The effect of education on pain and functionality on patients with musculoskeletal dysfunctions of the upper limb: a systematic review
DOI:
https://doi.org/10.1590/1809-2950/210189220422PT%20Keywords:
Patient Education, Upper Extremity, Pain, Functionality, Physical TherapyAbstract
This study aimed to verify the effects of patient education (PE) in patients with musculoskeletal disorders of the upper limb (UL) for the outcomes of pain and/or functionality. Two reviewers independently performed searches in the PubMed, Cochrane, PEDro, SciELO and LILACS databases, from the beginning of the publications until April 2021. Randomized clinical trials with human beings with musculoskeletal disorders in MS were included; who have undergone intervention with PE; and with pain and/or functionality outcomes. Reviewers independently determined study eligibility, extracted data, and assessed methodological quality using the PEDro scale. Eight studies were included in this review totaling 603 participants. PE had superior results in three of the studies in pain relief and/or function improvement compared to the comparative group in favor of the PE intervention. Apparently, PE is more effective when combined with exercise.
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Woolf AD, Akesson K. Understanding the burden of musculoskeletal conditions. The burden is huge and not reflected in national health priorities. BMJ. 2001; 322(7294): 1079-1080. doi: 10.1136/bmj.322.7294.1079.
Santos EC, Andrade RD, Lopes SGR, Valgas C. Prevalence of musculoskeletal pain in nursing professionals working in orthopedic setting. Rev Dor. 2017; 18(4): 298-306. doi: 10.5935/1806-0013.20170119.
Shiri R, Kausto J, Martimo K-P, Kaila-Kangas L, Takala E-P, Viikari-Juntura E. Health-related effects of early parttime sick leave due to musculoskeletal disorders: a randomized controlled trial. Scand J Work Environ Health. 2013; 39(1): 37-45. doi:10.5271/sjweh.3301.
Bruls VE, Bastiaenen CH, de Bie RA. Non-traumatic arm, neck and shoulder complaints: prevalence, course and prognosis in a Dutch university population. BMC Musculoskelet Disord. 2013; 14:8. doi:10.1186/1471-2474-14-8.
Pollock A, Farmer SE, Brady MC, Langhorne P, Mead GE, Mehrholz J, et al. Interventions for improving upper limb function after stroke. Cocharane Database Syst Rev. 2014; (11): CD010820. doi: 10.1002/14651858.CD010820.pub2.
Engers AJ, Jellema P, Wensing M, van der Windt DAWM, Grol R, van Tulder MW. Individual Patient Education for low-back pain. Cocharane Database Syst Rev. 2008; (1). CD004057. doi: 10.1002/14651858.CD004057.pub3.
Niedermann, K., Fransen, J., Knols, R. e Uebelhart, D. Gap between short- and long-term effects of patient education in rheumatoid arthritis patients: a systematic review. Arthritis Rheumat. 2004;51(3):388-98. doi: 10.1002/art.20399.
de Oliveira Silva D, Pazzinatto MF, Rathleff MS, Holden S, Bell E, Azevedo F, et al. Patient education for patellofemoral pain: a systematic review. J Orthop Sports Phys Ther. 2020; 50(7): 388-96. doi: 10.2519/jospt.2020.9400.
Haines T, Gross A, Burnie SJ, Goldsmith CH, Perry L. Patient education for neck pain with or without radiculopathy. Cocharane Database Syst Rev. 2009; (1) CD005106. doi: 10.1002/14651858.CD005106.pub3.
Galvão TF, Pansani TSA, Harrad D. Principais itens para relatar revisões sistemáticas e meta-análises: a recomendação PRISMA. Epidemiol Serv Saúde. 2015; 24(2): 335-342. doi: 10.5123/ S1679-49742015000200017.
Morton NA. The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Aust J Physiother. 2009; 55(2):129-33. doi: 10.1016/S0004-9514(09)70043-1.
Kinnear BZ, Lannin NA, Cusick A, Harvey LA, Rawicki B. Rehabilitation Therapies After Botulinum Toxin-A Injection to Manage Limb Spasticity: a systematic review. Physical Therapy. 2014; 94(11):1569-81. doi: 10.2522/ptj.20130408.
Núñez-Cortés R, Espinoza-Ordóñez C, Pommer PP, Horment-Lara G, Pérez-Alenda S, Cruz-Montecinos C. A single preoperative pain neuroscience education: Is it an effective strategy for patients with carpal tunnel syndrome? Hipóteses de Med. 2019; 126: 46-50. doi: 10.1016/j.mehy.2019.03.013.
Clark H PhD, PT, Bassett S PhD, PT, Siegert R PhD. The effectiveness of web-based patient education and action and coping plans as an adjunct to patient treatment in physiotherapy: A randomized controlled trial. Physiotherapy Theory and Practice. 2017; 35(10): 930-9. doi: 10.1080/09593985.2018.1467521.
Manning VL, Hurley MV, Scott DL, Coker B, Choy E, Bearne LM. Education, self-management, and upper extremity exercise training in people with rheumatoid arthritis: a randomized controlled trial. Artrite Care Res (Hoboken). 2014; 66(2): 217-27. doi: 10.1002/acr.22102.23925924.
Hall B, Lee HC, Fitzgerald H, Byrne B, Barton A, Lee AH. Investigating the effectiveness of full-time wrist splinting and education in the treatment of carpal tunnel syndrome: a randomized controlled trial. Sou J Occup Ther. 2013; 67(4): 448-59. doi: 10.5014/ajot.2013.006031. 23791320.
Lin SY, Neoh CA, Huang YT, Wang KY, Ng HF, Shi HY. Educational Program for Myofascial Pain Syndromel. J Altern Complement Med. 2010; 16(6): 633-40. doi: 10.1089/acm.2009.0378. 20545477.
Hansson EE, Jönsson-Lundgren M, Ronnheden AM, Sörensson E, Bjärnung A, Dahlberg LE. Effect of an education programme for patients with osteoarthritis in primary care - a randomized controlled trial. BMC Musculoskelet Disord. 2010;11:244. doi: 10.1186/1471-2474-11-244.
Hammond A, Freeman K. The long-term outcomes from a randomized controlled trial of an educational-behavioural joint protection programme for people with rheumatoid arthritis. Clin Rehabil. 2004; 18(5):520-8. doi: 10.1191/0269215504cr766oa. 15293486.
Hammond A, Freeman K. One-year outcomes of a randomized controlled trial of an educational-behavioural joint protection programme for people with rheumatoid arthritis. Reumatologia (Oxford). 2001;40(9):1044-51. doi: 10.1093/reumatologia/40.9.1044. 11561117.
Meeus M, Nijs J, Hamers V, Ickmans K, Oosterwijck JV. The efficacy of patient education in whiplash associated disorders: a systematic review. Pain Physician. 2012; 15(5): 351-61. PMID: 22996847.
García-Ríos MC, Navarro-Ledesma S, Tapia-Haro RM, Toledano-Moreno S, Casas-Barragán A, Correa-Rodríguez M, et al. Effectiveness of health education in patients with fibromyalgia: a systematic review. Eur J Phys Rehabil Med. 2019; 55(2):301-13. doi: 10.23736/S1973-9087.19.05524-2.
Kroon FPB, van der Burg LRA, Buchbinder R, Osborne RH, Johnston RV, Pitt V. Self‐management education programmes for osteoarthritis. Cochrane Database of Systematic Rev. 2014; Issue 1. Art. No.: CD008963. doi: 10.1002/14651858.CD008963.pub2.
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