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CT-optimal 触诊与帕金森病慢性疼痛体验;一项干预研究。

CT-optimal touch and chronic pain experience in Parkinson's Disease; An intervention study.

机构信息

Utrecht University, Utrecht, The Netherlands.

University Medical Centre Utrecht, Utrecht, The Netherlands.

出版信息

PLoS One. 2024 Feb 23;19(2):e0298345. doi: 10.1371/journal.pone.0298345. eCollection 2024.

Abstract

One of the most underdiagnosed and undertreated non-motor symptoms of Parkinson's Disease is chronic pain. This is generally treated with analgesics which is not always effective and can cause several side-effects. Therefore, new ways to reduce chronic pain are needed. Several experimental studies show that CT-optimal touch can reduce acute pain. However, little is known about the effect of CT-optimal touch on chronic pain. The aim of the current study is to investigate whether CT-optimal touch can reduce the chronic pain experience in Parkinson patients. In this intervention study, 17 Parkinson patients underwent three conditions; no touch, CT-optimal touch and CT non-optimal touch with a duration of one week each. During each touch week, participants received touch from their partners twice a day for 15 minutes. Results show that both types of touch ameliorate the chronic pain experience. Furthermore, it appears that it is slightly more beneficial to apply CT-optimal touch also because it is perceived as more pleasant. Therefore, we argue that CT-optimal touch might be used when immediate pain relief is needed. Importantly, this study shows that CT-optimal touch can reduce chronic pain in Parkinson's Disease and can be administered by a partner which makes it feasible to implement CT-optimal touch as daily routine.

摘要

帕金森病最被低估和治疗不足的非运动症状之一是慢性疼痛。通常使用镇痛药治疗,但并不总是有效,并且会引起多种副作用。因此,需要寻找新的方法来减轻慢性疼痛。一些实验研究表明,最佳触觉疗法(CT)可以减轻急性疼痛。然而,对于 CT 最佳触觉疗法对慢性疼痛的影响知之甚少。本研究旨在探讨 CT 最佳触觉疗法是否可以减轻帕金森病患者的慢性疼痛体验。在这项干预研究中,17 名帕金森病患者接受了三种条件的治疗:无触摸、CT 最佳触摸和 CT 非最佳触摸,每种条件持续一周。在每个触摸周期间,参与者每天接受两次伴侣的触摸,每次 15 分钟。结果表明,两种类型的触摸都可以改善慢性疼痛体验。此外,似乎应用 CT 最佳触觉疗法更为有益,因为它被认为更令人愉悦。因此,我们认为在需要立即缓解疼痛时可以使用 CT 最佳触觉疗法。重要的是,本研究表明 CT 最佳触觉疗法可以减轻帕金森病患者的慢性疼痛,并且可以由伴侣进行管理,这使得将 CT 最佳触觉疗法作为日常常规实施成为可能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f22/10890780/6e6000f17250/pone.0298345.g001.jpg

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