大脑麻的成年人的疼痛:一个系统的审查
Jennifer M Ryan1, Jessica Burke1, Rachel Byrne2
1CP-Life Research Centre, School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Ireland.
Developmental medicine and child neurology
|February 12, 2025
概括
许多患有脑性麻 (CP) 的成年人经历了显著的疼痛,患病率差异很大. 虽然活跃的生活方式可以减少疼痛,但有效的管理策略的证据仍然有限,突出了护理方面的关键差距.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 康复医学 康复医学 康复医学
背景情况:
- 大脑 (CP) 是一种常见的神经发育障碍,影响运动和姿势.
- 慢性疼痛是患有CP的成年人普遍存在的,通常是令人衰弱的问题.
- 了解疼痛流行病学和有效的干预措施对于改善生活质量至关重要.
研究的目的:
- 确定CP的成年人疼痛的流行和发病率.
- 确定预测疼痛发展的因素.
- 评估疼痛评估工具和干预的有效性.
主要方法:
- 对自1990年以来发表的研究进行了六个数据库的系统审查.
- 两个独立的审稿人对标题,摘要和全文进行了选.
- 对于每个研究目标,定义了符合条件的标准.
主要成果:
- 包括63项研究,报告了疼痛患病率 (24%-89%),预后因素,心理测量特性和干预措施.
- 与普通人群相比,患有CP的成年人中疼痛的患病率更高.
- 积极的生活方式和体育干预措施显示出降低疼痛的潜力,而药物和手术方法无效.
结论:
- 患有CP的成年人经常经历疼痛,但患病率估计有所不同.
- 对预后因素和干预措施的证据质量很低.
- 对这一群体有效的疼痛管理策略有显著的需要进行更多的研究.
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