Effectiveness of motor imagery in complex regional pain syndrome: A systematic review with meta-analysis.

IF 2.5 3区医学 Q2 ANESTHESIOLOGY Pain Practice Pub Date : 2024-06-01 Epub Date: 2024-01-24 DOI:10.1111/papr.13348

Marta Ríos-León, Álvaro Cuñado-González, Silvia Domínguez-Fernández, Patricia Martín-Casas

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Abstract

Objective: The purpose of this study was to determine the effects of motor imagery (MI) on pain intensity and disability in individuals with complex regional pain syndrome (CRPS).

Methods: A systematic search was conducted in various electronic databases to identify all relevant studies: PubMed, CINAHL, WOS, PEDro, CENTRAL, and Scopus. Randomized controlled trials assessing the effects of MI in individuals with CRPS were included. The risk of bias was assessed with the Cochrane Risk of Bias tool, the methodological quality was evaluated using PEDro scale, and the level of evidence was reported according to the GRADE. Between-groups standardized mean differences (SMD) were calculated.

Results: Six studies were included. The meta-analysis found moderate-quality evidence that MI improves pain intensity and related disability as immediate (pain: SMD -1.07, 95% CI: -1.53 to -0.60; disability: SMD 1.05, 95% CI: 0.59 to 1.51), short-term (pain: SMD -1.28, 95% CI: -2.14 to -0.42; disability: SMD 1.37; 95% CI: 0.16 to 2.58), and long-term effects (pain: SMD -1.18; 95% CI: -1.89 to -0.46; disability: SMD 1.18; 95% CI: 0.46 to 1.89), as compared with a comparison group. The risk of bias of the trials was relatively low, but the imprecision of the results downgraded the level of evidence.

Conclusions: Moderate-quality evidence suggests a positive effect of MI for improving pain intensity and disability immediately after and at short-term in individuals with CRPS.

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运动想象对复杂区域疼痛综合征的疗效：系统回顾与荟萃分析。

研究目的本研究旨在确定运动想象（MI）对复杂性区域疼痛综合征（CRPS）患者的疼痛强度和残疾程度的影响：在各种电子数据库中进行系统搜索，以确定所有相关研究：方法：在多个电子数据库中进行了系统检索，以确定所有相关研究：PubMed、CINAHL、WOS、PEDro、CENTRAL 和 Scopus。纳入了评估 MI 对 CRPS 患者影响的随机对照试验。使用 Cochrane 偏倚风险工具评估偏倚风险，使用 PEDro 量表评估方法学质量，并根据 GRADE 报告证据等级。计算了组间标准化平均差（SMD）：结果：共纳入六项研究。荟萃分析发现，中度质量的证据表明，MI 可立即改善疼痛强度和相关残疾（疼痛：SMD -1.07，95% RNA）：SMD：-1.07，95% CI：-1.53 至 -0.60；残疾：SMD：1.05，95% CI：0.59 至 1.51）、短期（疼痛：SMDSMD：-1.28，95% CI：-2.14 至 -0.42；残疾：SMD 1.37；95% CI：0.59 至 1.51）：短期影响（疼痛：SMD-1.28，95% CI：-2.14 至 -0.42；残疾：SMD 1.37；95% CI：0.16 至 2.58）和长期影响（疼痛：SMD-1.18；95% CI：-2.14 至 -0.42）：疼痛：SMD-1.18；95% CI：-1.89 至 -0.46；残疾：SMD 1.18；95% CI：0.16 至 2.58）：SMD：1.18；95% CI：0.46 至 1.89）。试验的偏倚风险相对较低，但结果的不精确性降低了证据水平：中等质量的证据表明，MI对改善CRPS患者术后即刻和短期内的疼痛强度和残疾状况有积极作用。

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来源期刊

Pain Practice ANESTHESIOLOGY-CLINICAL NEUROLOGY

CiteScore

5.60

自引率

3.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Pain Practice, the official journal of the World Institute of Pain, publishes international multidisciplinary articles on pain and analgesia that provide its readership with up-to-date research, evaluation methods, and techniques for pain management. Special sections including the Consultant’s Corner, Images in Pain Practice, Case Studies from Mayo, Tutorials, and the Evidence-Based Medicine combine to give pain researchers, pain clinicians and pain fellows in training a systematic approach to continuing education in pain medicine. Prior to publication, all articles and reviews undergo peer review by at least two experts in the field.