[article] in Journal of Orthopaedic & Sports Physical Therapy > Vol. 52, 6 (Juin 2022) . - p. 545-574 Titre : | It Hurts to Move! Intervention Effects and Assessment Methods for Movement-Evoked Pain in Patients With Musculoskeletal Pain: A Systematic Review with Meta-analysis | Type de document : | article de périodique | Auteurs : | Lynn Leemans ; [et al.], Auteur | Année de publication : | 2022 | Article en page(s) : | p. 545-574 | Langues : | Français (fre) | Descripteurs (mots clés) : | [Thésaurus Mesh]Douleur musculosquelettique [Thésaurus Mesh]Perception de la douleur
| Résumé : | Objectives
To estimate the effects of musculoskeletal rehabilitation interventions on movementevoked pain and to explore the assessment methods/protocols used to evaluate movement-evoked pain in adults with musculoskeletal pain.
Design
Systematic review with meta-analysis.
Literature Search
Three electronic databases (PubMed, Web of Science, and Scopus) were searched.
Study Selection Criteria
Randomized controlled trials investigating musculoskeletal rehabilitation interventions for movement-evoked pain in adults with musculoskeletal pain were included.
Data Synthesis
Meta-analysis was conducted for outcomes with homogeneous data from at least 2 trials. The mean change in movementevoked pain was the primary outcome measure. Certainty of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation framework.
Results
Thirty-eight trials were included, and 60 different interventions were assessed. There was moderate-certainty evidence of a beneficial effect of exercise therapy compared to no treatment (standardized mean difference [SMD], −0.65; 95% confidence interval [CI]: −0.83, −0.47; P<.001) on movement-evoked pain in adults with musculoskeletal pain. There was low-certainty evidence of a beneficial effect of transcutaneous electrical nerve stimulation compared to no treatment (SMD, −0.46; 95% CI: −0.71, −0.21; P = .0004). There was no benefit of transcutaneous electrical nerve stimulation when compared to sham transcutaneous electrical nerve stimulation (SMD, −0.28; 95% CI: −0.60, 0.05; P = .09; moderate-certainty evidence).
Conclusion
There was moderate-certainty evidence that exercise therapy is effective for reducing movement-evoked pain in patients with musculoskeletal pain compared to no treatment. Consider exercise therapy as the first-choice treatment for movement-evoked pain in clinical practice. | Permalink : | https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= |
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