Miega traucējumu izvērtēšana saistībā ar hroniskām muguras lejas daļas sāpēm pieaugušajiem: sistemātisks literatūras pārskats
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Date
2022
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Darba nosaukums: Miega traucējumu izvērtēšana saistībā ar hroniskām muguras lejas daļas sāpēm pieaugušajiem: sistemātisks literatūras pārskats.
Pētījuma mērķis: Izvērtēt miega traucējumus saistībā hroniskām muguras lejas daļas sāpēm pieaugušajiem, un noteikt efektīvāko metodi sāpju un miega traucējumu mazināšanai.
Pētījuma metodes: Izmantotās datubāzes - Research Gate, PEDRO, Science Direct, ProQuest SAGE, BMJ Journals. Izmantotie atslēgas vārdi – “chronic low back pain” AND sleep AND rehabilitation or education or functional disorder or physiotherapy. Sistemātiskajā literatūras apskatā tika iekļauti pētījumi, kuri publicēti pēdējo 10 gadu laikā ( 2012 -2022), pieejami pilnā tekstā angļu valodā un atbilst iekļaušanas un izslēgšanas kritērijiem. Pētījumu atlase notika pēc PRISMA shēmas. Iekļauto pētījumu kvalitātes izvērtējums veikts pielietojot PEDro skalu.
Rezultāti: Sistemātiskajā literatūras apskatā tika iekļauti trīs randomizēti kontrolēti pētījumi. Visi pētījumi atbilda labai pētījumu kvalitātei ( 6 un 7 punkti) pēc PEDro skalas. Tajos tika pētīta pacientu ar hroniskām muguras lejas daļas sāpēm un miega traucējumiem uzlabojumi veicot konkrētus vingrojumus, fiziskās aktivitātes. Pētījumus varēja savā starpā salīdzināt un analizēt saistībā ar miega traucējumiem un sāpju mazināšanu pacientiem ar hroniskām muguras lejas daļas sāpēm un miega traucējumiem.
Secinājumi: Sistemātiskajā pārskatā iekļauti trīs augstas klases randomizēti kontrolēti pētījumi. Var secināt, ka vingrojumi, fiziskās aktivitātes, ko veica pacienti ar hroniskām muguras lejas daļas sāpēm un miega traucējumiem mazināja sāpju intensitāti un uzlaboja miega kvalitāti, un šie rādītāji bija statiski nozīmīgi. Ņemot vērā, ka pētījumos bija dažādas pielietotās metodes pacientiem, nav iespējams noteikt efektīvāko metodi. Nākotnē būtu nepieciešams turpināt pētījumus par pacientu ar hroniskām muguras lejas daļas sāpēm un miega traucējumiem izvērtēšanu un konkrētu metožu pielietošanu, jo šī ir ļoti aktuāla problēma, bet pieejamo pētījumu skaits ir mazs.
Title: Assessment of sleep disturbances associated with chronic low back pain in adults: a systematic literature review. Objective: Research and compile available literature about assessment for patient with sleep disorders and chronic low back pain and identify the most effective method for reducing pain and sleep disturbances. Methods: Used databases - Research Gate, PEDRO, Science Direct, ProQuest, SAGE, BMJ Journals. Used key words - – “chronic low back pain” AND sleep AND rehabilitation or education or functional disorder or physiotherapy. In systematic literature review there were included studies, which were published in the last 10 years (2012-2022), fully available in English and correspond inclusion and exclusion criteria. Study was performed according to PRISMA guidelines. Evaluation of the studies included using PEDro scale. Results: In systematic literature review there were included three randomized controlled trials. All studies corresponded to good quality (6 and 7 points) by PEDro scale. In included studies there were researched improvements of physical activities in patients with chronic low back pain and sleep disturbances. The studies could be compared and analysed in relation to sleep disturbances and pain relief in patients with chronic low back pain and sleep disturbances. Conclusion: In systematic literature review there were included three high class randomized controlled trials. It can be concluded that exercises, physical activities performed by patients with chronic low back pain and sleep disturbances reduced pain intensity and improved sleep quality, and these indicators were statistically significant. Due to the different methods used in the studies in patients, it is not possible to determine the most effective method. Further research into the evaluation of patients with chronic low back pain and sleep disturbances and the use of specific methods would be necessary, as this is a very ongoing issue but the number of studies available is low.
Title: Assessment of sleep disturbances associated with chronic low back pain in adults: a systematic literature review. Objective: Research and compile available literature about assessment for patient with sleep disorders and chronic low back pain and identify the most effective method for reducing pain and sleep disturbances. Methods: Used databases - Research Gate, PEDRO, Science Direct, ProQuest, SAGE, BMJ Journals. Used key words - – “chronic low back pain” AND sleep AND rehabilitation or education or functional disorder or physiotherapy. In systematic literature review there were included studies, which were published in the last 10 years (2012-2022), fully available in English and correspond inclusion and exclusion criteria. Study was performed according to PRISMA guidelines. Evaluation of the studies included using PEDro scale. Results: In systematic literature review there were included three randomized controlled trials. All studies corresponded to good quality (6 and 7 points) by PEDro scale. In included studies there were researched improvements of physical activities in patients with chronic low back pain and sleep disturbances. The studies could be compared and analysed in relation to sleep disturbances and pain relief in patients with chronic low back pain and sleep disturbances. Conclusion: In systematic literature review there were included three high class randomized controlled trials. It can be concluded that exercises, physical activities performed by patients with chronic low back pain and sleep disturbances reduced pain intensity and improved sleep quality, and these indicators were statistically significant. Due to the different methods used in the studies in patients, it is not possible to determine the most effective method. Further research into the evaluation of patients with chronic low back pain and sleep disturbances and the use of specific methods would be necessary, as this is a very ongoing issue but the number of studies available is low.
Description
Fizioterapija
Physiotherapy
Veselības aprūpe
Health Care
Physiotherapy
Veselības aprūpe
Health Care
Keywords
“chronic low back pain” AND sleep AND rehabilitation or education or functional disorder or physiotherapy, “chronic low back pain” AND sleep AND rehabilitation or education or functional disorder or physiotherapy