Exercise for Neuropathic Pain: A Systematic Review and Expert Consensus
文献类型：期刊论文
| 作者 | Zhang, Yong-Hui19; Hu, Hao-Yu18,19; Xiong, Yuan-Chang17; Peng, Changgeng16; Hu, Li15 ; Kong, Ya-Zhuo15; Wang, Yu-Ling14; Guo, Jia-Bao13; Bi, Sheng12; Li, Tie-Shan11
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| 刊名 | FRONTIERS IN MEDICINE
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| 出版日期 | 2021-11-24 |
| 卷号 | 8页码:16 |
| 关键词 | exercise training neuropathic pain chronic pain expert consensus |
| DOI | 10.3389/fmed.2021.756940 |
| 通讯作者 | Fang, Guo-En(fangguoen@aliyun.com) ; Wang, Xue-Qiang(wangxueqiang@sus.edu.cn) |
| 英文摘要 | Background: Neuropathic pain (NP), a severe and disruptive symptom following many diseases, normally restricts patients' physical functions and leads to anxiety and depression. As an economical and effective therapy, exercise may be helpful in NP management. However, few guidelines and reviews focused on exercise therapy for NP associated with specific diseases. The study aimed to summarize the effectiveness and efficacy of exercise for various diseases with NP supported by evidence, describe expert recommendations for NP from different causes, and inform policymakers of the guidelines.Design: A systematic review and expert consensus.Methods: A systematic search was conducted in PubMed. We included systematic review and meta-analysis, randomized controlled trials (RCTs), which assessed patients with NP. Studies involved exercise intervention and outcome included pain intensity at least. Physiotherapy Evidence Database and the Assessment of Multiple Systematic reviews tool were used to grade the quality assessment of the included RCTs and systematic reviews, respectively. The final grades of recommendation were based on strength of evidence and a consensus discussion of results of Delphi rounds by the Delphi consensus panel including 21 experts from the Chinese Association of Rehabilitation Medicine.Results: Eight systematic reviews and 21 RCTs fulfilled all of the inclusion criteria and were included, which were used to create the 10 evidence-based consensus statements. The 10 expert recommendations regarding exercise for NP symptoms were relevant to the following 10 different diseases: spinal cord injury, stroke, multiple sclerosis, Parkinson's disease, cervical radiculopathy, sciatica, diabetic neuropathy, chemotherapy-induced peripheral neuropathy, HIV/AIDS, and surgery, respectively. The exercise recommended in the expert consensus involved but was not limited to muscle stretching, strengthening/resistance exercise, aerobic exercise, motor control/stabilization training and mind-body exercise (Tai Chi and yoga).Conclusions: Based on the available evidence, exercise is helpful to alleviate NP intensity. Therefore, these expert consensuses recommend that proper exercise programs can be considered as an effective alternative treatment or complementary therapy for most patients with NP. The expert consensus provided medical staff and policymakers with applicable recommendations for the formulation of exercise prescription for NP. This consensus statement will require regular updates after five-ten years. |
| 收录类别 | SCI |
| WOS关键词 | SPINAL-CORD-INJURY ; CERVICAL RADICULOPATHY ; MULTIPLE-SCLEROSIS ; THERAPY ; INTERVENTIONS ; EFFICACY ; PEOPLE ; PREVALENCE ; DIAGNOSIS ; QUALITY |
| 资助项目 | Science and Technology Commission of Shanghai Municipality[21S31902400] ; Shanghai Key Lab of Human Performance (Shanghai University of Sport)[11DZ2261100] |
| WOS研究方向 | General & Internal Medicine |
| 语种 | 英语 |
| 出版者 | FRONTIERS MEDIA SA |
| WOS记录号 | WOS:000739021600001 |
| 资助机构 | Science and Technology Commission of Shanghai Municipality ; Shanghai Key Lab of Human Performance (Shanghai University of Sport) |
| 源URL | [http://ir.psych.ac.cn/handle/311026/41759]  |
| 专题 | 心理研究所_健康与遗传心理学研究室 |
| 通讯作者 | Fang, Guo-En; Wang, Xue-Qiang |
| 作者单位 | 1.Naval Med Univ, Dept Gastrointestinal Surg, Affiliated Hosp 1, Shanghai, Peoples R China 2.Guangzhou Univ Chinese Med, Clin Med Coll Acupuncture Moxibust & Rehabil, Guangzhou, Peoples R China 3.Orthoped Hosp Henan Prov, Rehabil Therapy Ctr, Luoyang Orthoped Hosp Henan Prov, Luoyang, Peoples R China 4.Zhengzhou Univ, Dept Pain & Musculoskeletal Rehabil, Affiliated Hosp 5, Zhengzhou, Peoples R China 5.Yixing JORU Rehabil Hosp, Dept Rehabil, Wuxi, Jiangsu, Peoples R China 6.Sun Yat Sen Univ, Dept Rehabil, Sun Yat Sen Mem Hosp, Guangzhou, Peoples R China 7.Shanghai Univ TCM, Sch Rehabil Sci, Shanghai, Peoples R China 8.Fudan Univ, Huashan Hosp, Dept Rehabil Med, Shanghai, Peoples R China 9.Sun Yat Sen Univ, Affiliated Hosp 1, Dept Rehabil Med, Guangzhou, Peoples R China 10.Kunming Med Univ, Sch Rehabil, Kunming, Yunnan, Peoples R China |
| 推荐引用方式 GB/T 7714 | Zhang, Yong-Hui,Hu, Hao-Yu,Xiong, Yuan-Chang,et al. Exercise for Neuropathic Pain: A Systematic Review and Expert Consensus[J]. FRONTIERS IN MEDICINE,2021,8:16. |
| APA | Zhang, Yong-Hui.,Hu, Hao-Yu.,Xiong, Yuan-Chang.,Peng, Changgeng.,Hu, Li.,...&Wang, Xue-Qiang.(2021).Exercise for Neuropathic Pain: A Systematic Review and Expert Consensus.FRONTIERS IN MEDICINE,8,16. |
| MLA | Zhang, Yong-Hui,et al."Exercise for Neuropathic Pain: A Systematic Review and Expert Consensus".FRONTIERS IN MEDICINE 8(2021):16. |
入库方式： OAI收割
来源：心理研究所
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