澄清慢性腰部疼痛成年人专业间康复计划的特点:一个范围审查
Sintayehu Daba Wami1, Mulugeta Bayisa Chala2, Sara Yirgalem Wolde1
1School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada.
Journal of back and musculoskeletal rehabilitation
|February 19, 2025
概括
慢性腰部疼痛 (CLBP) 的专业间康复计划差异很大. 这次审查综合了程序的特点,建议使用一致的术语和与更好的结果的指导方针一致的组件.
科学领域:
- 康复医学 康复医学 康复医学
- 临床实践指南 临床实践指南
- 医疗保健服务研究 医疗服务研究
背景情况:
- 建议针对慢性腰痛 (CLBP) 进行专业间康复计划,以改善生活质量,疼痛和功能.
- 然而,在现有的文献中,对CLBP康复的最佳方案特征并未得到很好的定义.
研究的目的:
- 进行范围审查,综合针对CLBP患者的专业间康复计划的特点.
主要方法:
- 该审查遵循了阿克西和奥马利的框架,由乔安娜·布里格斯研究所 (JBI) 加强.
- 在多个电子数据库中进行了全面的搜索,包括MEDLINE,EMBASE,CINAHL,PsycINFO,SCOPUS,PubMed,Web of Science和Cochrane图书馆.
主要成果:
- 在13370篇已识别的文章中,包括了79篇研究.
- 大多数方案 (75/79) 包含至少两个干预措施:体育活动/运动 (68/79),教育 (61/79),心理治疗 (52/79) 和职业支持 (31/79).
- 生物心理社会模型是最常被引用的理论框架,强调社会,心理和身体的组成部分.
结论:
- 在CLBP的专业间康复计划的概念化和评估中存在显著的异质性.
- 大多数研究都缺乏对干预措施的详细描述和理论依据.
- 建议将标准化术语和与实践指南一致的组件用于未来的研究和临床应用.
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