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The effect of psychomotor physical therapy on health‐related quality of life, pain, coping, self‐esteem, and social support

机译:精神摄入物理治疗对健康生活质量,痛苦,应对,自尊和社会支持的影响

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Abstract Background Norwegian psychomotor physiotherapy (NPMP) is commonly applied for patients with long‐lasting pain and psychological symptoms. The approach is based on a bio‐psychosocial model of health and might have benefits to physical, psychological, and physical domains of health‐related quality of life (HRQOL). No previous randomized controlled clinical trials have been performed to examine the effectiveness of NPMP as individual treatment. The aim was therefore to assess the effect of a 6‐month intervention of NPMP on HRQOL and on pain, coping, social support, and self‐esteem. Methods The study was a pragmatic randomized controlled trial comparing an intervention group with a control group. Participants were recruited from 36 physiotherapists specialized in NPMP, working in private practice. The intervention group received NPMP once weekly for 6?months, whereas the control group received no intervention. Measurements were performed at baseline and after 6?months. A total of 105 participants were included. HRQOL was measured by the 36‐item Short Form Health Survey, SF‐36. To examine the effect of the intervention, independent sample t tests were performed with the “difference in mean values,” delta (=?, posttest result???baseline result). Results Significant differences between the two groups were observed in six of the eight SF‐36 domains: Physical Functioning, Bodily Pain, General Health, Mental Health, Social Functioning, and Vitality. Effect size ranged from 0.9 for Vitality to 0.3 for Role Physical and Role Emotional. Furthermore, there was a significant difference between groups regarding pain and self‐esteem in favour of the intervention group. The Cohen's d effect sizes of the different dimensions of HRQOL ranged from 0.3 to 0.9 with a median of 0.6. Conclusion The results of this study demonstrate that 6‐month intervention of NPMP increased HRQOL and self‐esteem as well as reduced pain.
机译:摘要背景挪威精神运动物理疗法(NPMP)通常用于有长期疼痛和心理症状的患者。该方法基于健康的生物-心理-社会模型,可能有益于健康相关生活质量(HRQOL)的生理、心理和生理领域。以前没有进行过随机对照临床试验来检验NPMP作为个体治疗的有效性。因此,目的是评估为期6个月的NPMP干预对HRQOL、疼痛、应对、社会支持和自尊的影响。方法本研究是一项比较干预组和对照组的实用随机对照试验。参与者是从36名专门从事NPMP的私人执业物理治疗师中招募的。干预组每周接受一次NPMP治疗,持续6天?而对照组没有接受任何干预。测量分别在基线检查时和6小时后进行?月。共包括105名参与者。HRQOL通过36项简式健康调查SF-36进行测量。为了检验干预的效果,使用“平均值差异”进行独立样本t检验,δ(?,测试后结果???基线结果)。结果两组在SF-36的八个领域中有六个领域存在显著差异:身体功能、身体疼痛、总体健康、心理健康、社会功能和活力。影响大小从活力的0.9到身体角色和情绪角色的0.3。此外,干预组在疼痛和自尊方面存在显著差异。HRQOL不同维度的科恩效应大小在0.3到0.9之间,中位数为0.6。结论本研究结果表明,6个月的NPMP干预可提高HRQOL和自尊,并减少疼痛。

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