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肌肉能量技术对伴有慢性疼痛的慢性阻塞性肺疾病患者疼痛、运动恐惧及生活质量的影响

The effect of muscle energy technique on pain, kinesiophobia, and quality of life in patients with COPD with chronic pain.

作者信息

Mıhçıoğlu Serpil, Malkoç Mehtap

机构信息

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta, Cyprus.

出版信息

Sci Rep. 2025 Jan 31;15(1):3884. doi: 10.1038/s41598-025-88304-w.

Abstract

Patients with Chronic Obstructive Pulmonary Disease (COPD) experience pain both as a symptom and comorbid condition. This study aimed to investigate the effect of the Muscle Energy Technique (MET) on pain, kinesiophobia, and quality of life in patients with chronic pain and COPD. 52 patients with moderate COPD and pain complaints were included in this randomized controlled trial and longitudinal study and were divided into two groups. The intervention group received MET 3 times a week for 4 weeks, while the control group was given a home exercise program. Both groups participated in a home-based exercise program. Pain, fear of movement, and health-related quality of life were assessed at baseline, the end of the 4-week intervention, and at the 6-week follow-up. Significant improvements were observed in both groups; however, the intervention group showed more pronounced reductions in pain and kinesiophobia as well as improvements in quality of life (p < 0.05), and the effectiveness decreased over time. This study highlights the potential benefits of MET for pain, kinesiophobia, and quality of life in patients with chronic pain and COPD. Therefore, MET interventions should be considered in the treatment of chronic pain in patients with COPD.Trial registration: NCT04874571.

摘要

慢性阻塞性肺疾病(COPD)患者会经历疼痛,这既是一种症状,也是一种合并症。本研究旨在调查肌肉能量技术(MET)对慢性疼痛和COPD患者的疼痛、运动恐惧及生活质量的影响。52例中度COPD且有疼痛主诉的患者被纳入这项随机对照试验和纵向研究,并分为两组。干预组每周接受3次MET治疗,共4周,而对照组则接受家庭锻炼计划。两组均参与基于家庭的锻炼计划。在基线、4周干预结束时和6周随访时评估疼痛、运动恐惧和健康相关生活质量。两组均观察到显著改善;然而,干预组在疼痛和运动恐惧方面的减轻更为明显,生活质量也有所改善(p<0.05),且效果随时间下降。本研究强调了MET对慢性疼痛和COPD患者的疼痛、运动恐惧及生活质量的潜在益处。因此,在治疗COPD患者的慢性疼痛时应考虑MET干预措施。试验注册号:NCT04874571。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5a0/11785934/1f80cbf904c3/41598_2025_88304_Fig1_HTML.jpg

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