心理运动物理治疗对健康相关生活质量、疼痛、应对方式、自尊和社会支持的影响。

The effect of psychomotor physical therapy on health-related quality of life, pain, coping, self-esteem, and social support.

作者信息

Bergland Astrid, Olsen Cecilie Fromholt, Ekerholt Kirsten

机构信息

Faculty of Health Sciences, Department of Physiotherapy, OsloMet - Oslo Metropolitan University, Oslo, Norway.

出版信息

Physiother Res Int. 2018 Oct;23(4):e1723. doi: 10.1002/pri.1723. Epub 2018 Jul 12.

DOI:10.1002/pri.1723

PMID:30003628

Abstract

BACKGROUND

Norwegian psychomotor physiotherapy (NPMP) is commonly applied for patients with long-lasting pain and psychological symptoms. The approach is based on a bio-psychosocial model of health and might have benefits to physical, psychological, and physical domains of health-related quality of life (HRQOL). No previous randomized controlled clinical trials have been performed to examine the effectiveness of NPMP as individual treatment. The aim was therefore to assess the effect of a 6-month intervention of NPMP on HRQOL and on pain, coping, social support, and self-esteem.

METHODS

The study was a pragmatic randomized controlled trial comparing an intervention group with a control group. Participants were recruited from 36 physiotherapists specialized in NPMP, working in private practice. The intervention group received NPMP once weekly for 6 months, whereas the control group received no intervention. Measurements were performed at baseline and after 6 months. A total of 105 participants were included. HRQOL was measured by the 36-item Short Form Health Survey, SF-36. To examine the effect of the intervention, independent sample t tests were performed with the "difference in mean values," delta (=∆, posttest result - baseline result).

RESULTS

Significant differences between the two groups were observed in six of the eight SF-36 domains: Physical Functioning, Bodily Pain, General Health, Mental Health, Social Functioning, and Vitality. Effect size ranged from 0.9 for Vitality to 0.3 for Role Physical and Role Emotional. Furthermore, there was a significant difference between groups regarding pain and self-esteem in favour of the intervention group. The Cohen's d effect sizes of the different dimensions of HRQOL ranged from 0.3 to 0.9 with a median of 0.6.

CONCLUSION

The results of this study demonstrate that 6-month intervention of NPMP increased HRQOL and self-esteem as well as reduced pain.

摘要

背景

挪威心理运动物理治疗（NPMP）常用于患有慢性疼痛和心理症状的患者。该方法基于生物心理社会健康模型，可能对健康相关生活质量（HRQOL）的身体、心理和生理领域有益。此前尚无随机对照临床试验来检验NPMP作为个体治疗方法的有效性。因此，本研究旨在评估为期6个月的NPMP干预对HRQOL以及疼痛、应对方式、社会支持和自尊的影响。

方法

本研究为实用随机对照试验，将干预组与对照组进行比较。参与者从36名专门从事NPMP的私人执业物理治疗师处招募。干预组每周接受一次NPMP治疗，为期6个月，而对照组不接受任何干预。在基线和6个月后进行测量。共纳入105名参与者。HRQOL通过36项简短健康调查问卷（SF-36）进行测量。为检验干预效果，采用独立样本t检验，以“均值差异”（delta，=∆，后测结果 - 基线结果）进行分析。

结果

在SF-36的八个领域中的六个领域观察到两组之间存在显著差异：身体功能、身体疼痛、总体健康、心理健康、社会功能和活力。效应大小范围从活力领域的0.9到躯体角色功能和情感角色功能领域的0.3。此外，在疼痛和自尊方面，两组之间存在显著差异，干预组更具优势。HRQOL不同维度的Cohen's d效应大小范围从0.3到0.9，中位数为0.6。