes for this review were pain and disability, and the secondary outcomes were cervical range of motion (CROM), quality of life (QoL), and mood. Participants and interventions Trails that examined the clinical outcomes of yoga intervention in adults with CNNP compared with those of other therapies except yoga (e.g., exercise, pilates, usual care, et al) were included. Study appraisal and synthesis methods Cochrane risk-of-bias criteria were used to assess the methodological quality, and RevMan 5.3 software was used to conduct the meta-analysis.
Results A total of 10 trials (n = 686) comparing yoga and interventions other than yoga were included in the meta-analysis. The results show that yoga had a positive effects on neck pain intensity (total effect: SMD = -1.13, 95% CI [-1.60, -0.66], Z = 4.75, P
Conclusions and implications of key findings It was difficult to make a comprehensive summary of all the evidence due to the different session and duration of the yoga interventions, and the different outcome measurement tools in the study, we draw a very cautious conclusion that yoga can relieve neck pain intensity, improve pain-related function disability, increase CROM, improve QoL, and boost mood. This suggests that yoga might be an important alternative in the treatment of CNNP. Systematic review registration number Details of the protocol for this systematic review and meta-analysis were registered on PROSPERO and can be accessed at www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42018108992.
Izvorni podaci
- DOI
- 10.1097/md.0000000000014649
- PMID
- 30813206
- PMCID
- PMC6407933
- Provjereno
- 2026-07-26
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