篇名 | Clinical Question: Does Physical Therapy Improve Menopausal Symptoms for a Perimenopausal Woman? |
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卷期 | 31:5 |
並列篇名 | 臨床問題:物理治療能否改善更年期婦女的更年期症候 |
作者 | 簡盟月 、 曹昭懿 、 吳英黛 |
頁次 | 301-308 |
關鍵字 | Menopausal symptoms 、 Physical therapy 、 更年期症候 、 物理治療 、 TSCI |
出刊日期 | 200610 |
「實證物理治療」的目的在收集科學證據並確實應用在臨床決策中。自從美國「婦女健康倡議」計畫結論顯示長期使用荷爾蒙補充療法的副作用超過防治停經後相關症候與疾病之後,醫學界正積極尋找其他減輕更年期婦女相關症候安全有效的替代治療。過去文獻曾建議合併放鬆和一般運動的物理治療計畫可作為替代治療。然而目前只有低到中度證據顯示這類治療能改善更年期婦女的更年期症候,未來需要更多隨機臨床試驗針對此主題提供足夠的證據。
The purpose of "Evidence in Practice" is to illustrate how evidence is gathered and used to guide clinical decision making. This clinical question addressed on the issue of relieving menopausal symptoms that might be the concerns of priority for the most perimenopausal women. As the Women's Health Initiative trial provided the evidence that the overall risks of prolonged use of hormone replacement therapy exceed the benefits, it has challenged us to find safe and effective alternative therapies for menopausal women. Physical therapy program, such as relaxation and general exercise training, has been suggested to be an alternative treatment. However, only weak to moderate evidence was presented in experimental studies to suggest that physical therapy could improve the menopausal symptoms in the perimenopausal women. Future studies should focus on this issue and provide more evidence.