接受和承诺治疗加上慢性腰部疼痛的老年人运动的影响:一项初步的集群随机对照试验与定性访谈
Jae Q J Liu1, Yim Wah Mak2, Aled L Y Tang3
1Department of Rehabilitation Science, The Hong Kong Polytechnic University, Hong Kong SAR, China.
The journal of pain
|February 28, 2025
概括
接受和承诺疗法 (ACT) 与运动相结合,显著改善了老年人慢性腰痛 (CLBP) 的结果. 益处,包括更好的身体功能和减少疼痛,在六个月内持续存在.
科学领域:
- 老年学是指老年学的学科.
- 康复医学 康复医学 康复医学
- 行为科学 行为科学
背景情况:
- 慢性腰部疼痛 (CLBP) 是老年人的一个重要问题,导致残疾和抑郁.
- 现有的治疗方法可能无法完全解决在这个人群中导致CLBP的复杂生物心理社会因素.
研究的目的:
- 评估接受性,可行性和接受和承诺治疗加运动 (ACT+Ex) 的初步有效性,用于患有CLBP的老年人.
- 为了评估ACT+Ex对疼痛,心理健康和身体健康的影响,与教育加运动对照相比.
主要方法:
- 一个试点集群随机对照试验涉及40名老年人 (62-85岁) 患有CLBP.
- 参与者被随机分配到ACT+Ex或教育加运动 (Edu+Ex) 计划中的8周.
- 结果包括自我报告的疼痛,残疾,生活质量,心理不灵活性和客观的身体健康措施.
主要成果:
- ACT+Ex干预表明了高的招聘和完成率,表明了可行性.
- 在疼痛强度,残疾,心理不灵活性,生活质量和治疗后和6个月随访后的身体健康方面观察到显著改善.
- 定性数据强调了接受策略和医疗保健经验在治疗结果中的作用.
结论:
- ACT+Ex是一种可行且潜在有效的多式疗法,用于患有CLBP的老年人.
- ACT与运动的结合促进了持续的积极行为变化和功能改善.
- 这些发现支持需要进行更大规模的最终随机对照试验来证实这些影响.
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