Physical exercise as non-pharmacological treatment of chronic pain: Why and when.
Physical exercise as non-pharmacological treatment of chronic pain: Why and when.
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DOI：
10.1016/j.berh.2015.04.022
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发表时间：
2015-02
期刊：
影响因子：
--
通讯作者：
Golightly YM
中科院分区：
文献类型：
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作者：
Ambrose KR;Golightly YM
慢性疼痛广泛地包括客观定义的病症和缺乏身体发现的特发性病症。尽管起源或发病机制不同，但这些疾病的特征相似，包括慢性疼痛、身体功能差、活动受限、抑郁、焦虑和睡眠障碍，可单独治疗或通过药理学和非药理学方法联合治疗，如身体活动（有氧调节、肌肉强化、柔韧性训练和运动疗法）。身体活动改善一般健康，疾病风险和慢性疾病的进展，如心血管疾病，2型糖尿病和肥胖症。当在适当的参数（频率，持续时间，强度）范围内应用于慢性疼痛时，体力活动可显著改善疼痛和相关症状。对于慢性疼痛，缺乏严格的体力活动指导，但频繁的运动比久坐行为更可取。这给了处方体力活动治疗的相当大的自由，当个体化、进展缓慢并考虑到身体限制、心理社会需求和可用资源时，这种治疗最成功。
Chronic pain broadly encompasses both objectively defined conditions and idiopathic conditions that lack physical findings. Despite variance in origin or pathogenesis, these conditions are similarly characterized by chronic pain, poor physical function, mobility limitations, depression, anxiety and sleep disturbance and are treated alone or in combination by pharmacologic and nonpharmacologic approaches, such as physical activity (aerobic conditioning, muscle strengthening, flexibility training and movement therapies). Physical activity improves general health, disease risk and progression of chronic illnesses such as cardiovascular disease, type-2 diabetes and obesity. When applied to chronic pain conditions within appropriate parameters (frequency, duration, intensity), physical activity significantly improves pain and related symptoms. For chronic pain, strict guidelines for physical activity are lacking, but frequent movement is preferable to sedentary behavior. This gives considerable freedom in prescribing physical activity treatments, which are most successful when tailored individually, progressed slowly and account for physical limitations, psychosocial needs and available resources.