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首页> 外文期刊>Physiotherapy theory and practice >The impact of combining pain education strategies with physical therapy interventions for patients with chronic pain: A systematic review and meta-analysis of randomized controlled trials
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The impact of combining pain education strategies with physical therapy interventions for patients with chronic pain: A systematic review and meta-analysis of randomized controlled trials

机译：慢性疼痛患者疼痛教育策略与物理治疗疗养的影响：随机对照试验的系统审查与荟萃分析

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Study Design: Systematic Review with meta-analysis. Background: Rehabilitation providers have begun to incorporate pain education into their treatment protocols to influence the patient's experience and knowledge to improve their condition. The purpose of this systematic review is to determine if the addition of pain education strategies to physical therapy treatments is beneficial in reducing pain intensity and disability for those with chronic musculoskeletal pain. Methods: A systematic database search was conducted for randomized control trials that investigated the concurrent use of pain education and physical therapy. Standardized methods for article identification, inclusion, and quality appraisal was utilized. Where possible, studies were pooled for meta-analysis, with pain and disability as the primary outcomes. Results: Fourteen articles were included in this review, of which all fourteen were rated as high quality using the PEDro scale of quality assessment. Meta-analyses were conducted on pain and disability constructs at short term ( = 12 weeks) for the studies that allowed for quantitative pooling of effect sizes. Thirteen out of the fourteen included studies demonstrated a decrease in pain and disability with the use of combined interventions. There was a large effect on short-term pain (SMD 0.837), long-term pain (SMD 0.964), and long-term disability (SMD 1.374). A moderate effect on with short-term disability (SMD 0.791). Conclusion: The results of this systematic review support the conclusion that utilizing pain education strategies in conjunction with interventions provided by physical therapists demonstrates a moderate to large effect sizes on pain and disability constructs but lack pooled statistical significance.
机译：研究设计：系统回顾和荟萃分析。背景：康复服务提供者已经开始将疼痛教育纳入他们的治疗方案，以影响患者的经验和知识，从而改善他们的状况。本系统综述的目的是确定在物理治疗中增加疼痛教育策略是否有助于降低慢性肌肉骨骼疼痛患者的疼痛强度和残疾。方法：对同时使用疼痛教育和物理疗法的随机对照试验进行系统的数据库搜索。使用了物品识别、纳入和质量评估的标准化方法。在可能的情况下，将研究集中起来进行荟萃分析，主要结果是疼痛和残疾。结果：本综述共纳入14篇文章，其中14篇均被PEDro质量评估量表评为高质量。对短期（=12周）的疼痛和残疾结构进行了荟萃分析，这些研究允许对效应大小进行定量汇总。在纳入的14项研究中，有13项研究表明，使用联合干预措施可以减少疼痛和残疾。对短期疼痛（SMD 0.837）、长期疼痛（SMD 0.964）和长期残疾（SMD 1.374）有很大影响。对短期残疾患者有中度影响（SMD 0.791）。结论：本系统综述的结果支持以下结论：使用疼痛教育策略与物理治疗师提供的干预措施相结合，对疼痛和残疾结构有中到大的影响，但缺乏汇总统计意义。

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