Efficacy of physical therapy interventions on quality of life and upper quadrant pain severity in women with post-mastectomy pain syndrome: a systematic review and meta-analysis.
Efficacy of physical therapy interventions on quality of life and upper quadrant pain severity in women with post-mastectomy pain syndrome: a systematic review and meta-analysis.
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DOI：
10.1007/s11136-021-02926-x
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发表时间：
2022-04
期刊：
影响因子：
--
通讯作者：
Tang WY
中科院分区：
文献类型：
--
作者：
Kannan P;Lam HY;Ma TK;Lo CN;Mui TY;Tang WY
确定物理治疗干预对乳房切除术后疼痛综合征（PMPS）的生活质量（QoL）和疼痛严重程度的疗效。从数据库建立到2020年10月检索了多个数据库。这些研究仅限于在同行评审期刊上以英文或中文发表的人体研究，全文可用于在女性中进行的随机对照试验。纳入了比较物理治疗干预与对照条件对生活质量和疼痛的有效性的试验。18项试验被纳入审查。对四项运动试验的汇总分析显示，干预对总体[标准化平均差异（SMD）：0.87（95%CI：0.36，1.37）; p = 0.001]，身体[SMD：0.34（95%CI：0.01，0.66）; p = 0.044]和心理健康分量[SMD：0.27（95%CI：0.03，0.51）; p = 0.027]。对六项运动试验、两项肌筋膜松解试验和两项针灸试验的荟萃分析显示，治疗组的疼痛严重程度比对照组有显着改善。然而，两项研究的荟萃分析显示，与对照组相比，加压治疗对疼痛严重程度的影响不显著。我们的荟萃分析发现，运动有利于改善PMPS女性的生活质量和疼痛严重程度。未来的研究需要确定运动干预的最佳参数，以改善PMPS女性的生活质量和疼痛严重程度。针灸、肌筋膜松解和压迫疗法的效果仍不确定，需要进一步研究来验证这些干预措施对PMPS的影响。在线版本包含补充材料，可通过10.1007/s11136-021-02926-x获得。
To determine the efficacy of physical therapy interventions on quality of life (QoL) and pain severity in post-mastectomy pain syndrome (PMPS). Multiple databases were searched from database inception to October 2020. Searches were limited to human studies published in either English or Chinese in peer-reviewed journals with full text available for randomized controlled trials conducted on females. Trials comparing the effectiveness of physical therapy interventions against control conditions on QoL and pain were included. Eighteen trials were included in the review. The pooled analysis of the four exercise trials revealed a significant effect of the intervention on general [standardized mean difference [SMD]: 0.87 (95%CI: 0.36, 1.37); p = 0.001], physical [SMD: 0.34 (95%CI: 0.01, 0.66); p = 0.044], and mental health components [SMD: 0.27 (95%CI: 0.03, 0.51); p = 0.027] of QoL compared with the control condition. Meta-analyses of six exercise trials, two myofascial release trials, and two acupuncture trials revealed a significant improvement in pain severity in the treatment group than in the control group. However, meta-analyses of two studies revealed a non-significant effect of compression therapy compared to control on pain severity. Our meta-analyses found that exercise is beneficial for improving the QoL and pain severity of women with PMPS. Future studies are needed to determine the optimal parameters for exercise interventions designed to improve QoL and pain severity in women with PMPS. The effect of acupuncture, myofascial release, and compression therapy remains inconclusive, and future research is required to validate the effect of these interventions on PMPS. The online version contains supplementary material available at 10.1007/s11136-021-02926-x.
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