Seeing the site of treatment improves habitual pain but not cervical joint position sense immediately after manual therapy in chronic neck pain patients
Seeing the site of treatment improves habitual pain but not cervical joint position sense immediately after manual therapy in chronic neck pain patients
复制标题
慢性颈痛患者在手法治疗后立即看到治疗部位可以改善习惯性疼痛，但不能改善颈关节位置感
DOI：
10.1002/ejp.1290
复制
发表时间：
2019
影响因子：
3.6
通讯作者：
Zieglgänsberger
中科院分区：
文献类型：
--
作者：
Beinert;Zieglgänsberger
背景视觉镇痛是指当人们看到疼痛或刺激疼痛的身体部位时，疼痛强度降低的现象。除了疼痛，感觉运动障碍（即，干扰的本体感受）在慢性疼痛中也是明显的。本研究旨在调查是否真实的时间视觉反馈提供额外的疼痛缓解和本体感觉的改善时，与推荐的治疗方法在颈部疼痛患者接受手动治疗或没有真实的时间视觉feedback.MethodsA共招募了29名颈部疼痛患者在门诊物理治疗的做法。患者被随机分配至接受颈椎手动治疗并伴有真实的实时视觉反馈或对照组，患者接受手动治疗但不伴有真实的实时视觉反馈。习惯性疼痛的强度，在C2-C3和上级角肩胛骨和颈部本体感觉的关节突关节的压力疼痛阈值进行了评估之前和之后立即由一个盲assessor.ResultsA组间比较显示习惯性疼痛的显着减少在真实的时间视觉反馈组。结论实时视觉反馈结合手法治疗能增强手法治疗对颈痛患者的镇痛效果，但对颈痛患者的压痛阈值和颈关节位置感无明显影响。将真实的实时视觉反馈整合到日常实践中以减少习惯性疼痛的技术要求低，成本低，易于应用。重要性真实的实时视觉反馈在干预后立即减少习惯性疼痛。由于其易于整合，它可能是推荐干预措施的有效辅助手段（即，颈部疼痛的患者。
BackgroundVisual analgesia refers to the phenomena where people report decreased pain intensity when they see the painful or painfully stimulated body part. Alongside pain, sensorimotor impairment (i.e., disturbed proprioception) is also evident in chronic pain. This study aims to investigate whether real‐time visual feedback offers additional pain relief and proprioceptive improvement when used in combination with recommended therapies in neck pain patients who received manual therapy with or without real‐time visual feedback.MethodsA total of 29 neck pain patients were recruited in an outpatient physical therapy practice. Patients were randomly allocated to receive manual therapy of the cervical spine with real‐time visual feedback or to a control group where patients received manual therapy without real‐time visual feedback. Habitual pain intensity, the pressure pain threshold at the zygapophyseal joint of C2–C3 and the superior angle of the scapulae and cervical proprioception were assessed before and immediately after the intervention by a blinded assessor.ResultsA between‐group comparison revealed a significant reduction in habitual pain in the real‐time visual feedback group. No differences were found for the pressure pain threshold or proprioceptive performance.ConclusionsReal‐time visual feedback combined with manual therapy enhanced the analgesic effect of manual therapy in neck pain patients, but had no positive effect on the pressure pain threshold and cervical joint position sense. The technical demands for integrating real‐time visual feedback into daily practice to reduce habitual pain are low, have low costs and are easy to apply.SignificanceReal‐time visual feedback reduces habitual pain immediately after the intervention. Due to its easy integration, it may be an effective adjunct to recommended interventions (i.e., manual therapy) in patients with neck pain.
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影响因子：
1.9
作者：
Ruhe A;Fejer R;Walker B
通讯作者：
Walker B
影响因子：
2.3
作者：
McCaskey MA;Schuster-Amft C;Wirth B;Suica Z;de Bruin ED
通讯作者：
de Bruin ED
看到它有帮助：通过在运动过程中可视化背部来减轻与运动相关的背痛
DOI：
--
发表时间：
2012
期刊：
The Clinical Journal of Pain
影响因子：
--
作者：
B. Wand;Verity Margaret Tulloch;P. George;Anne J. Smith;R. Goucke;Neil E. O’Connell;G. L. Moseley
通讯作者：
G. L. Moseley
非创伤性慢性颈部疼痛患者的颈椎动觉敏感性和主观疼痛强度经过脊椎按摩治疗后得到改善。
DOI：
10.1016/j.jmpt.2005.12.002
发表时间：
2006
影响因子：
1.3
作者：
Per J. Palmgren;Peter Sandström;F. Lundqvist;H. Heikkilä
通讯作者：
H. Heikkilä
颈部疼痛及其相关疾病的最佳证据综合方法：2000-2010 年骨与关节十年颈部疼痛及其相关疾病工作组。
DOI：
10.1016/j.jmpt.2008.11.009
发表时间：
2009
影响因子：
1.3
作者：
L. Carroll;J. Cassidy;P. Peloso;Lori Giles;C. S. Cheng;Stephen W. Greenhalgh;S. Haldeman;S. Haldeman;G. Velde;E. Hurwitz;P. Côté;M. Nordin;S. Hogg;L. Holm;J. Guzmán;E. Carragee
通讯作者：
E. Carragee