寻求疼痛缓解与骨科医疗操纵治疗的患者间接身体意识:一个观察队列试点研究观察队列研究
Danielle K Emmet1, Glenn Davis2, Stacey Pierce-Talsma3
1Department of Physical Medicine and Rehabilitation, New York Presbyterian 12295 , Weill Cornell Medicine and Columbia University , New York, USA.
Journal of osteopathic medicine
|April 23, 2024
概括
这项试点研究发现,使用MAIA在骨科医疗操纵治疗 (OMT) 患者中评估整体感知身体意识 (IBA) 是可行的. 虽然单个OMT会话并没有改变MAIA得分,但疼痛结果显著改善.
科学领域:
- 骨科手术治疗 (OMT) 是一种骨科手术.
- 感知间的身体意识 (IBA)
- 疼痛管理 疼痛管理
背景情况:
- 间接感知身体意识 (IBA) 涉及关注身体内部的感觉,包括疼痛.
- 将IBA整合到骨科医疗操纵治疗 (OMT) 中的研究正在出现,但缺乏临床研究.
- 这项研究探讨了寻求OMT治疗疼痛的患者的IBA.
研究的目的:
- 在OMT患者中使用多维间接意识评估 (MAIA) 试点测量IBA.
- 评估OMT暴露与更高的IBA分数是否相关.
- 评估MAIA得分,疼痛强度,疼痛干扰和OMT后感知变化的变化.
主要方法:
- 一个单臂观察队列研究,对36名接受OMT的患者进行了观察.
- 参与者被分为没有经历过OMT或有经验的OMT.
- 在OMT之前,立即之后以及OMT后1周和3周测量了MAIA得分和疼痛结果.
主要成果:
- 经验丰富的OMT组在MAIA尺度"不担心"和"信任"上显示出更高的基线分数.
- 在单个OMT会话后立即观察到MAIA得分没有显著变化.
- 所有与疼痛相关的结局在OMT后显著下降,急性疼痛和OMT以前的子组的改善更大.
结论:
- 在临床OMT环境中用MAIA测量IBA是可行的.
- 对OMT的暴露显示出与两个MAIA尺度具有显著的正相关性.
- 需要进一步的研究来探索OMT和IBA之间的关系.
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