Allegrante J P
Division of Health Services, Sciences, and Education, Teachers College, Columbia University, New York, New York, USA.
Am J Med. 1996 Jul 31;101(1A):33S-39S. doi: 10.1016/s0002-9343(96)00136-2.
The management of chronic nonmalignant pain is an increasing challenge to clinicians and their patients. Adjunctive therapy, which includes a wide range of physical, psychoeducational, and multidisciplinary interventions, can play an important role in the treatment of pain. This article discusses the role and efficacy of adjunctive therapy in the management of pain associated with musculoskeletal conditions, the most common and disabling sources of chronic nonmalignant pain. Findings from meta-analyses, review articles, and recent clinical trials are reviewed that suggest that interventions that combine exercise and psychoeducational approaches designed to enhance communication, control, problem-solving, and coping can have a clinically significant impact on reducing pain and improving functional status for many conditions.
慢性非恶性疼痛的管理对临床医生及其患者来说是一项日益艰巨的挑战。辅助治疗包括广泛的物理、心理教育和多学科干预措施，在疼痛治疗中可发挥重要作用。本文讨论辅助治疗在与肌肉骨骼疾病相关的疼痛管理中的作用和疗效，肌肉骨骼疾病是慢性非恶性疼痛最常见且致残的原因。本文回顾了荟萃分析、综述文章和近期临床试验的结果，这些结果表明，将运动与旨在加强沟通、控制、解决问题和应对能力的心理教育方法相结合的干预措施，对许多疾病在减轻疼痛和改善功能状态方面可产生具有临床意义的影响。
