Neuromusculoskeletal Physical Therapy in Stages of Life Research Group (FINEMEV), Department of Nursing and Physical Therapy, Faculty of Medicine and Health Sciences, Universidad de Alcalá, Autovia A2, km 33.200, 28805 Alcalá de Henares, Madrid, Spain.
Physiotherapy in Women's Health Research Group (FPSM), Department of Nursing and Physical Therapy, Faculty of Medicine and Health Sciences, Universidad de Alcalá, Autovia A2, km 33.200, 28805 Alcalá de Henares, Madrid, Spain.
Int J Environ Res Public Health. 2022 Jun 8;19(12):7038. doi: 10.3390/ijerph19127038.
Background: The ageing process may lead to functional limitations, musculoskeletal pain, and worsened quality of life. The aim of this paper is to evaluate two physical therapy interventions for reducing musculoskeletal pain and improving quality of life in older adults. Methods: A cohort study was carried out with older people (60−75 years old). The Geriatric Physical Therapy group (n = 70) received massage therapy, therapeutic exercise, and therapeutic education program for 5 weeks; the Standardized Therapeutic Exercise group (n = 140) received a standardized therapeutic exercise and therapeutic education program for 3 weeks. Health-related quality of life (SF-36v2) and musculoskeletal pain intensity (VAS) were collected at baseline (A0), post-intervention (A1), and 12 weeks after baseline (A2). Results: There was pain intensity reduction in both groups (p < 0.05) and health-related quality of life improvement, except for Emotional Role (p = 0.34); Physical Function (p = 0.07), Bodily Pain (p = 0.02), and General Health (p = 0.09). At A2 there was a difference (p < 0.05) for neck pain in favor of the Geriatric Physical Therapy Group. Conclusions: Within the limitations of the study, it was possible to conclude that both physical therapy interventions showed a positive effect for reducing non-specific neck pain and low back pain in older adults, which may contribute to health-related quality of life improvement.
衰老过程可能导致功能受限、肌肉骨骼疼痛和生活质量下降。本文旨在评估两种物理治疗干预措施，以减轻老年人的肌肉骨骼疼痛并提高生活质量。
对老年人（60-75 岁）进行了一项队列研究。老年物理治疗组（n=70）接受按摩疗法、治疗性运动和治疗性教育计划 5 周；标准化治疗性运动组（n=140）接受标准化治疗性运动和治疗性教育计划 3 周。在基线（A0）、干预后（A1）和基线后 12 周（A2）收集健康相关生活质量（SF-36v2）和肌肉骨骼疼痛强度（VAS）。
两组均有疼痛强度减轻（p<0.05）和健康相关生活质量改善，除情感角色（p=0.34）；生理功能（p=0.07）、身体疼痛（p=0.02）和一般健康（p=0.09）。在 A2 时，老年物理治疗组的颈部疼痛有差异（p<0.05）。
在研究的限制内，可以得出结论，两种物理治疗干预措施均显示出对减轻老年人非特异性颈部疼痛和下腰痛的积极作用，这可能有助于提高健康相关的生活质量。
