腰痛康复研究的文献计量学和可视化分析

doi:10.3969/j.issn.1006-9771.2021.03.017

摘要/Abstract

摘要： 目的

应用文献计量学和可视化技术分析国际腰痛康复领域研究热点和前沿趋势。

方法

以“low back pain”为检索词，检索2016年至2020年Web of Science核心集收录的康复相关研究。采用Web of Science创建引文报告和分析检索结果功能进行计量学分析，采用CiteSpace软件进行可视化分析。

结果

共检索2026篇文献，近5年总被引6793次。文献量和被引次数逐年增加。文献量排名前列的研究机构大多来自美、欧、澳等国家，排名前5位的大学研究机构均具有较高的中心性；美国国家级研究基金资助数量排首位。发文量和被引频次前10位的期刊以康复类为主，以骨科、运动医学、保健医学方向为主。共获得468个关键词，其中高中心性关键词33个，突现关键词29个。检索分析得到9篇高被引文献；可视化分析获得466篇参考文献，其中高中心性文献35篇，突现性文献53篇；腰痛研究关键节点文献主要是随机对照试验和系统综述。

结论

腰痛疼痛机制和疼痛管理相关研究，如中枢敏化、压力性疼痛阈值、疼痛模式分类、疼痛方向偏好及向心化、疼痛生理/神经学教育、非药物综合性疼痛管理策略是目前研究热点；当前研究重视心理和社会因素在腰痛中的作用，如行为认知疗法/心理知情疗法、自我效能、运动恐惧症、恐惧躲避，以及与重返工作相关变量和干预措施的研究等；应用STarT Back tool的风险分层和靶向治疗、核心测量工具和核心结果报告标准化、实施个体化和精准康复治疗等相关研究，可能是腰痛康复研究的前沿趋势。

关键词: 腰痛, 康复, 文献计量学, 可视化, 科学知识图谱

Abstract: Objective

To explore the research focus, frontier and trend of global reseaches about low back pain using bibliometrics and visualization technology.

Methods

The researchs in the Web of Science core database from 2016 to 2020 were retrieved with the subject terms of "low back pain" and categories of rehabilitation, and analyzed with Creating Citation Reports and Analyzing Retrieval Results of Web of Science, as well as the CiteSpace.

Results

A total of 2026 papers were retrieved. The total frequency of citations in the last five years was 6793. The number of papers and citations increased year by year. Most of the papers came from the countries of America, Europe and Australia; the top five university institutions also with high centrality; and funded by US National Research Fund mostly. The top ten journals for number of papers and cited frequency were mainly rehabilitation journals, and the researches mainly focused on orthopedics, sports medicine and healthcare medicine. A total of 468 key words were obtained, including 33 key words with high centrality and 29 key words with Strongest Citation Bursts. Nine papers of highly cited were suggested by Web of Science. A total of 466 references were obtained through CiteSpace, including 35 references with high centrality and 53 references with Strongest Citation Bursts. The researches of key node literature were mainly randomized controlled trails and systematic review.

Conclusion

The researches of low back pain mainly focus on the mechanism and management of pain, such as central sensitization, pressure pain threshold, pain pattern classification, pain directional preference and centralization, pain physiology/neuroscience education, and nonpharmacologic strategies for comprehensive pain care; as well as the psychological and social factors, such as behavioral cognitive therapy/psychologically informed physical therapy, self-efficacy, kinesiophobia, fear avoidance, and variables and interventions related to return-to-work. The trial studies of STarT Back tool, core instruments and standardization of core outcome reporting in clinical trials, and individualized and targeted treatment, would be the global trends in the research of low back pain.

Key words: low back pain, rehabilitation, bibliometrics, visualization, scientific knowledge map

中图分类号:

R681.5

徐峰,张秦,陈小云,谢娜,靳婷婷,高谦. 腰痛康复研究的文献计量学和可视化分析[J]. 《中国康复理论与实践》, 2021, 27(3): 349-360.

Feng XU,Qin ZHANG,Xiao-yun CHEN,Na XIE,Ting-ting JIN,Qian GAO. Advance in Researches of Low Back Pain: A Bibliometrics and Visualization Study[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(3): 349-360.

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国家	发文量	中心性
USA(美国)	560	0.06
AUSTRALIA(澳大利亚)	264	0.12
ENGLAND(英国)	189	0.06
CANADA(加拿大)	175	0.34
NETHERLANDS(荷兰)	116	0.18
BRAZIL(巴西)	113	0.34
IRAN(伊朗)	103	0.00
SOUTH KOREA(韩国)	93	0.56
BELGIUM(比利时)	80	1.04
SPAIN(西班牙)	79	0.00

机构	国家	发文量	中心性
Univ Sydney	澳大利亚	99	0.19
Univ Southern Denmark	丹麦	58	0.15
Vrije Univ Amsterdam	荷兰	37	0.22
Univ Queensland	澳大利亚	34	0.30
Univ Social Welf & Rehabil Sci	伊朗	32	0.14
Macquarie Univ	美国	30	0.07
Duke Univ	美国	28	0.06
Curtin Univ	澳大利亚	28	0.02
Karolinska Inst	瑞典	26	0.05
Iran Univ Med Sci	伊朗	25	0.01

研究方向	发文量
Orthopedics(骨科学)	431
Sport Sciences(运动医学)	400
Health Care Sciences Services(保健医学)	128
Integrative Complementary Medicine(综合与补充医学)	122
Social Issues(社会问题)	69
Neurosciences(神经科学)	69
Physiology(生理学)	48
Medicine General Internal(内科学)	26
Engineering Biomedical(生物医学工程)	11
Geriatrics Gerontology(老年医学)	11

关键词	中心性
activities of daily living	0.32
aged	0.28
paraspinal muscle	0.25
outcome measure	0.22
algometry	0.22
return to work	0.19
central sensitization	0.18
high velocity	0.16
symptom	0.15
responsiveness	0.15

关键词	强度
rating scale	3.1593
STarT Back	2.6322
Centralization phenomenon	2.3687
biopsychosocial	2.1053
spanish version	2.1053
communication	2.1053
index	1.9979
functional status	1.8420