用于治疗肌肉骨骼疼痛的医学运动疗法：基于理论视角的随机对照试验结果叙述性综述
Medical Exercise Therapy for Treating Musculoskeletal Pain: A Narrative Review of Results from Randomized Controlled Trials with a Theoretical Perspective.
作者信息
Lorås H, Østerås B, Torstensen T A, Østerås H
机构信息
Faculty of Health Education and Social Work, Division Physiotherapy, Sør-Trøndelag University College, Trondheim, Norway.
Holten Institute, Lidingö, Sweden.
出版信息
Physiother Res Int. 2015 Sep;20(3):182-90. doi: 10.1002/pri.1632. Epub 2015 May 25.
BACKGROUND AND PURPOSE
The purpose of this narrative review is to present an overview and theoretical rationale of medical exercise therapy (MET) as a physiotherapeutic rehabilitation treatment for musculoskeletal pain conditions. Results from randomized controlled trials (RCTs) conducted on MET are also presented.
METHODS
Computerized searches for any RCTs were conducted on the MET concept in the databases PubMed, Medline, Embase and ISI Web of science up to 2013.
RESULTS
Overall findings from five included MET RCTs are long-term (≥1 year) reductions in pain and improved physical and functional capabilities. These results are interpreted in the context of the biopsychosocial model, advancing the view of a dynamic interaction among physiologic, psychological and social factors that influence pain modulation.
DISCUSSION
MET is a biopsychosocial treatment that reduces pain and improves activities of daily living in patients with a musculoskeletal pain condition. Pain modulation is a key feature of MET, and an important area for further research is to elucidate the specific mechanisms behind the treatment effects.
背景与目的
本叙述性综述旨在概述医学运动疗法（MET）作为肌肉骨骼疼痛病症物理治疗康复手段的理论依据，并呈现对其进行的随机对照试验（RCT）结果。
方法
截至2013年，在PubMed、Medline、Embase和ISI科学网数据库中对有关MET概念的任何随机对照试验进行计算机检索。
结果
纳入的五项MET随机对照试验的总体结果是疼痛长期（≥1年）减轻，身体和功能能力得到改善。这些结果是在生物心理社会模型的背景下进行解读的，该模型提出了影响疼痛调节的生理、心理和社会因素之间动态相互作用的观点。
讨论
MET是一种生物心理社会治疗方法，可减轻肌肉骨骼疼痛病症患者的疼痛并改善其日常生活活动能力。疼痛调节是MET的关键特征，进一步研究的一个重要领域是阐明治疗效果背后的具体机制。
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