下背痛运动干预效果的元分析  

Effects of Exercise on Low Back Pain:a Meta-analysis

作　　者：康玉杰 于红妍[1] KANG Yujie;YU Hongyan(Shanghai Jiaotong University,Shanghai 200240,China)

机构地区：[1]上海交通大学体育系,上海200240

出　　处：《体育科学》2019年第2期63-72,共10页China Sport Science

基　　金：国家社会科学基金项目(18BTY082)

摘　　要：目的:运用元分析的方法检验下背痛的运动干预效果,从而提出最优的运动干预方案。方法:运用Review Manager 5.3对纳入的35篇中、外文文献,2 224名被试者通过设置干预项目、锻炼时间、锻炼频率、锻炼周期、研究质量和研究样本量等6个调节变量进行亚组分析,采用随机效应模型进行整体效应、异质性、发表偏倚性检验。结果:1)运动干预对下背痛疼痛的影响效应量d=-0.86,达到大效应且具有统计学意义;2)锻炼频率(I^2=82.5%)和研究质量(I^2=89.3%)对运动干预和下背痛之间的关系存在高度异质性;锻炼时间(I^2=59.2%)、锻炼周期(I^2=60.2%)和研究样本量(I^2=59.8%)对运动干预和下背痛之间的关系存在中度异质性,干预内容(I^2=44.0%)对运动干预和下背痛之间的关系接近中度异质性。结论:1)运动干预可以明显缓解下背痛;2)悬吊训练和瑜伽训练的效果较为突出,其中悬吊训练改善效果最佳;3)每周锻炼3～4次效果最优;4)相比于其他锻炼周期,4周锻炼效果最明显。Objective:To conduct a meta-analysis on the effects of exercise intervention on low back pain,and the optimal exercise intervention program was proposed accordingly.Methods:A total of 35 articles and 2 224 subjectswere included in this study,the Review Manager 5.3 was used to dosubgroup analysis by setting six adjustment variables:intervention program,exercise time,exercise frequency,intervention duration,study quality and sample size.The overall effect,heterogeneity,and publication bias were evaluated by using random effects model.Results:1).The effect size of exercise intervention on low back pain was d=-0.86,which achieveda large effect and statistically significant.2).Exercise frequency(I^2=82.5%)and study quality(I^2=89.3%)were highly heterogeneous in the association between exercise intervention and low back pain;exercise time(I^2=59.2%),intervention duration(I^2=60.2%)and sample size(I^2=59.8%)reveled a moderate heterogeneity in the association of exercise intervention with low back pain,and the intervention program(I^2=44.0%)was close to moderate heterogeneity in the association between exercise intervention and low back pain.Conclusion:1)Exercise intervention was significantlyin relieving low back pain.2)Both suspension training and yoga training were effective in relieving low back pain,and the suspension training was better.3)The optimal exercise frequency was 3~4 times per week.4)Compared with other programs,a 4-week exercise intervention program was most effective in relieving low back pain.

关 键 词：下背痛 运动干预 效应量 元分析 

分 类 号：G804.5[文化科学—运动人体科学]