Impact of physical therapy techniques and common interventions on sleep quality in patients with chronic pain: A systematic review
Metadatos
Mostrar el registro completo del ítemEditorial
Elsevier
Materia
Chronic musculoskeletal pain Circadian rhythms Physical therapy
Fecha
2024-04-15Referencia bibliográfica
Navarro-Ledesma, Santiago, et al. Impact of physical therapy techniques and common interventions on sleep quality in patients with chronic pain: A systematic review. Sleep Medicine Reviews 76 (2024) 101937 [10.1016/j.smrv.2024.101937]
Patrocinador
Funding for open access. charge: Universidad de Granada / CBUAResumen
This systematic review aims to find effectful healthcare strategies, with special focus on drug-free interventions
and physical therapy, as part of the treatment for sleep in patients with chronic musculoskeletal pain. Data search
was conducted across seven scientific databases. This review is deposited in the Prospero International prospective
register of systematic reviews (CRD42023452574). Seventeen RCTs from different healthcare fields
complied with our inclusion criteria. Two RCTs investigated manual therapy, five RCTs therapeutic exercise, one
RCT Fu’s subcutaneous needling, two RCTs physical agents (one on balneotherapy and one on cryo-stimulation),
two RCTs cognitive-behavioral therapy, and four RCTs pharmacological therapy and their effect on sleep quality
and/or quantity in patients suffering from chronic pain. We included the four RCT’s in this systematic review
with the purpose to be able to compare natural interventions with allopathic ones. As allopathic interventions are
more prone to have secondary negative effects than physical therapy, compare the two types of interventions
could be in favor of choosing the most effective treatment with the least secondary negative effects. Additionally,
two RCTs on neurofeedback and limbic neuromodulation were also included. The results of the included studies
suggest that strategies such as manual therapy, therapeutic exercise, Fu’s subcutaneous needling, balneotherapy,
cryo-stimulation, neurofeedback, limbic neuromodulation, cognitive-behavioral therapy, and pharmacological
therapies have positive effects on patients suffering from chronic pain and sleep disturbances, especially when
they suffer musculoskeletal pain. Secondary negative effects were found for the possible overuse of certain
medicines such as morphine, a huge problem in the United States. Sleep deficiency is an independent risk factor
for many diseases, including chronic pain syndrome and therefore more studies are needed to find non-toxic
interventions for people suffering sleep disorders associated with systemic diseases and pain.