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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Bibliografía

1. Kremer M, Becker LJ, Barrot M, Yalcin I. How to study anxiety and depression in rodent models of chronic pain? Eur J Neurosci. 2021;53(1):236-70.
DOI: 10.1111/ejn.14686
2. Van-der Hofstadt Román CJ, Leal-Costa C, Alonso-Gascon MR, Rodríguez-Marín J. Calidad de vida, emociones negativas, autoeficacia y calidad del sueño en pacientes con dolor crónico: efectos de un programa de intervención psicológica. Universitas Psychologica. 2017;16(3):1-9. DOI: 10.11144/Javeriana.upsy16-3.cven.
DOI: 10.11144/Javeriana.upsy16-3.cven
3. Cáceres-Matos R, Gil-García E, Barrientos-Trigo S, Porcel-Gálvez AM, Cabrera-León A. Consequences of Chronic Non-Cancer Pain in adulthood. Scoping Review. Rev Saúde Pública. 2020;34:1-13.
4. Arango-Dávila CA, Rincón-Hoyos HG. Depressive disorder, anxiety disorder and chronic pain: Multiple manifestations of a common clinical and pathophysiological core. Rev Colomb Psiquiatr. 2018;47(1):46-55.
DOI: 10.1016/j.rcp.2016.10.007
5. Nelson DV, Novy DM. Self-Report Differentiation of Anxiety and Depression in Chronic Pain. J Pers Assess. 1997;69(2):392-407.
DOI: 10.1207/s15327752jpa6902_10
6. Micó Segura JA. Coronavirus COVID-19 y dolor crónico: incertidumbres. Rev Soc Esp Dolor. 2020;27(2):72-3.
DOI: 10.20986/resed.2020.3808/2020
7. Linton SJ, Flink IK, Vlaeyen JWS. Understanding the etiology of chronic pain from a psychological perspective. Phys Ther. 2018;98(5):315-24.
DOI: 10.1093/ptj/pzy027
8. Marín Mejía F, Colina Gallo E, Duque Vera IL. Danza terapéutica y ejercicio físico. Efecto sobre la fibromialgia. Hacia Promoc Salud. 2019;24(1):17-27.
DOI: 10.17151/hpsal.2019.24.1.3
9. Sit RWS, Choi SYK, Wang B, Chan DCC, Zhang D, Yip BHK, et al. Neuromuscular exercise for chronic musculoskeletal pain in older people: a randomised controlled trial in primary care in Hong Kong. Br J Gen Pract. 2021;71(704):e226-e236.
DOI: 10.3399/bjgp20X714053
10. Fuentes C, Msc LO, Wolfenson Á, Schonffeldt G. Dolor Crónico Y Depresión. Rev Méd Clín Las Condes. 2019;30(6):459-65.
DOI: 10.1016/j.rmclc.2019.10.005
11. Ruiz-Romero MV, Guerra-Martín MD, Álvarez-Tellado L, Sánchez-Villar E, Arroyo-Rodríguez A, Sánchez-Gutiérrez MC. Terapias no farmacológicas para el dolor crónico no oncológico: percepciones de los pacientes. Anales Sis San Navarra. 2021;44(1):61-9.
12. Higgins JP, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928.
DOI: 10.1136/bmj.d5928
13. Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M. Reliability of the PEDro scale for rating quality of randomized. Phys Ther. 2003;83(8):713-21.
DOI: 10.1093/ptj/83.8.713
14. Hattapoglu E. Barmaz I, Dilek B, Karakoc M. Efficiency of pulsed electromagnetic fields on pain, disability, anxiety, depression, and quality of life in patients with cervical disc herniation: a randomized controlled study. Turk J Med Sci. 2019;49(4):1095-101.
DOI: 10.3906/sag-1901-65
15. Yolanda Nadal N, Rubio Arias JA, Martínez Olcina M, Reche García C, Hernández García M, Martínez Rodríguez A. Effects of Manual Therapy on Fatigue, Pain, and Psychological Aspects in Women with Fibromyalgia. Fibromyalgia. Int J Environ Res Public Health. 2020;17(12):4611.
16. Melo RA, de Resende CMBM, Rêgo CRF, Bispo ASL, Barbosa GAS, de Almeida EO. Conservative therapies to treat pain and anxiety associated with temporomandibular disorders: a randomized clinical trial. Int Dent J. 2020;70(4):245-53.
DOI: 10.1111/idj.12546
17. Nayback-Beebe AM, Yoder LH, Goff BJ, Arzola S, Weidlich C. The effect of pulsed electromagnetic frequency therapy on health-related quality of life in military service members with chronic low back pain. Nurs Outlook. 2017;65(5S):S26-S33.
DOI: 10.1016/j.outlook.2017.07.012
18. Espí-López GV, López-Bueno L, Vicente-Herrero MT, Martinez-Arnau FM, Monzani L. Efficacy of manual therapy on anxiety and depression in patients with tension-type headache. A randomized controlled clinical trial. Int J Osteopath Med. 2016;22:11-20.
DOI: 10.1016/j.ijosm.2016.05.003
19. Comachio J, Oliveira CC, Silva IFR, Magalhães MO, Marques AP. Effectiveness of Manual and Electrical Acupuncture for Chronic Non-specific Low Back Pain: A Randomized Controlled Trial. J Acupunct Meridian Stud. 2020;13(3):87-93.
DOI: 10.1016/j.jams.2020.03.064
20. Godfrey E, Wileman V, Galea Holmes M, McCracken LM, Norton S, Moss-Morris R, et al. Physical Therapy Informed by Acceptance and Commitment Therapy (PACT) Versus Usual Care Physical Therapy for Adults With Chronic Low Back Pain: A Randomized Controlled Trial. J Pain. 2020;21(1-2):71-81.
DOI: 10.1016/j.jpain.2019.05.012
21. Izquierdo Alventosa R, Inglés M, Cortés Amador S, Gimeno Mallench L, Chirivella Garrido J, Kropotov J, et al. Low-Intensity Physical Exercise Improves Pain Catastrophizing and Other Psychological and Physical Aspects in Women with Fibromyalgia: A Randomized Controlled Trial. Int J Environ Res Public Health. 2020;17(10):3634.
DOI: 10.3390/ijerph17103634
22. Nøst TH, Steinsbekk A, Bratås O, Grønning K. Twelve-month effect of chronic pain self-management intervention delivered in an easily accessible primary healthcare service - a randomised controlled trial. BMC Health Serv Res. 2018;18(1):1012.
DOI: 10.1186/s12913-018-3843-x
23. Roseen EJ, Gerlovin H, Felson DT, Delitto A, Sherman KJ, Saper RB. Which Chronic Low Back Pain Patients Respond Favorably to Yoga, Physical Therapy, and a Self-care Book? Responder Analyses from a Randomized Controlled Trial. Pain Med. 2021;22(1):165-80.
DOI: 10.1093/pm/pnaa153
24. Ris I, Søgaard K, Gram B, Agerbo K, Boyle E, Juul-Kristensen B. Does a combination of physical training, specific exercises and pain education improve health-related quality of life in patients with chronic neck pain? A randomised control trial with a 4-month follow up. Man Ther. 2016;26:132-40.
DOI: 10.1016/j.math.2016.08.004
25. Walsh N, Jones L, Phillips S, Thomas R, Odondi L, Palmer S, et al. Facilitating Activity and Self-management for people with Arthritic knee, hip or lower back pain (FASA): A cluster randomised controlled trial. Musculoskelet Sci Pract. 2020;50:102271.
DOI: 10.1016/j.msksp.2020.102271
26. Almeida Silva HJ, Barbosa GM, Scattone Silva R, Saragiotto BT, Oliveira JMP, Pinheiro YT, et al. Dry cupping therapy is not superior to sham cupping to improve clinical outcomes in people with non-specific chronic low back pain: a randomised trial. J Physiother. 2021;67(2):132-9.
DOI: 10.1016/j.jphys.2021.02.013
27. Sosa Reina MD, Nunez Nagy S, Gallego Izquierdo T, Pecos Martín D, Monserrat J, Álvarez- Mon M. Effectiveness of Therapeutic Exercise in Fibromyalgia Syndrome: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Biomed Res Int. 2017;2017:2356346.
DOI: 10.1155/2017/2356346
28. Schmid AA, Van Puymbroeck M, Fruhauf CA, Bair MJ, Portz JD, Rice VJ. Yoga improves occupational performance, depression, and daily activities for people with chronic pain. Work. 2019;63(2):181-9.
DOI: 10.3233/WOR-192919
29. Thomas JS, Clark BC, Russ DW, France CR, Ploutz-Snyder R, Corcos DM; RELIEF Study Investigators. Effect of Spinal Manipulative and Mobilization Therapies in Young Adults With Mild to Moderate Chronic Low Back Pain: A Randomized Clinical Trial. JAMA Netw Open. 2020;3(8):e2012589.
DOI: 10.1001/jamanetworkopen.2020.12589
30. Tejera DM, Beltran-Alacreu H, Cano de la Cuerda R, Leon Hernández JV, Martín-Pintado-Zugasti A, Calvo-Lobo C, et al. Effects of Virtual Reality versus Exercise on Pain, Functional, Somatosensory and Psychosocial Outcomes in Patients with Non-specific Chronic Neck Pain: A Randomized Clinical Trial. Int J Environ Res Public Health. 2020;17(16):5950.
DOI: 10.3390/ijerph17165950
BIBLIOGRAFÍA RECOMENDADA
- Carty JN, Ziadni MS, Holmes HJ, Tomakowsky J, Peters K, Schubiner H, et al. Effects of a Life Stress Emotional Awareness and Expression Interview for Women with Chronic Urogenital Pain: A Randomized Controlled Trial. Pain Med. 2019;20(7):1321-9.
DOI: 10.1093/pm/pny182
- de Jong M, Peeters F, Gard T, Ashih H, Doorley J, Walker R, et al. A Randomized Controlled Pilot Study on Mindfulness-Based Cognitive Therapy for Unipolar Depression in Patients With Chronic Pain. J - Javdaneh N, Saeterbakken AH, Shams A, Barati AH. Pain Neuroscience Education Combined with Therapeutic Exercises Provides Added Benefit in the Treatment of Chronic Neck Pain. Int J Environ Res Public Health. 2021;18(16):8848.
DOI: 10.3390/ijerph18168848
- Rod K. Observing the Effects of Mindfulness-Based Meditation on Anxiety and Depression in Chronic Pain Patients. Psychiatr Danub. 2015;27 Suppl 1:S209-11.

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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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