The Effectiveness of Spinal, Diaphragmatic, and Specific Stabilization Exercise Manual Therapy and Respiratory-Related Interventions in Patients with Chronic Nonspecific Neck Pain: Systematic Review and Meta-Analysis

被引:9
作者
Tatsios, Petros, I [1 ,2 ]
Grammatopoulou, Eirini [1 ,2 ]
Dimitriadis, Zacharias [3 ]
Papandreou, Maria [1 ,2 ]
Paraskevopoulos, Eleftherios [1 ,2 ]
Spanos, Savvas [4 ]
Karakasidou, Palina [1 ]
Koumantakis, George A. [1 ,2 ]
机构
[1] Univ West Attica UNIWA, Sch Hlth & Care Sci, Physiotherapy Dept, Athens 12243, Greece
[2] Univ West Attica UNIWA, Sch Hlth & Care Sci, Physiotherapy Dept, Lab Adv Physiotherapy, Athens 12243, Greece
[3] Univ Thessaly, Physiotherapy Dept, Hlth Assessment & Qual Life Lab, Lamia 35100, Greece
[4] Univ Thessaly, Physiotherapy Dept, Human Performance & Rehabil Lab, Lamia 35100, Greece
关键词
chronic neck pain; diaphragm; manual therapy; breathing exercises; respiratory dysfunction; breathing re-education; STRETCHING EXERCISE; MOBILIZATION; QUALITY;
D O I
10.3390/diagnostics12071598
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patients with nonspecific chronic neck pain (NSCNP) exhibit respiratory dysfunction. This systematic review aimed to analyze randomized controlled trials (RCTs) investigating the effect of spinal and/or diaphragmatic and/or specific stabilization exercise manual therapy and/or respiratory exercises on musculoskeletal and respiratory diagnostic outcomes in patients with NSCNP. A systematic search and selection of RCTs was performed in three scientific databases (Pubmed, Scopus, and Physiotherapy Evidence Database (PEDro)) and one search engine (Google Scholar) from inception to April 2022. Relevant studies published in the English language were extracted, evaluated, and independently rated for methodological quality (PEDro scale). The quality of the evidence was assessed with the GRADE approach. Out of 1089 studies collected in total, 1073 were excluded (i.e., did not meet the inclusion criteria or were duplicates). Sixteen RCTs were finally included, rated on 5.62/10 (PEDro score) on average for methodological quality. Overall, there was sparse evidence that spinal and/or diaphragmatic manual therapy and/or trunk stabilization exercises and/or respiratory exercises significantly improved pain, disability, and respiratory outcomes in patients with NSCNP immediately post-treatment. However, the clinical heterogeneity between studies was significant, and the level of certainty of the evidence was low to very low. More, high-quality RCTs are required, contributing to the holistic diagnostic monitoring and management of patients with NSCNP.
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页数:16
相关论文
共 40 条
[1]  
Akodu A.., 2020, J RIPHAH COLL REHABI, V8, P9
[2]  
Anwar S., 2022, J PAK MED ASSOC
[3]  
Arif T., 2022, J PAK MED ASSOC
[4]   Manual Therapy, Therapeutic Patient Education, and Therapeutic Exercise, an Effective Multimodal Treatment of Nonspecific Chronic Neck Pain A Randomized Controlled Trial [J].
Beltran-Alacreu, Hector ;
Lopez-de-Uralde-Villanueva, Ibai ;
Fernandez-Carnero, Josue ;
La Touche, Roy .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2015, 94 (10) :887-897
[5]  
Chaitow L., 2004, J Osteop Med, V7, P33, DOI DOI 10.1016/S1443-8461(04)80007-8
[6]   Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019 [J].
Cieza, Alarcos ;
Causey, Kate ;
Kamenov, Kaloyan ;
Hanson, Sarah Wulf ;
Chatterji, Somnath ;
Vos, Theo .
LANCET, 2020, 396 (10267) :2006-2017
[7]  
Coulter ID, 2019, PAIN PHYSICIAN, V22, pE55
[8]   PEDro's bias: summary quality scores should not be used in meta-analysis [J].
da Costa, Bruno R. ;
Hilfiker, Roger ;
Egger, Matthias .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2013, 66 (01) :75-77
[9]   Therapeutic routine with respiratory exercises improves posture, muscle activity, and respiratory pattern of patients with neck pain: a randomized controlled trial [J].
Dareh-deh, Hamid Rezaee ;
Hadadnezhad, Malihe ;
Letafatkar, Amir ;
Peolsson, Anneli .
SCIENTIFIC REPORTS, 2022, 12 (01)
[10]   Respiratory dysfunction in patients with chronic neck pain: What is the current evidence? [J].
Dimitriadis, Zacharias ;
Kapreli, Eleni ;
Strimpakos, Nikolaos ;
Oldham, Jacqueline .
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES, 2016, 20 (04) :704-714