物理治疗联合疼痛神经科学教育对慢性非特异性腰痛患者的影响——单盲随机先导临床试验

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Angela Shiratsu Yamada, Flavia Tasmin Techera Antunes, Sara Moreno Rebelo Vaz, Beatriz Vilanova Saraiva, Alessandra Hubner De Souza, Daniel Simon
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引用次数: 0

摘要

目的:疼痛神经科学教育(PNE)显示慢性腰痛(CLBP)患者疼痛和功能能力的改善。因此,本研究旨在验证与PNE相关的物理治疗是否能降低非特异性CLBP患者的功能障碍。方法:对40例患者进行临床评估,填写简短疼痛量表、中枢致敏性量表(CSI)、Roland-Morris残疾问卷、疼痛灾难化量表、坦帕运动恐惧症量表、医院焦虑和抑郁量表、SF6D生活质量问卷,并进行定量感觉测试(QSTs)。随后将患者随机分为干预组(IG, n=20)和对照组(CG, n=20)。两组均进行运动疗法练习,每周两次,持续6周。IG接受3次单独PNE治疗,并回答疼痛神经生理问卷。结果:IG在分析的所有变量中都显示出显著的改善(结论:与仅治疗性运动相比,该关联显示出更好的结果,以减少运动恐惧症并改变腰区疼痛强度的感知。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physiotherapeutic treatment associated with the pain neuroscience education for patients with chronic non-specific low back pain-single-blind randomized pilot clinical trial.

Objectives: Pain Neuroscience Education (PNE) shows improvement in pain and functional capacity in patients with chronic low back pain (CLBP). Therefore, the study aimed to verify if the physiotherapeutic treatment associated with PNE decreases the functional disability of patients with nonspecific CLBP.

Methods: Forty patients were clinically evaluated and answered the following questionnaires: Brief pain inventory, Central Sensitization Inventory (CSI), Roland-Morris disability questionnaire, pain catastrophizing scale, Tampa scale of kinesiophobia, hospital anxiety, and depression scale, SF6D quality of life questionnaire and performed quantitative sensory tests (QSTs). Afterward, they were randomly divided into the intervention group (IG, n=20) and the control group (CG, n=20). Both performed kinesiotherapy exercises twice a week for 6 weeks. The IG received 3 individual PNE sessions and answered the pain neurophysiology questionnaire.

Results: IG showed significant improvement for all variables analyzed (p<0.001). The association decreased the kinesiophobia (estimated difference between CG-IG means: 7.6-95% CI: 2.3-12.9) (p=0.006). In the lumbar paravertebral region (CG and IG), there was a statistical difference in the intensity of CLBP in the QSTs (p<0.05).

Conclusion: The association showed better results compared to only therapeutic exercises to reduce kinesiophobia and change the perception of pain intensity in the lumbar region.

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CiteScore
1.00
自引率
16.70%
发文量
22
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