Schäfer Axel Georg Meender
Fakultät Soziale Arbeit und Gesundheit, Hochschule für angewandte Wissenschaft und Kunst, Goschentor 1, 31134, Hildesheim, Deutschland.
Schmerz. 2022 Aug;36(4):248-255. doi: 10.1007/s00482-022-00631-3. Epub 2022 Mar 17.
Chronic pain, with a prevalence of at least 17%, is a costly health problem associated with a high burden of disease. Musculoskeletal chronic pain is particulary common, which in many cases is treated with physiotherapy.
The aim of this paper is to provide an overview of innovative, promising physiotherapy interventions in pain management, to present their effectiveness and to discuss their implementation in healthcare.
A narrative review was conducted. The Cochrane, Medline (via PubMed) and PEDro databases were searched using the search terms chronic pain, physiotherapy, prevention, pain education, behavioural intervention, eHealth, and systematic review as well as chronic pain, guideline and relevant synonyms.
One guideline review, two guidelines and ten systematic reviews were included. Chronic pain prevention, digital health apps, lifestyle interventions and behavioural approaches were identified as promising and effective interventions for people with chronic pain, showing the potential to meaningfully complement pain physiotherapy and improve quality of care.
Despite the predominantly positive results from systematic reviews, implementation in everyday care is difficult due to conditions of care and the contemporary education system for physiotherapists in Germany. Health services research can play an important role in accelerating the transfer of innovations into practice.
慢性疼痛患病率至少为17%，是一个代价高昂的健康问题，伴有高疾病负担。肌肉骨骼慢性疼痛尤为常见，在许多情况下采用物理治疗。
本文旨在概述疼痛管理中创新且有前景的物理治疗干预措施，阐述其有效性，并探讨其在医疗保健中的实施情况。
进行了一项叙述性综述。使用搜索词“慢性疼痛”“物理治疗”“预防”“疼痛教育”“行为干预”“电子健康”“系统综述”以及“慢性疼痛”“指南”和相关同义词对Cochrane、Medline（通过PubMed）和PEDro数据库进行了检索。
纳入了一项指南综述、两项指南和十项系统综述。慢性疼痛预防、数字健康应用程序、生活方式干预和行为方法被确定为对慢性疼痛患者有前景且有效的干预措施，显示出有潜力切实补充疼痛物理治疗并改善护理质量。
尽管系统综述的结果大多呈阳性，但由于德国的护理条件和当代物理治疗师教育体系，在日常护理中的实施仍很困难。卫生服务研究在加速创新向实践的转化方面可以发挥重要作用。
