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Document Type

Abstract

Publication Date

12-1-2024

Abstract

Background: To compare the clinical efficacy of different exercise therapies in the treatment of cervical spondylosis by network meta-analysis, and to provide a basis for the formulation of exercise prescriptions for the treatment of cervical spondylosis.

Methods: Chinese databases such as China Knowledge Network, China Biomedical Literature Database, Wanfang Data Knowledge Service Platform, VIP Network, PubMed, The Cochrane Library, Web of Science and other foreign language databases were searched to screen randomized controlled trials that met the inclusion criteria and were related to exercise therapy for cervical spondylosis. The search time was as of July 10, 2023. Two researchers independently screened the literature, extracted the data and evaluated the methodological quality of the included studies. The Cochrane bias risk assessment tool was used to evaluate the quality of the literature, and Stata 17.0 software was used for network meta-analysis and mapping.

Results: A total of 15 randomized controlled trials involving 1289 patients with cervical spondylosis were included. Sorted according to the probability of the best effect of different exercise interventions. The order from high to low was suspension combined with massage exercise therapy (77.7%) > acupuncture exercise therapy (76.9%) > active resistance exercise therapy (51.4%) > acupuncture combined with traction exercise therapy (43.5%) > suspension exercise therapy (0.5%). In terms of improving the physiological curvature of the cervical spine, suspension combined with massage and acupuncture exercise therapy were more effective than other interventions, and there were statistical differences (SMD = -1.21, 95% CI: -2.13, -0.33, P < 0.05), (SMD = -0.87, 95% CI: -1.38, -0.24, P < 0.05); in terms of improving the CT value of nape back muscle, the curative effect of suspension combined with massage exercise therapy was better than that of other interventions, but the difference was not statistically significant (SMD = -0.25, 95% CI: -1.34, 0.87, P > 0.05); in terms of reducing cervical pain index, suspension combined with massage and acupuncture exercise therapy is still superior to other interventions. The difference was statistically significant (SMD = -1.20, 95% CI: -1.61, -0.85, P < 0.001), (SMD = -1.38, 95% CI: -1.98, -0.69, P < 0.001).

Conclusion: Exercise therapy can significantly improve the symptoms of patients with cervical spondylosis. The effect of suspension exercise therapy combined with massage and acupuncture exercise therapy was better as a whole. However, due to the limitation of the number of individual interventions, the number of measures and the sample size, a clear conclusion still needs more high-quality research.

DOI

https://doi.org/10.18122/ijpah.3.3.71.boisestate

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