慢性肌肉骨疼痛患者的体力活动干预措施的坚持支持策略-系统性审查和元分析
Julia Heisig1, Nicole Lindner1, Nele Kornder1
1Department of Primary Care, University of Marburg, Marburg, Germany.
Journal of physical activity & health
|November 13, 2024
概括
教育和目标设定等策略可能会改善慢性肌肉骨疼痛患者的体力活动坚持. 然而,在本次审查中,坚持水平与改善疼痛或生活质量结果没有显著的相关性.
科学领域:
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
- 运动科学 运动科学
背景情况:
- 慢性肌肉骨 (MSK) 疼痛严重影响生活质量.
- 身体活动对于管理MSK疼痛至关重要.
- 很少遵守规定的运动是一项重大挑战.
研究的目的:
- 在慢性MSK疼痛的身体活动随机对照试验 (RCT) 中系统地审查坚持支持策略.
- 评估这些策略对患者动机和坚持治疗的有效性.
- 为了应对这个人群中炼坚持的挑战.
主要方法:
- 在Ovid和CINAHL数据库中搜索MSK疼痛,粘附和体力活动的RCT,随访时间≥6个月.
- 进行了关于坚持和结果效应大小的叙事综合和元分析.
- 包括76个RCT在选5816篇文章后.
主要成果:
- 坚持程度差异很大;21个RCT通过教育,目标设定,自我监测和反等策略实现了≥80%的坚持率.
- 对29个RCT的元分析显示,坚持和改善结果 (疼痛,生活质量) 之间没有显著的相关性.
- 没有任何单一的坚持策略被发现是优越的,这表明干预的复杂性.
结论:
- 信息/教育和个人目标设定/反显示了在慢性MSK疼痛中增强体育活动的潜力.
- 未来的研究应该纳入有效的遵守策略,并改进遵守数据报告.
- 了解坚持是优化慢性MSK疼痛的体力活动干预措施的关键.
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