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对部疼痛进行电话康复
Junior V Fandim1, Lisandra Almeida de Oliveira1,2, Tiê P Yamato1,3
1Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil.
The Cochrane database of systematic reviews
|August 12, 2025
概括
针对非特异性部疼痛的电话康复治疗的有效性不确定. 虽然一些干预措施可以改善功能和减少焦虑,但总体证据是不确定的,需要进一步的研究来确定益处和危害.
科学领域:
- 康复医学 康复医学 康复医学
- 数字健康数字健康
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 部疼痛是全球残疾的主要原因之一.
- 电话康复越来越多地用于管理非特异性部疼痛.
- 关于远程康复治疗部疼痛的有效性的证据仍然不确定.
研究的目的:
- 评估对非特异性部疼痛进行远程康复的益处和危害.
- 为了比较远程康复与不治疗,常规护理或其他干预措施.
- 评估急性,亚急性和慢性非特异性部疼痛患者群体的结果.
主要方法:
- 13个随机对照试验的系统审查和元分析 (1042名参与者).
- 干预措施分为心理/教育,运动/体育活动或多组件远程康复.
- 主要结局包括疼痛强度,功能,生活质量,焦虑和抑郁.
主要成果:
- 中等确定性证据表明,心理/教育远程康复可能改善功能并略微减少焦虑.
- 低确定性证据表明,基于运动的远程康复可能会降低疼痛强度.
- 对于其他结果和干预类型的证据的确定性非常低至低,具有显著的不确定性.
结论:
- 目前关于非特异性部疼痛的远程康复的证据是不确定的,因为确定性非常低.
- 在部疼痛患者改善疼痛和功能方面,远程康复干预措施的有效性仍然不确定.
- 需要进一步进行高质量的研究,以澄清远程康复在管理非特异性部疼痛中的作用.
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