持续和复发的非特异性部疼痛的物理和心理预测因素:系统审查和元分析的协议
Cho Wai Geoffrey Yu1, Kanya Wongwitwichote1, Michael Mansfield1
1Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
BMJ open
|February 25, 2025
概括
这一系统性审查将确定预测非特异性部疼痛 (NP) 复发的物理和心理因素. 了解这些预测因素可以为持续的部疼痛提供有针对性的干预措施.
科学领域:
- 康复科学是康复的科学.
- 临床流行病学临床流行病学
- 疼痛研究 疼痛研究
背景情况:
- 部疼痛 (NP) 涉及身体和心理因素,可能导致持续性或反复性疾病.
- 虽然有原始研究,但目前缺乏对非特异性NP复发预测因子的系统审查.
研究的目的:
- 系统地审查和综合有关非特异性部疼痛复发的物理和心理预测因素的证据.
- 确定可能导致部疼痛慢性或复发的因素.
主要方法:
- 按照PRISMA指南的系统审查协议.
- 在多个数据库 (PubMed, MEDLINE, EMBASE, CINAHL Plus, PsycINFO) 和灰色文献中进行全面的搜索.
- 包括观察性队列研究,调查NP复发的物理 (例如,部动力学,肌肉活动) 和心理 (例如,运动恐惧症,自我有效性) 预测因素.
主要成果:
- 数据提取和偏差风险评估由两个独立审稿人进行.
- 分析单因素和多因素预测.
- 如果数据是均的,则可能进行随机效应元分析.
结论:
- 这一系统性审查将提供关键的洞察力,预测复发性非特异性部疼痛的预测因素.
- 研究结果将为临床实践和针对慢性部疼痛的有针对性的预防和管理策略的制定提供信息.
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