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对慢性疼痛患者进行为期四周的跨学科多模式疼痛治疗的评估——一种综合方法。

Evaluation of a Four Week Interdisciplinary Multimodal Pain Therapy on Chronic Pain Patients-A Comprehensive Approach.

作者信息

Paulokat Henrike Maria, Klinder Annett, Mittelmeier Wolfram, Bajorat Jörn, Osmanski-Zenk Katrin

机构信息

Orthopedic Clinic and Policlinic, Rostock University Medical Center, D-18057 Rostock, Germany.

Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, Rostock University Medical Center, D-18057 Rostock, Germany.

出版信息

Life (Basel). 2025 Apr 1;15(4):576. doi: 10.3390/life15040576.

Abstract

Chronic pain syndrome poses a significant challenge to healthcare systems worldwide, affecting millions of individuals and resulting in reduced quality of life and substantial socio-economic costs. This prospective, non-interventional, single-center study evaluated the effectiveness of a four-week interdisciplinary multimodal pain therapy (IMPT) program incorporating neuromuscular training with the HUBER 360 evolution device. The study included 66 patients diagnosed with chronic pain disorder, divided into an intervention group ( = 49) that completed weekly supervised HUBER 360 sessions and a control group ( = 17). Measurements were taken at four time points: day of admission (t1), during therapy (t2), at discharge (t3), and three months post-discharge (t4). The study assessed changes in psychological factors, pain intensity, postural control, and quality of life. The results show that this four-week therapy led to significant improvements in psychological factors such as depression, anxiety, and stress, and significantly reduced the subjects' pain. The intervention group showed more pronounced improvements compared to the control group. These findings highlight the potential benefits of IMPT in managing chronic pain and improving both physical and psychological health outcomes. This study contributes to the ongoing development of chronic pain management strategies, emphasizing the importance of a multidisciplinary, patient-centered approach. Future research should explore the scalability of IMPT, stratify results based on demographic factors, and evaluate the long-term efficacy of adjunctive tools like the HUBER 360 device.

摘要

慢性疼痛综合征给全球医疗系统带来了重大挑战,影响着数百万人,导致生活质量下降和巨大的社会经济成本。这项前瞻性、非干预性、单中心研究评估了一项为期四周的跨学科多模式疼痛治疗(IMPT)计划的有效性,该计划将神经肌肉训练与HUBER 360进化设备相结合。该研究纳入了66名被诊断为慢性疼痛障碍的患者,分为干预组(n = 49),该组患者每周完成一次由专人监督的HUBER 360治疗课程,以及对照组(n = 17)。在四个时间点进行测量:入院当天(t1)、治疗期间(t2)、出院时(t3)和出院后三个月(t4)。该研究评估了心理因素、疼痛强度、姿势控制和生活质量的变化。结果表明,这项为期四周的治疗使抑郁、焦虑和压力等心理因素有了显著改善,并显著减轻了受试者的疼痛。与对照组相比,干预组的改善更为明显。这些发现凸显了IMPT在管理慢性疼痛以及改善身体和心理健康结果方面的潜在益处。这项研究为慢性疼痛管理策略的持续发展做出了贡献,强调了多学科、以患者为中心方法的重要性。未来的研究应探索IMPT的可扩展性,根据人口统计学因素对结果进行分层,并评估HUBER 360设备等辅助工具的长期疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19d0/12028890/da742b207d7d/life-15-00576-g001.jpg

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