eHealth Interventions for Managing Spine Pain-Benefits for Pain, Quality of Life, Catastrophizing and Fear Avoidance Beliefs: An Overview of Systematic Reviews With Meta-analysis.

IF 6 1区 医学 Q1 ORTHOPEDICS Journal of Orthopaedic & Sports Physical Therapy Pub Date : 2024-12-01 DOI:10.2519/jospt.2024.12844
Olga Villar-Alises, Cristina García-Muñoz, Javier Matias-Soto, Javier Martinez-Calderon
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Abstract

OBJECTIVE: To summarize the effectiveness of eHealth interventions for improving pain, physical disability, psychological factors, and the quality of life for people with spine pain. DESIGN: Overview of systematic reviews. LITERATURE SEARCH: CINAHL, Embase, PubMed, and SPORTDiscus e-databases were searched. STUDY SELECTION CRITERIA: Systematic reviews with meta-analysis of randomized clinical trials evaluating any type of eHealth were included. DATA SYNTHESIS: AMSTAR 2 was used to assess the methodological quality of included reviews. The degree of overlap between reviews was calculated. RESULTS: Sixteen systematic reviews were included. Of them, 13 reviews were exclusively focused on back pain or low back pain. Exercise and psychological interventions were the primary contents of eHealth interventions. In general, eHealth interventions based on physical exercise may improve the quality of life of people with low back pain. eHealth interventions based on cognitive behavioral therapy may reduce pain catastrophizing and fear-avoidance beliefs for physical activity for people with low back pain. eHealth interventions based on multidisciplinary approaches including physical exercise may reduce low back pain. Few systematic reviews used the GRADE system to evaluate the certainty of evidence, and few specified the content of eHealth interventions. CONCLUSION: eHealth interventions may improve the quality of life, pain catastrophizing, and fear-avoidance beliefs for people with low back pain. It is unclear, based on available systematic reviews, how clinicians should deliver eHealth interventions for people with spine pain (eg, neck pain or low back pain). J Orthop Sports Phys Ther 2024;54(12):1-18. Epub 4 November 2024. doi:10.2519/jospt.2024.12844.

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管理脊柱疼痛的电子健康干预--对疼痛、生活质量、灾难化和恐惧逃避信念的益处:带 Meta 分析的系统综述》。
目的:总结电子健康干预对改善脊柱疼痛患者的疼痛、身体残疾、心理因素和生活质量的有效性。设计:系统性综述概述。文献检索:检索 CINAHL、Embase、PubMed 和 SPORTDiscus 电子数据库。研究筛选标准:纳入评估任何类型电子保健的随机临床试验的系统综述和荟萃分析。数据合成:使用 AMSTAR 2 评估所收录综述的方法学质量。计算综述之间的重叠程度。结果:共纳入 16 篇系统综述。其中 13 篇综述专门针对背痛或腰痛。运动和心理干预是电子健康干预的主要内容。一般来说,基于体育锻炼的电子健康干预可改善腰背痛患者的生活质量;基于认知行为疗法的电子健康干预可减少腰背痛患者对疼痛的灾难化反应和对体育锻炼的恐惧逃避信念;基于多学科方法(包括体育锻炼)的电子健康干预可减轻腰背痛。很少有系统性综述使用 GRADE 系统来评估证据的确定性,也很少有系统性综述明确指出电子健康干预措施的内容。结论:电子健康干预措施可改善腰背痛患者的生活质量、疼痛灾难化程度和恐惧逃避信念。根据现有的系统综述,尚不清楚临床医生应如何为脊柱疼痛(如颈部疼痛或腰背痛)患者提供电子健康干预。J Orthop Sports Phys Ther 2024;54(12):1-18.doi:10.2519/jospt.2024.12844。
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来源期刊
CiteScore
8.00
自引率
4.90%
发文量
101
审稿时长
6-12 weeks
期刊介绍: The Journal of Orthopaedic & Sports Physical Therapy® (JOSPT®) publishes scientifically rigorous, clinically relevant content for physical therapists and others in the health care community to advance musculoskeletal and sports-related practice globally. To this end, JOSPT features the latest evidence-based research and clinical cases in musculoskeletal health, injury, and rehabilitation, including physical therapy, orthopaedics, sports medicine, and biomechanics. With an impact factor of 3.090, JOSPT is among the highest ranked physical therapy journals in Clarivate Analytics''s Journal Citation Reports, Science Edition (2017). JOSPT stands eighth of 65 journals in the category of rehabilitation, twelfth of 77 journals in orthopedics, and fourteenth of 81 journals in sport sciences. JOSPT''s 5-year impact factor is 4.061.
期刊最新文献
Costs of Disabling Musculoskeletal Pain in Children and Adolescents: A Cost-of-Illness Prospective Cohort Study. Prioritizing Knowledge User Engagement: Engaging Patients and the Public in Creating Enduring Musculoskeletal Rehabilitation Research. Racial Disparities in Outpatient Physical Therapy Use After Hip Fracture: A Retrospective Cohort Study. eHealth Interventions for Managing Spine Pain-Benefits for Pain, Quality of Life, Catastrophizing and Fear Avoidance Beliefs: An Overview of Systematic Reviews With Meta-analysis. Response to Comment on "Which Portion of Physiotherapy Treatments' Effect Is Not Attributable to the Specific Effects in People With Musculoskeletal Pain? A Meta-Analysis of Randomized Placebo-Controlled Trials" by Ezzatvar et al.
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