IRCCS Materno Infantile Burlo Garofolo, Trieste, Italy.
University of Trieste, Piazzale Europa, 1, 34127, Trieste, Italy.
Ital J Pediatr. 2022 Jul 27;48(1):127. doi: 10.1186/s13052-022-01317-3.
According to the latest version of the Diagnostic and Statistical Manual of Mental Disorders, somatic symptom and related disorders (SSRDs) are defined as psychopathological manifestations characterized by physical signs not attributable to organic pathology. Their incidence has grown dramatically over the past few decades, and treatment is challenging. Besides other interventions on the child and the family, physiotherapy is considered an integral part of the treatment, although there is no evidence for its efficacy.The study aimed to review the available proof on the effectiveness of physiotherapy in children and adolescents with SSRDs. A systematic literature search was conducted on MEDLINE/PubMed, CINAHL, Cochrane Library, PsycINFO, and PEDro, including 1999 to 2021. The methodological quality of the publications was assessed by applying the guidelines proposed by the Equator network, according to the different study designs. The scientific bibliography on the subject was minimal and had poor methodological quality. The choice of outcome indicators and the scales to measure them varied from study to study and were not standardized, making comparison and meta-analysis challenging.Conclusion: According to the available evidence, it is impossible to answer the review question regarding the effectiveness of physiotherapy in children and adolescents with SSRDs. It is necessary to improve the methodological quality of the studies. Definition of standard rehabilitation treatments, identification of appropriate result indicators, and adoption of standardized evaluation scales are needed.
根据最新版《精神障碍诊断与统计手册》，躯体症状及相关障碍（SSRDs）被定义为以无法归因于器质性病变的躯体体征为特征的精神病理学表现。在过去几十年中，其发病率显著上升，治疗颇具挑战。除了针对儿童和家庭的其他干预措施外，物理治疗被认为是治疗的一个组成部分，尽管其疗效尚无证据支持。本研究旨在综述躯体症状及相关障碍儿童和青少年中物理治疗的有效性的现有证据。通过对 MEDLINE/PubMed、CINAHL、Cochrane 图书馆、PsycINFO 和 PEDro 进行系统文献检索，纳入 1999 年至 2021 年的研究。根据不同的研究设计，应用 EQUATOR 网络提出的指南评估出版物的方法学质量。关于该主题的科学文献很少，且方法学质量较差。由于研究间的结果指标选择和测量量表各不相同，且未标准化，因此比较和荟萃分析具有挑战性。结论：根据现有证据，无法回答关于躯体症状及相关障碍儿童和青少年中物理治疗有效性的综述问题。有必要提高研究的方法学质量。需要定义标准的康复治疗、确定适当的结果指标，并采用标准化的评估量表。
