Purpose of Review

This systematic review and network meta-analysis aims to compare the efficacy of different mind–body exercise (MBE) interventions, including Yoga, Pilates, Qigong, and Tai Chi, in managing chronic non-specific neck pain (CNNP). We searched randomized controlled trials in PubMed, Embase, Web of Science and Cochrane Library. After screening eligible studies and extracting relevant data, risk of bias of included studies was assessed by the Cochrane Risk of Bias assessment tool, and network meta-analysis was performed by the Stata software version 16.0.

Recent Findings

Of the 1019 studies retrieved, 18 studies with 1442 subjects were included. Fourteen studies were graded as high quality. Yoga plus hot sand fomentation was the most effective in reducing pain intensity and functional disability, and improving the quality of physical life in patients with CNNP. Yoga achieved the most improvement in cervical mobility. And Pilates was the best MBE intervention for improving the quality of mental life.

Summary

Overall, Yoga, Pilates, Qigong, and Tai Chi demonstrated considerable effectiveness in improving pain intensity, functional disability, cervical mobility, and quality of life in patients with CNNP. Yoga or Yoga plus heat therapy was the most effective method for patients with CNNP. Additional high-quality, large-scale, multi-center, long-term follow-up studies are necessary to fully understand the comparative effectiveness of different MBE interventions for CNNP, and to recognize the potential benefits of each MBE intervention and the need for individualized treatment approaches.

中文翻译：

---

身心锻炼治疗慢性非特异性颈部疼痛的比较疗效：系统评价和网络荟萃分析

审查目的

这项系统综述和网络荟萃分析旨在比较不同身心运动 (MBE) 干预措施（包括瑜伽、普拉提、气功和太极拳）在治疗慢性非特异性颈部疼痛 (CNNP) 方面的功效。我们检索了 PubMed、Embase、Web of Science 和 Cochrane Library 中的随机对照试验。筛选合格研究并提取相关数据后，采用Cochrane偏倚风险评估工具对纳入研究的偏倚风险进行评估，并采用Stata软件16.0版本进行网络荟萃分析。

最近的发现

在检索到的 1019 项研究中，纳入了 18 项涉及 1442 名受试者的研究。十四项研究被评为高质量。瑜伽加热沙热敷对于减轻 CNNP 患者的疼痛强度和功能障碍、提高身体生活质量最有效。瑜伽对颈椎活动度的改善效果最大。而普拉提是改善心理生活质量的最佳 MBE 干预措施。

概括

总体而言，瑜伽、普拉提、气功和太极拳在改善 CNNP 患者的疼痛强度、功能障碍、颈椎活动度和生活质量方面表现出相当大的效果。瑜伽或瑜伽加热疗是治疗 CNNP 患者最有效的方法。有必要进行额外的高质量、大规模、多中心、长期的随访研究，以充分了解 CNNP 不同 MBE 干预措施的比较有效性，并认识到每种 MBE 干预措施的潜在益处以及个体化治疗的必要性。治疗方法。