Instituto de Investigación Biomédica de Málaga (IBIMA), Malaga, Spain; Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Málaga, Spain.
Instituto de Investigación Biomédica de Málaga (IBIMA), Malaga, Spain.
Pain Manag Nurs. 2022 Aug;23(4):467-472. doi: 10.1016/j.pmn.2022.01.003. Epub 2022 Mar 9.
Central sensitization symptoms and pain-related fear avoidance are two common problems in breast cancer survivors. Non-pharmacologic interventions such as therapeutic exercise and patient education can be effective in this population.
This study aimed to: (1) analyze the benefits of a therapeutic exercise and educational program on central sensitization symptoms and pain-related fear avoidance in breast cancer survivors, and (2) explore the association between pain-related fear avoidance and central sensitization symptoms.
A single group pre-post intervention study was conducted.
Patients were recruited from the service of Medical Oncology of the University Clinical Hospital Virgen de la Victoria, in Málaga (Spain). The intervention consisted of a therapeutic exercise and educational program that lasted 12 weeks, twice a week, for 1 hour. Two instruments were used: the Spanish version of the Central Sensitization Inventory and the Spanish Fear Avoidance Components Scale.
A total of 82 breast cancer survivors participated in the study. Pre-post change on Central Sensitization Inventory was statistically significant (p = .007). There was a trend towards a significant difference for the Spanish Fear Avoidance Components Scale (p = .062). There was a statistically significant correlation between pain-related fear avoidance and central sensitization symptoms (r = 0.536, p < .001).
The current study has provided preliminary evidence on the benefits of this intervention in pain-related fear avoidance and central sensitization symptoms in breast cancer survivors. The Spanish version of the Central Sensitization Inventory and the Spanish Fear Avoidance Components Scale demonstrated responsiveness to change.
中枢敏化症状和与疼痛相关的恐惧回避是乳腺癌幸存者的两个常见问题。治疗性运动和患者教育等非药物干预措施对这一人群可能有效。
本研究旨在：（1）分析治疗性运动和教育计划对乳腺癌幸存者中枢敏化症状和与疼痛相关的恐惧回避的益处，（2）探讨与疼痛相关的恐惧回避与中枢敏化症状之间的关联。
这是一项单组前后干预研究。
参与者从马拉加大学临床医院 Virgen de la Victoria 的肿瘤内科服务部门招募。干预措施包括为期 12 周、每周两次、每次 1 小时的治疗性运动和教育计划。使用了两种工具：西班牙语版中枢敏化量表和西班牙语恐惧回避成分量表。
共有 82 名乳腺癌幸存者参与了这项研究。中枢敏化量表的前后变化具有统计学意义（p=0.007）。西班牙语恐惧回避成分量表也有显著差异的趋势（p=0.062）。与疼痛相关的恐惧回避与中枢敏化症状之间存在统计学上显著的相关性（r=0.536，p<0.001）。
本研究初步证明了这种干预措施在乳腺癌幸存者的与疼痛相关的恐惧回避和中枢敏化症状方面的益处。西班牙语版中枢敏化量表和西班牙语恐惧回避成分量表显示出对变化的反应能力。
