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认知行为治疗与物理治疗相结合对改善慢性腰部疼痛的结果的影响
Thị Hang Tran1,2, Van Minh Pham1,3
1Rehabilitation Department, Hanoi Medical University: 1 Ton That Tung Road, Dong Da, Hanoi 100000, Vietnam.
Journal of physical therapy science
|June 13, 2025
概括
认知行为疗法与物理治疗相结合,显著改善了慢性腰部疼痛的结果. 与单独的物理治疗相比,这种综合方法带来了更大的疼痛缓解和增强的心理健康.
科学领域:
- 康复医学 康复医学 康复医学
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
背景情况:
- 慢性腰部疼痛 (CLBP) 是一种普遍的疾病,对生活质量产生重大影响.
- 目前的治疗方法往往侧重于物理治疗,但心理因素起着至关重要的作用.
研究的目的:
- 评估结合认知行为疗法 (CBT) 与CLBP物理治疗的疗效.
- 为了比较组合治疗与单独物理治疗的结果.
主要方法:
- 一个随机对照试验,涉及两个组:CBT加物理治疗 (A组) 和单独的物理治疗 (B组).
- 结果指标包括疼痛强度 (数字疼痛评分表),残疾 (奥斯威斯特残疾指数),动态恐惧症,疼痛自我有效性和心理痛苦 (抑郁焦虑压力表-21).
- 评估是在基线和12周干预期后进行的.
主要成果:
- 12周后,A组的疼痛减少了79.0% (NPRS),而B组的疼痛减少了58.0%.
- 在A组观察到,自我信心显著改善,运动回避减少,心理健康改善.
- 与B组相比,A组在所有测量领域表现出统计上优异的结果.
结论:
- 虽然单独的物理治疗可以改善,但加上CBT可以显著改善CLBP的结果.
- 结合CBT和物理治疗是一种更有效的策略,用于缓解疼痛,改善功能和心理福祉在CLBP患者.
- 这种综合方法为全面的CLBP管理提供了一个有希望的途径.
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