Year 2022 / Volume 29 / Number 3

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Efficacy of physiotherapy on the anxiety and depression in patients with chronic pain: a systematic review

Rev. Soc. Esp. Dolor. 2022; 29(3): 157-168 / DOI: 10.20986/resed.2022.3994/2022

Fredy Esteban Ávila, Paula Andrea Garzón, María Alejandra Sánchez


ABSTRACT

Introduction: Nowadays, presenting symptoms of anxiety and depression seems to be the common denominator among the population suffering from some type of chronic pain. There are many strategies that have been implemented in the treatment of physical therapy; Currently, there is a growing interest in knowing the effectiveness of these disciplinary interventions which respond to the multiple needs of the patient with chronic pain. The purpose of this study is to know and describe the effectiveness of physical therapy on anxiety and depression in patients with chronic pain.
Methodology: A search was performed in PubMed, Scopus, Clinicalkey and ScienceDirect databases for randomized controlled clinical trials published between 2015 - 2021. The studies were filtered by title and abstract reading, peer review through the Ryan software, reading the article in full text and selection of articles according to CONSORT criteria. The risk of bias and the methodological quality of the included trials were independently evaluated using the Cochrane Bias Risk Assessment Tool (RoB) and the PEDro scale.
Results: A total of 20 clinical trials were included. The systematic review found clinically significant effects in the multiple intervention strategies employed since physiotherapy for the management of anxiety and depression in patients with chronic pain.
Conclusions: As found in this systematic review, the efficacy of physiotherapy among anxiety and depression variables among patients with chronic pain can be demonstrated.



RESUMEN

Introducción: En la actualidad, presentar síntomas de ansiedad y depresión parece ser el común denominador entre la población que padece algún tipo de dolor crónico. Son muchas las estrategias que desde la fisioterapia se han venido implementando en el tratamiento sobre el mismo; actualmente existe un creciente interés por conocer la eficacia de estas intervenciones disciplinares, las cuales respondan a las múltiples necesidades del paciente con dolor crónico. El propósito de este estudio es conocer y describir cuál es la eficacia de la fisioterapia sobre la ansiedad y la depresión en pacientes con dolor crónico.
Metodología: Se realizó una búsqueda en las bases de datos PubMed, Scopus, Clinicalkey y ScienceDirect para ensayos clínicos controlados aleatorios publicados entre 2015-2021. Los estudios se filtraron por lectura de título y abstract, arbitraje por pares a través del software Ryan, lectura del artículo en texto completo y selección de artículos según criterios CONSORT. El riesgo de sesgo y la calidad metodológica de los ensayos incluidos fueron evaluados de manera independiente utilizando la herramienta de evaluación del riesgo de sesgo de Cochrane (RoB) y la escala PEDro.
Resultados: En total se incluyeron 20 ensayos clínicos. La revisión sistemática encontró efectos clínicamente significativos en las múltiples estrategias de intervenciones que desde la fisioterapia se emplean para el manejo de ansiedad y depresión en pacientes con dolor crónico.
Conclusiones: Según lo hallado en esta revisión sistemática se puede demostrar la eficacia de la fisioterapia entre las variables de ansiedad y depresión entre pacientes con dolor crónico.





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Ávila F, Garzón P, Sánchez M. Efficacy of physiotherapy on the anxiety and depression in patients with chronic pain: a systematic review. Rev Soc Esp Dolor 2022; 29(3): 157-168 / DOI: 1020986/resed20223994/2022


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Recibido: 28/05/2022

Aceptado: 20/12/2022

Prepublicado: 18/01/2023

Publicado: 26/01/2023

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