مجله علوم پزشکی پارس

اثربخشی تمرینات نوروفیدبک بر کاهش دردهای مزمن اسکلتی – عضلانی: مطالعه مروری

نویسندگان

1 کارشناسی ارشد،دانشگاه بوعلی سینا، همدان، ایران

2 دانشیار،دانشگاه بوعلی سینا، همدان، ایران

3 استادیار،دانشگاه رازی،کرمانشاه، ایران

چکیده

مقدمه: درد مزمن به درد مداوم و طولانی مدتی اطلاق می شود که ماندگاری آن از محدوده طبیعی فراتر رفته و بیش از شش ماه
به طول بیانجامد. با توجه به این که شیوهای درمانی رایج همچون تجویز داروهای ضد درد در کاهش شدت این نوع دردها موفق
نبوده اند، تمرینات نوروفیدبک به عنوان یک رویکرد جدید در درمان دردهای مزمن اسکلتی - عضلانی می باشند. هدف از مقاله مروری حاضر بررسی اثربخشی تمرینات نوروفیدبک بر کاهش دردهای مزمن اسکلتی- عضلانی بود.
روش کار: در این مطالعه مروری، جستجوی جامع در اردیبهشت ماه سال 1398 با استفاده از بانک های اطلاعاتی PubMed، Science Direct، Google Scholar، Elsevier، Springer به هر دو زبان فارسی و انگلیسی آغاز شد و مقالات مربوط به بازه زمانی 2000 تا 2019 میلادی استخراج شد. برای استخراج مقالات از واژه های:Nneurofeedback Pain Treatment،Chronic Pain ، Musculoskeletal Chronic  Pain استفاده شد. در نهایت 850 مقاله یافت شد که با توجه به معیارهای ورود و خروج ده مقاله برای بررسی نهایی انتخاب شدند.
یافته ها: پس از بررسی کامل متن ده مقاله منتخب، نتایج آن ها در جدول 2 به صورت جزئی و در قسمت بحث به طور کامل تشریح شدند.
نتیجه گیری: به نظر می رسد که تمرینات نوروفیدبک به کاهش شدت درد ادارکی منجر می شود، اما علت اصلی درد در این گروه از بیماران را درمان نکرده و فقط واکنش به پردازش حس درد را تعدیل می‌کند. در نتیجه، به نظر می رسد ترکیب تمرینات نوروفیدبک و تمرینات توانبخشی به صورت توام در بهبود علائم این گروه از بیماران اثربخشی بیشتری داشته باشد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness Of Neurofeedback Exercises On Musculoskeletal Chronic Pain Reduction: A Review Study

نویسندگان [English]

  • Mohamadreza Ahmadi 1
  • Ali Yalfani 2
  • Farzaneh Gandomi 3
  • khosro Rashid 2

1 M.Sc., Bu Ali Sian University, Hamadan, Iran

2 Associate Professor, Bu Ali Sian University, Hamadan, Iran

3 Assistant Professor, Razi University, Kermanshah, Iran

چکیده [English]

Introduction: Chronic pain refers to persistent and long-lasting pain that extends beyond normal range and over 6 months. The most commonly used therapies, such as analgesia, have not been successful in significantly reducing the severity of chronic pain; thus, neurofeedback training is a new approach to the treatment of chronic musculoskeletal pain with better efficacy than other interventions. The purpose of this review article is to investigating effectiveness of neurofeedback exercises in chronic musculoskeletal pain reduction.
Materials & Methods: The search articles from databases Pubmed, Science Direct, Elsevier, and Springer to language both english and persian began and articles from 2000 up to 2019 were extracted. To extract the articles, we used neurofeedback pain treatment, chronic pain, and musculoskeletal chronic pain key word. 850 articles were found and after reviewing the abstract, titles and considering the main subject of the present study and criteria inclusion and exclusion, 10 article were selected for final investigating.
Results: After reviewing 10 article related selected, the results of those articles are described as detail in table 2 and full in section discussion.
Conclusion: Neurofeedback training appears to reduce perceived pain severity, but does not treat the cause of pain in this group of patients, rather modulates the response to pain processing. As a result appears, combination of neurofeedback interventions and rehabilitation exercises be more effective in improving the symptoms of this group of patients.

کلیدواژه‌ها [English]

  • Neurofeedback Pain Treatment
  • Chronic Pain
  • Musculoskeletal Chronic Pain
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مجله علوم پزشکی پارس
دوره 18، شماره 1 - شماره پیاپی 51
فروردین 1399
صفحه 33-40