The effectiveness of physiotherapy interventions on pain and quality of life in adults with persistent post-surgical pain compared to usual care: A systematic review


Autoři: Aleisha Robinson aff001;  Jenna McIntosh aff001;  Hamish Peberdy aff001;  David Wishart aff001;  Georgia Brown aff001;  Henry Pope aff001;  Saravana Kumar aff001
Působiště autorů: University of South Australia, Adelaide, South Australia, Australia aff001
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
doi: 10.1371/journal.pone.0226227

Souhrn

Background

Persistent post-surgical pain (PPSP) is a common condition following surgery, resulting in persistent pain and reduced quality of life (QoL). While pharmacological management is common, its effectiveness remains equivocal. This systematic review investigated the effectiveness of physiotherapy management in adults with PPSP in comparison to usual care.

Methods

A systematic search of six electronic databases was conducted. Studies of human adults (>18 years) with PPSP localised or directly referred from the surgical site, pain persisting for at least two months post-surgery and with physiotherapy as the intervention were included. This review was conducted and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The McMaster critical review form for quantitative studies was utilised to assess the methodological quality. A descriptive synthesis was undertaken due to the heterogeneity of the included studies.

Results

Of the 1395 articles that were screened, eight studies met the inclusion criteria. A diverse range of physiotherapy interventions were utilised, and effectiveness was measured through diverse outcomes and measures. Summarised findings from the heterogenous evidence base indicated that physiotherapy interventions for PPSP has a positive impact across a range of outcomes, including pain, quality of life (QoL), physical function and depression. While these are encouraging findings, the current evidence base lacks uniformity with regards to participant characteristics, time periods since diagnosis, interventions delivered, and its parameters, and outcomes measured.

Conclusion

Due to ongoing challenges in the management of PPSP, alternate treatment strategies such as physiotherapy are being trialled. Despite a number of methodological constraints, current evidence indicates that physiotherapy could play a role in the management of PPSP.

PROSPERO registration

CRD42019129580

Klíčová slova:

Comparators – Database searching – Depression – Exercise therapy – Physiotherapy – Sports and exercise medicine – Surgical and invasive medical procedures – Systematic reviews


Zdroje

1. Correll D. Chronic postoperative pain: recent findings in understanding and management. F1000 research. 2017; 4(6); 1054. doi: 10.12688/f1000research.11101.1 28713565

2. Wang MJ, Lin FH, Jin YH. Acute Post surgical Pain may result in chronic post surgical pain: A systematic review and meta analysis. Pakistan Journal of Medical Sciences. 2015; 31(4); 833–836. doi: 10.12669/pjms.314.7555 26430413

3. Thapa P, Euasobhon P. Chronic postsurgical pain: current evidence for prevention and management. The Korean Journal of Pain. 2018; 31(3); 155–173. doi: 10.3344/kjp.2018.31.3.155 30013730

4. Werner MU, Kongsgaard UE. Defining persistent post-surgical pain: is an update required? British Journal of Anaesthesia. 2014; 113(1); 1–4. doi: 10.1093/bja/aeu012 24554546

5. Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain: risk factors and prevention. The Lancet. 2006; 367(9522); 1618–1625. doi: 10.1016/S0140-6736(06)68700-X 16698416

6. Guertin JR, Page MG, Tarride JE, Talbot D, Watt-Watson J and Choiniere M. Just how much does it cost? A cost study of chronic pain following cardiac surgery. Journal of Pain Research. 2018; 11; 2741–2759. doi: 10.2147/JPR.S175090 30519078

7. Lavand’homme P, Pogatzki-Zahn E. Chronic Post-surgical Pain [internet]. International Association for the Study of Pain. 2017. [Cited 2019 May 10] Available from: http://s3.amazonaws.com/rdcms-iasp/files/production/public/2017GlobalYear/FactSheets/4.%20Chronic%20Postsurgical%20Pain.LavandHomme-Zahn-EE_1485789834697_3.pdf

8. Wang L, Guyatt GH, Kennedy A, Romerosa B, Kwon HY, Kaushal A, et al. Predictors of persistent pain after breast cancer surgery: a systematic review and meta-analysis of observational studies. Canadian Medical Association Journal. 2016; 188(14); 352–361. doi: 10.1503/cmaj.151276 27402075

9. Neil MJ, Macrae WA. Post surgical pain- the transition from acute to chronic pain. Reviews in Pain. 2009; 3(2); 6–9. doi: 10.1177/204946370900300203 26525230

10. Anderson KG, Kehlet H. Persistent pain after breast cancer treatment: A critical review of risk factors and strategies for prevention. The Journal of Pain. 2011; 12(7); 725–746. doi: 10.1016/j.jpain.2010.12.005 21435953

11. Hinrichs-Rocker A, Schulz K, Jarvinen I, Lefering R, SImanski C, Neugebauer EA. Psychosocial predictors and correlates for chronic post-surgical pain (CPSP)- A systematic review. European Journal of Pain. 2012; 13(7); 719–730. doi: 10.1016/j.ejpain.2008.07.015 18952472

12. Powell R, Johnston M, Smith WC, King PM, Chambers WA, Krukowski Z, et al. Psychological risk factors for chronic post-surgical pain after inguinal hernia repair surgery: A prospective cohort study. European Journal of Pain. 2012; 16(4); 600–610. doi: 10.1016/j.ejpain.2011.08.010 22396088

13. Geiss A, Rohleder N, Kirschbaum C, Steinbach K, Bauer HW, Anton F. Predicting the failure of disc surgery by a hypofunctional HPA axis: evidence from a prospective study on patients undergoing disc surgery. Pain. 2005; 114(1–2); 104–117. doi: 10.1016/j.pain.2004.12.007 15733636

14. Honerlaw KR, Rumble ME, Rose SL, Coe CL, Costanzo ES. Biopsychosocial predictors of pain among women recovering from surgery for endometrial cancer. Gynecologic Oncology. 2016; 140(2); 301–306. doi: 10.1016/j.ygyno.2015.09.005 26363211

15. Graziottin A, Skaper SD, Fusco M. Mast cells in chronic inflammation, pelvic pain and depression in women. Gynecological Endocrinology. 2014; 30(7); 472–477. doi: 10.3109/09513590.2014.911280 24811097

16. Guastella V, Mick G, Soriano C, Vallet L, Escande G, Dubray C, et al. A prospective study of neuropathic pain induced by thoracotomy: incidence, clinical description and diagnosis. Pain. 2011; 152(1); 74–81; doi: 10.1016/j.pain.2010.09.004 21075523

17. Wylde V, Dennis J, Beswick AD, Bruce J, Eccleston C, Howells N, et al. Systematic review of management of chronic pain after surgery. British Journal of Surgery. 2017; 104(10); 1293–1306. doi: 10.1002/bjs.10601 28681962

18. Chaparro LE, Smith SA, Moore RA, Wiffen PJ, Gilron I. Pharmacotherapy for the prevention of chronic pain after surgery. Cochrane Database of Systematic reviews. 2013; 7. doi: 10.1002/14651858.CD003766.pub5 23881791

19. Andreae MH, Andreae DA. Regional anaesthesia to prevent chronic pain after surgery: a Cochrane systematic review and meta-analysis. British Journal of Anaesthesia. 2013; 111(5); 711–720. doi: 10.1093/bja/aet213 23811426

20. Humble SR, Dalton AJ, Li L. A systematic review of therapeutic interventions to reduce acute and chronic post-surgical pain after amputation, thoracotomy or mastectomy. European Journal of Pain. 2015; 19(4); 451–465. doi: 10.1002/ejp.567 25088289

21. Hakeem A, Shanmugam V. Current trends in the diagnosis and management of post-herniorraphy chronic groin pain. World Journal of Gastrointestinal surgery. 2011; 3(6); 73–81. doi: 10.4240/wjgs.v3.i6.73 21765970

22. Bailey JC, Kurklinsky S, Sletten CD, Osborne MD. The effectiveness of an intensive interdisciplinary pain rehabilitation program in the treatment of post-laminectomy syndrome in patients who have failed spinal cord stimulation. Pain medicine. 2018; 19(2); 385–392. doi: 10.1093/pm/pnx060 28402524

23. Bjersa K, Sachs C, Hyltander A, Olsen MF. Osteopathic intervention for chronic pain, remaining thoracic stiffness and breathing impairment after thoracoabdominal oesophagus resection: A single subject design study. International Journal of Osteopathic Medicine. 2013; 16(2); 68–80.

24. Pfister DG, Cassileth BR, Deng GE, Yeung KS, Lee JS, Garrity D, et al. Acupuncture for pain and dysfunction after neck dissection: results of a randomised controlled trial. Journal of Clinical Oncology. 2010; 28(15); 2565–2570. doi: 10.1200/JCO.2009.26.9860 20406930

25. Albayrak I, Apiliogullari S, Dal CN, Levendoglu F, Ozerbil OM. Efficacy of pulsed radiofrequency therapy to dorsal root ganglion adding to TENS and exercise for persistent pain after total knee arthoplasty. Journal of Knee Surgery. 2017; 30(2); 134–142. doi: 10.1055/s-0036-1583268 27123667

26. Nunez-Cortes R, Cruz-Montecinos C, Vasquez-Rosel A, Paredes-Molina O, Cuesta-Vargas A. Dry needling combined with physical therapy patients with chronic postsurgical pain following total knee arthroplasty: A case series. The Journal of Orthopaedic and Sports Physical Therapy. 2017; 47(3); 209–216. doi: 10.2519/jospt.2017.7089 28158960

27. Vas L Khandagale N, Pai R. Successful management of chronic postsurgical pain following total knee replacement. Pain Medicine. 2014; 15(10); 1781–1785. doi: 10.1111/pme.12508 25132412

28. Pons T, Shipton EA. Multilevel lumbar fusion and postoperative physiotherapy rehabilitation in a patient with persistent pain. Physiotherapy Theory and Practice. 2011; 27(3); 238–245. doi: 10.3109/09593985.2010.483268 20690876

29. Wong YY, Smith RW, Koppenhaver S. Soft tissue mobilization to resolve chronic pain and dysfunction associated with postoperative abdominal and pelvic adhesions: A case report. The Journal of Orthopaedic and Sports Physical Therapy. 2015; 45(12); 1006–1016. doi: 10.2519/jospt.2015.5766 26471853

30. National Health and Medical Research Council. NHMRC additional levels of evidence and grades for recommendations for developers of guidelines. Australia: NHMRC Australian Government; 2009. [Cited 2019 May 10] Available from: http://citeseerx.ist.psu.edu/viewdoc/download;jsessionid=AEFFDA62A5245D6D07F060B56789ED5A?doi=10.1.1.177.4984&rep=rep1&type=pdf

31. Law M, Stewart D, Pollock N, Letts L, Bosch J, Westmorland M. Critical Review Form–Quantitative Studies. Occupational Therapy Evidence-Based Practice Research Group. Canada: McMaster University. 1998. [Cited 2019 May 15].

32. Hillier S, Grimmer-Somers K, Merlin T, Middleton P, Salisbury J, Tooher R, et al. FORM: an Australian method for formulating and grading recommendations in evidence-based clinical guidelines. BMC Medical Research Methodology. 2011; 11(23); 1–8. doi: 10.1186/1471-2288-11-23 21356039

33. Dars S, Uden H, Banwell HA, Kumar S. The effectiveness of non-surgical intervention (foot orthoses) for paediatric flexible pes planus: a systematic review: update. PLoS One. 2018; 13(2); 1–17. doi: 10.1371/journal.pone.0193060 29451921

34. Machotka Z, Scarborough I, Duncan W, Kumar S, Perraton L. Anterior cruciate ligament repair with LARS (ligament advanced reinforcement system): a systematic review. Sports Medicine Arthroscopy, Rehabilitation, Therapy & Technology. 2010; 2(1); 1–10. 21138589

35. Mortimer R, Privopoulos M, Kumar S. The effectiveness of hydrotherapy in the treatment of social and behavioural aspects of children with autism spectrum disorders: a systematic review. Journal of Multidisciplinary Healthcare. 2014; 7(1); 93–104. doi: 10.2147/JMDH.S55345 24520196

36. Ginnerup-Nielsen E, Christensen R, Thorborg K, Tarp S, Heniksen M. Physiotherapy for pain: a meta-epidemiologial study of randomised trials. British Journal of Sports Medicine. 2016; 50(16); 965–971. doi: 10.1136/bjsports-2015-095741 27015855

37. Smart KM, Wand BM, O’Connell NE. Physiotherapy for pain and disability in adults with complex regional pain syndrome (CRPS) types I and II. The Cochrane Database of Systematic Reviews. 2016; 2. doi: 10.1002/14651858.CD010853.pub2 26905470

38. Atalay OT, Özkir A Çalik BB, Baskan E, Taşkin H. Effects of phase I complex decongestive physiotherapy on physical functions and depression levels in breast cancer related lymph edema. Journal of Physical Therapy Science. 2015; 27(3); 865–870. doi: 10.1589/jpts.27.865 25931748

39. Chukhraev N, Vladimirov A, Zukow W, Chukhraiyeva О, Levkovskaya V. Combined Physiotherapy of anxiety and depression disorders in dorsopathy patients. Journal of Physical Education and Sport. 2017; 17(1); 414–417.

40. Van Haren IE, Timmerman H, Potting CM, Blijlevens NM, Staal JB, Nijhuis-van der Sanden MW. Physical exercise for patients undergoing hematopoietic stem cell transplantation: systematic review and mata-analyses of randomized controlled trials. Physical Therapy. 2013; 93(4); 514–528. doi: 10.2522/ptj.20120181 23224217

41. Bize R, Johnson JA, Plotnikoff RC. Physical activity level and health-related quality of life in the general adult population: a systematic review. Preventive Medicine. 2007; 45(6); 401–415. doi: 10.1016/j.ypmed.2007.07.017 17707498

42. Jayakody K, Gunadasa S, Hosker C. Exercise for anxiety disorders: systematic review. British Journal of Sports Medicine. 2014; 48(3); 187–196. doi: 10.1136/bjsports-2012-091287 23299048

43. Cooney GM, Dwan K, Greig CA, Lawlor DA, Rimer J, Waugh FR, et al. Exercise for depression. The Cochrane Database of Systematic Reviews. 2013; 12(9). doi: 10.1002/14651858.CD004366.pub6 24026850

44. Ministry of health, social services and equality, galician agency for health technology assessment (avalia-t) (ES). Clinical Practice Guideline on the Management of Depression in Adults 2014 [internet]. Spain: Ministry of health, social services and equality. [Cited 2019 May 15] 236p. Available from: www.guiasalud.es/GPC/GPC_534_Depresion_Adulto_Avaliat_compl_en.pdf

45. Pyszora A, Budzynski J, Wojcik A, Prokop A, Krajnik M. Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial. Supportive Care in Cancer. 2017; 25(9); 2899–2908. doi: 10.1007/s00520-017-3742-4 28508278

46. Hodgson CL, Tipping CJ. Physiotherapy management of intensive care unit-acquired weakness. Journal of Physiotherapy. 2017; 63(1); 4–10. doi: 10.1016/j.jphys.2016.10.011 27989729

47. Chou CH, Hwang CL, Wu YT. Effect of exercise on physical function, daily living activities, and quality of life in the frail older adults: A meta-analysis. Archives of Physical Medicine and Rehabilitation. 2012; 93(2); 237–244. doi: 10.1016/j.apmr.2011.08.042 22289232


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