疼痛神经科学教育和颈部疼痛管理练习的影响：一项随机对照试验的荟萃分析。
Influence of pain neuroscience education and exercises for the management of neck pain: A meta-analysis of randomized controlled trials.
机构信息
Department of Stomatology, Affiliated Hospital of Beihua University, Jilin, China.
Internal Medicine-Neurology, Affiliated Hospital of Beihua University, Jilin, China.
出版信息
Medicine (Baltimore). 2024 Nov 29;103(48):e40760. doi: 10.1097/MD.0000000000040760.
BACKGROUND
It is elusive to combine pain neuroscience education with exercises to treat neck pain, and this meta-analysis aims to study the efficacy of pain neuroscience education plus exercises for the treatment of neck pain.
METHODS
Several databases including PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases were systemically searched from inception to August 2023, and we included the randomized controlled trials (RCTs) assessing the effect of pain neuroscience education plus exercises on the relief of neck pain.
RESULTS
We total included 4 eligible RCTs and 246 patients with neck pain in this meta-analysis. Compared with exercise intervention for neck pain, pain neuroscience education plus exercise was associated with remarkably decreased VAS after treatment (MD = -1.12; 95% CI = -1.51 to -0.73; P < .00001), VAS after 3 months (MD = -1.24; 95% CI = -2.26 to -0.22; P = .02), functional disability index (MD = -1.22; 95% CI = -1.46 to -0.97; P < .00001) and pain catastrophizing scale (MD = -4.25; 95% CI = -5.50 to -3.00; P < .00001).
CONCLUSIONS
Pain neuroscience education plus exercises is effective for the relief of neck pain.
背景
将疼痛神经科学教育与运动结合起来治疗颈痛效果难以捉摸，本荟萃分析旨在研究疼痛神经科学教育加运动治疗颈痛的疗效。
方法
从建库到 2023 年 8 月，系统地检索了 PubMed、EMbase、Web of Science、EBSCO 和 Cochrane 图书馆数据库，纳入了评估疼痛神经科学教育加运动对缓解颈痛影响的随机对照试验（RCT）。
结果
本荟萃分析共纳入 4 项符合条件的 RCT 和 246 例颈痛患者。与颈痛运动干预相比，疼痛神经科学教育加运动治疗后 VAS 评分明显降低（MD=-1.12；95%CI=-1.51 至-0.73；P<0.00001），3 个月后 VAS 评分（MD=-1.24；95%CI=-2.26 至-0.22；P=0.02）、功能障碍指数（MD=-1.22；95%CI=-1.46 至-0.97；P<0.00001）和疼痛灾难化量表（MD=-4.25；95%CI=-5.50 至-3.00；P<0.00001）。
结论
疼痛神经科学教育加运动对缓解颈痛有效。
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