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Non-pharmacological options for managing chronic musculoskeletal pain in children with pediatric rheumatic disease: a systematic review
In patients with a pediatric rheumatic disease (PRD), chronic musculoskeletal pain (CMP) can have a major impact on functioning and social participation. Because CMP is not always alleviated solely by the use of pharmacological approaches, the aim was to systematically review the available evidence...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208689/ https://www.ncbi.nlm.nih.gov/pubmed/30155667 http://dx.doi.org/10.1007/s00296-018-4136-8 |
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author | Nijhof, Linde N. Nap-van der Vlist, Merel M. van de Putte, Elise M. van Royen-Kerkhof, Annet Nijhof, Sanne L. |
author_facet | Nijhof, Linde N. Nap-van der Vlist, Merel M. van de Putte, Elise M. van Royen-Kerkhof, Annet Nijhof, Sanne L. |
author_sort | Nijhof, Linde N. |
collection | PubMed |
description | In patients with a pediatric rheumatic disease (PRD), chronic musculoskeletal pain (CMP) can have a major impact on functioning and social participation. Because CMP is not always alleviated solely by the use of pharmacological approaches, the aim was to systematically review the available evidence regarding non-pharmacological treatment options for reducing CMP in patients with PRD. PubMed, Embase, PsycINFO, and the Cochrane Library were systematically searched for (non-)randomized trials investigating non-pharmacological treatments for CMP in PRD published through October 25, 2017. The GRADE approach was used to assess the quality of evidence. The search yielded 11 studies involving 420 children 5–18 years of age. All studies were relatively small and short-term, and the quality of evidence ranged from very low to moderate. The main modalities within non-pharmacology therapy were psychological interventions and exercise-based interventions. Some studies show modest positive short-term results for psychological and exercise-based interventions. Psychological and exercise-based interventions can have a modest positive result in PRD, with no evidence of side effects. Non-pharmacological therapies are a promising option to alleviate pain in PRD and improve functioning, which can be used as an alternative for or in addition to pharmacological therapies. Because chronic pain can differ etiologically from acute pain in PRD, non-pharmacological therapies might have different effects in patients with or without active inflammation. To best determine the effect of non-pharmacological therapies, future studies should take this difference into account. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00296-018-4136-8) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6208689 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-62086892018-11-09 Non-pharmacological options for managing chronic musculoskeletal pain in children with pediatric rheumatic disease: a systematic review Nijhof, Linde N. Nap-van der Vlist, Merel M. van de Putte, Elise M. van Royen-Kerkhof, Annet Nijhof, Sanne L. Rheumatol Int Systematic Review In patients with a pediatric rheumatic disease (PRD), chronic musculoskeletal pain (CMP) can have a major impact on functioning and social participation. Because CMP is not always alleviated solely by the use of pharmacological approaches, the aim was to systematically review the available evidence regarding non-pharmacological treatment options for reducing CMP in patients with PRD. PubMed, Embase, PsycINFO, and the Cochrane Library were systematically searched for (non-)randomized trials investigating non-pharmacological treatments for CMP in PRD published through October 25, 2017. The GRADE approach was used to assess the quality of evidence. The search yielded 11 studies involving 420 children 5–18 years of age. All studies were relatively small and short-term, and the quality of evidence ranged from very low to moderate. The main modalities within non-pharmacology therapy were psychological interventions and exercise-based interventions. Some studies show modest positive short-term results for psychological and exercise-based interventions. Psychological and exercise-based interventions can have a modest positive result in PRD, with no evidence of side effects. Non-pharmacological therapies are a promising option to alleviate pain in PRD and improve functioning, which can be used as an alternative for or in addition to pharmacological therapies. Because chronic pain can differ etiologically from acute pain in PRD, non-pharmacological therapies might have different effects in patients with or without active inflammation. To best determine the effect of non-pharmacological therapies, future studies should take this difference into account. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00296-018-4136-8) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2018-08-23 2018 /pmc/articles/PMC6208689/ /pubmed/30155667 http://dx.doi.org/10.1007/s00296-018-4136-8 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Systematic Review Nijhof, Linde N. Nap-van der Vlist, Merel M. van de Putte, Elise M. van Royen-Kerkhof, Annet Nijhof, Sanne L. Non-pharmacological options for managing chronic musculoskeletal pain in children with pediatric rheumatic disease: a systematic review |
title | Non-pharmacological options for managing chronic musculoskeletal pain in children with pediatric rheumatic disease: a systematic review |
title_full | Non-pharmacological options for managing chronic musculoskeletal pain in children with pediatric rheumatic disease: a systematic review |
title_fullStr | Non-pharmacological options for managing chronic musculoskeletal pain in children with pediatric rheumatic disease: a systematic review |
title_full_unstemmed | Non-pharmacological options for managing chronic musculoskeletal pain in children with pediatric rheumatic disease: a systematic review |
title_short | Non-pharmacological options for managing chronic musculoskeletal pain in children with pediatric rheumatic disease: a systematic review |
title_sort | non-pharmacological options for managing chronic musculoskeletal pain in children with pediatric rheumatic disease: a systematic review |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208689/ https://www.ncbi.nlm.nih.gov/pubmed/30155667 http://dx.doi.org/10.1007/s00296-018-4136-8 |
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