对于膝盖或关节骨关节炎患者的疼痛科学教育和运动干预措施:系统性审查,内容和元分析
Anna Louise Hurley-Wallace1,2, Vincent Cheng3, Wendy Bertram4,5
1Musculoskeletal Research Unit, Bristol Medical School, University of Bristol, Learning & Research Building, Southmead Hospital, Bristol, BS10 5NB, England, UK. A.L.Hurley-Wallace@bristol.ac.uk.
BMC musculoskeletal disorders
|November 22, 2025
概括
疼痛科学教育 (PSE) 显示出改善骨关节炎患者心理结果的希望,特别是在与运动相结合时. 虽然没有直接改善疼痛或功能,但PSE有效地减少了灾难化和动态恐惧症.
科学领域:
- 风湿病学和肌肉骨健康
- 疼痛管理和康复治疗
- 健康心理学 心理健康心理学
背景情况:
- 骨关节炎 (OA) 疼痛是身体活动的重要障碍,并影响恢复.
- 疼痛科学教育 (PSE) 旨在重塑疼痛信仰,鼓励参与运动.
- 了解PSE内容和有效性对于OA管理至关重要.
研究的目的:
- 为患有骨关节炎的个人系统地绘制PSE干预措施的内容.
- 评估不同PSE干预组件对疼痛和心理结果的有效性.
主要方法:
- 对PSE和对膝盖/部OA的运动进行RCT和非随机研究的系统审查.
- 在六个领域对PSE干预措施的内容分析.
- 组件网络元分析 (cNMA) 来评估干预的有效性.
主要成果:
- 分析了12份报告,详细介绍了10项干预措施.
- PSE干预涵盖了入门主题,疼痛机制,维持因素,多学科教育和运动.
- cNMA表示,PSE对疼痛/功能的影响最小,但改善了灾难化,动态恐惧症和自我效能.
结论:
- PSE组件显示了改善OA心理结果的潜力.
- 作为运动的辅助,PSE比作为独立的干预更有效.
- 为了可访问性和有效性,建议采用与相关例子结合的定制PSE.
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