在住院治疗儿童和青少年强化跨学科疼痛治疗后的身体功能和感知疼痛
Mayank Seth1,2, Kate Vieni3, Kathryn Hottinger4
1Research Department, Children's Specialized Hospital, Mountainside, New Jersey, USA.
PM & R : the journal of injury, function, and rehabilitation
|January 10, 2025
概括
强化跨学科疼痛治疗 (IIPT) 计划显著改善了儿童和青少年的身体功能,并减少了疼痛. 这些发现支持IIPT.
科学领域:
- 儿科疼痛管理 儿科疼痛管理
- 康复医学 康复医学 康复医学
- 儿童和青少年健康 儿童和青少年健康
背景情况:
- 年轻人的慢性疼痛显著损害了他们的功能和生活质量.
- 针对强化跨学科疼痛治疗 (IIPT) 计划的现有证据受到小样本规模和诊断多样性的限制.
- 需要评估IIPT对儿科慢性疼痛的有效性.
研究的目的:
- 评估住院IIPT计划对慢性疼痛儿童和青少年身体功能和感知疼痛的影响.
- 为了确定功能和疼痛的改善是否符合临床上重要的最小差异值.
主要方法:
- 这是一项对258名儿童和青少年 (平均年龄为16.5岁) 在为期4周的住院IIPT项目中进行的横截式二次分析.
- 干预包括身体,职业,水疗,认知行为疗法和冥想.
- 在入院和出院时测量的结果包括疼痛强度,上下肢功能,运动能力和职业表现.
主要成果:
- 在下肢功能 (LEFS),上肢功能 (UEFI),运动能力 (BOT-2 SF) 和职业表现和满意度 (COPM) 中观察到显著改善.
- 参与者报告说,疼痛强度显著减少.
- 对于大多数参与者来说,关键措施的改善超过了临床上重要的最小差异值.
结论:
- 住院 IIPT 计划在改善儿童慢性疼痛群体的身体功能和减少感知疼痛方面是有效的.
- 这些发现支持IIPT的实用性,作为患有慢性疼痛的青少年有价值的治疗方式.
- 需要对各种疼痛诊断进行进一步的研究,以加强证据基础.
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