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舞蹈治疗慢性疼痛疾病:系统综述。

Dance for Chronic Pain Conditions: A Systematic Review.

机构信息

Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.

出版信息

Pain Med. 2022 Dec 1;23(12):2022-2041. doi: 10.1093/pm/pnac092.

DOI:10.1093/pm/pnac092
PMID:35736401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9714531/
Abstract

OBJECTIVES

Globally, 20-25% of people will experience chronic pain in their lifetimes. Dance is a physical activity with psychosocial benefits that might positively impact pain. This review aimed to investigate the effect of dance interventions on the experience of pain by quantitative measures and qualitative themes.

METHODS

Seven major databases were searched from inception to January 2021. Two independent reviewers screened articles at each stage. Qualitative and quantitative studies were included if the dance interventions lasted more than 6 weeks, participants reported pain of duration longer than 3 months, and pain was an outcome of the study. All articles were critically appraised with appropriate Joanna Briggs Institute tools, and data were collated through the use of results-based convergent synthesis.

RESULTS

From 23,628 articles, 34 full papers were included, with a total of 1,254 participants (75.2% female). Studies predominantly investigated individuals with fibromyalgia (26%) and generalized chronic pain (14%), with aerobic dance (20.7%) and Biodanza (20.7%) being the most common dance genres investigated. Overall, 74% of studies noted either reduced pain through quantitative pain measures or qualitative themes of improved pain experience (88% for chronic primary pain and 80% for chronic secondary musculoskeletal pain).

DISCUSSION

There were positive effects of dance on chronic primary and secondary musculoskeletal pain across diverse populations. A variety of study designs and interventions noted improved pain measures and themes around pain coping and acceptance, with all dance therapies showing improvements, particularly when performed for 60-150 minutes' duration weekly. Dance should be considered as an effective adjunct in the management of chronic pain.

摘要

目的

在全球范围内,有 20%-25%的人会在一生中经历慢性疼痛。舞蹈是一种具有心理社会益处的身体活动,可能对疼痛产生积极影响。本综述旨在通过定量测量和定性主题调查舞蹈干预对疼痛体验的影响。

方法

从成立到 2021 年 1 月,我们在七个主要数据库中进行了搜索。两位独立的审查员在每个阶段筛选文章。如果舞蹈干预持续超过 6 周,参与者报告的疼痛持续时间超过 3 个月,并且疼痛是研究的结果,则纳入定性和定量研究。所有文章均使用适当的 Joanna Briggs 研究所工具进行批判性评估,并通过使用基于结果的综合方法汇总数据。

结果

从 23628 篇文章中,有 34 篇全文被纳入,共有 1254 名参与者(75.2%为女性)。研究主要调查了纤维肌痛(26%)和广泛性慢性疼痛(14%)患者,最常见的舞蹈类型为有氧运动舞蹈(20.7%)和 Biodanza(20.7%)。总体而言,74%的研究通过定量疼痛测量或改善疼痛体验的定性主题(慢性原发性疼痛为 88%,慢性继发性肌肉骨骼疼痛为 80%)注意到疼痛减轻。

讨论

舞蹈对不同人群的慢性原发性和继发性肌肉骨骼疼痛有积极影响。各种研究设计和干预措施都注意到疼痛应对和接受方面的疼痛测量和主题改善,所有舞蹈疗法都显示出改善,尤其是每周进行 60-150 分钟时。舞蹈应被视为慢性疼痛管理的有效辅助手段。

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