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太极拳对下背痛干预效果的元分析
引用本文:陈紫砚,杨智.太极拳对下背痛干预效果的元分析[J].福建体育科技,2021(1):64-68,80.
作者姓名:陈紫砚  杨智
作者单位:;1.深圳大学体育部
摘    要:背景:近年来有关太极拳治疗腰痛患者的实验研究不断增多,受限于实验条件的差异,不同的实验的总效果量难以衡量,不同类型的实验也难以横向比较。目的:本研究使用元分析从下背痛患者疼痛程度、腰椎功能两个方面,评价太极拳及其联合治疗对下背痛患者的干预效果。方法:检索了Web of Science、PubMed、中国知网、万方4个电子数据库,检索2020年1月13日前发表的所有研究。由两名研究人员独立完成研究检索、研究选择、数据提取以及质量评估。结果:共纳入16项随机对照试验进行meta分析。研究结果显示,对比其他康复治疗,太极拳及其联合治疗可显著减轻患者疼痛程度MD(95%CI)=-1.15-1.61,-0.69],P<0.00001。提高腰椎功能(MD(95%CI)=-1.38-1.70,-1.06],P<0.00001)。结论:1、太极拳及其联合治疗减轻患者疼痛程度的效果显著优于其他康复方案;亚组分析表明,太极拳治疗腰椎间盘突出的效应量大于腰肌劳损与非特异性下背痛。2、对比核心稳定性训练,太极拳提高下背痛患者功能的效果显著。

关 键 词:太极拳  下背痛  干预效果  元分析

A meta-analysis of Intervention Effects of Taijiquan on Lower Back Pain
CHEN Zi-yan,YANG Zhi.A meta-analysis of Intervention Effects of Taijiquan on Lower Back Pain[J].Fujian Sports Science and Technology,2021(1):64-68,80.
Authors:CHEN Zi-yan  YANG Zhi
Institution:(Department of Physical Education,Shenzhen University,Shenzhen 518060,China)
Abstract:In recent years,more and more experimental studies have been conducted on the treatment of patients with lumbago.Due to the differences in experimental conditions,it is difficult to measure the total effects of different experiments and compare different types of experiments.Of this study was to use component analysis to tai chi in 16 articles of pain in patients with lower back pain degree of overall intervention effect test,under the setting of chronic back pain,strain of lumbar muscles,lumbar disc three subgroups,the tai chi pain degree of intervention in patients with different types of lower back pain effect mass analysis,finally the core stability training compared with the intervention effect of tai chi chuan.The results are as follows:1.The effect of Taijiquan and its combined therapy on relieving the pain degree of patients with lower back pain is significantly better than other rehabilitation programs;2.Subgroup analysis showed that the effect of Taijiquan on lumbar disc herniation was greater than that of lumbar muscle strain and nonspecific lower back pain.2.Compared with the core stability training,Taijiquan has a significant effect on improving the function of patients with lower back pain.function(MD(95%CI)=-1.38-1.70,-1.06],P<0.00001).Conclusion:1.The effect of Tai Chi Chuan and its combination therapy on reducing pain is significantly better than other rehabilitation programs;Subgroup analysis showed that the effect of Tai Chi Chuan in the treatment of lumbar disc herniation was greater than that of lumbar muscle strain and non-specific lower back pain.2.Compared with core stability training,Tai Chi has a significant effect on improving the lumbar function of patients with low back pain.
Keywords:Tai chi  lower back pain  intervention effect  a meta-analysis
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