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Лечение неспецифической торакалгии с использованием стандартной и комплексной терапии
Лечение неспецифической торакалгии с использованием стандартной и комплексной терапии
Баринов А.Н., Яковлева Е.В. Лечение неспецифической торакалгии с использованием стандартной и комплексной терапии. Consilium Medicum. 2024;26(11):763–766. DOI: 10.26442/20751753.2024.11.202821
© ООО «КОНСИЛИУМ МЕДИКУМ», 2024 г.
© ООО «КОНСИЛИУМ МЕДИКУМ», 2024 г.
________________________________________________
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Аннотация
Обоснование. При хронической неспецифической торакалгии (ХНТ) широко используются нестероидные противовоспалительные препараты, миорелаксанты, массаж, физиотерапевтические процедуры (стандартная терапия – СТ). Более эффективна при ХНТ комплексная терапия (КТ), включающая дополнительно персонализированную кинезиотерапию, психологические методы лечения и введение анестетиков и кортикостероидов в область выявленных источников боли.
Цель. Сравнить эффективность СТ и КТ при ХНТ.
Материалы и методы. Наблюдались 104 пациента с ХНТ, из них у 52 пациентов (19 мужчин и 33 женщины, средний возраст – 49±14,6 года) применялась СТ, у 52 пациентов (20 мужчин и 32 женщины, средний возраст составил 47±15,8 года) – КТ. Интенсивность боли оценивали по цифровой рейтинговой шкале, наличие психических расстройств – по Госпитальной шкале тревоги и депрессии (HADS), функциональное состояние – по опроснику Освестри, качество жизни – по опроснику SF-12.
Результаты. Через 6 мес терапии наблюдались: снижение интенсивности боли по цифровой рейтинговой шкале с 6,32±0,48 до 3,53±1,9 балла в группе СТ и с 6,64±0,75 до 2,67±3,2 балла в группе КТ (p<0,001), уменьшение выраженности депрессии по шкале HADS с 7,78±0,46 до 6,36±2,6 балла в группе СТ и с 7,69±3,4 до 5,83±3,4 балла в группе КТ (p<0,001), уменьшение выраженности тревожности по шкале HADS с 10,47±0,63 до 7,63±2,5 балла в группе СТ с 10,53±0,58 до 6,42±4,2 балла в группе КТ (p<0,001), уменьшение функциональных нарушений по шкале Освестри с 41,14±0,78 до 22,07±14,2% в группе СТ и с 40,91±0,56 до 19,1±17,4% – в группе КТ (p<0,001), повышение качества жизни по опроснику SF-12 с 35,01±0,84 до 19,3±21,2 балла в группе СТ и с 35,12±0,03 до 13,7±9,8 балла в группе КТ (p<0,001).
Заключение. При ХНТ КТ в сравнении с СТ существенно уменьшает боль, улучшает функциональное и эмоциональное состояние пациентов, повышает качество жизни. Рекомендуется широкое внедрение КТ ХНТ в реальную клиническую практику.
Ключевые слова: скелетно-мышечная боль, хроническая неспецифическая торакалгия, нестероидные противовоспалительные средства, кинезиотерапия, комплексная терапия
Aim. To compare the effectiveness of ST and CT for patients with CWPS.
Materials and methods. One hundred four patients with CWPS were observed, of which 52 patients (19 men and 33 women, 49±14.6 y.o.) received ST, 52 patients (20 men and 32 women, 47±15.8 y.o.) received CT. Pain intensity was assessed using a digital rating scale, the presence of mental disorders – according the Hospital Anxiety and Depression Scale (HADS), functional status – according to the Oswestry questionnaire, quality of life – according to the SF-12 questionnaire.
Results. After 6 months of therapy, the decreases were observed in the intensity of pain from 6.32±0.48 to 3.53±1.9 points in the ST group and from 6.64±0.75 to 2.67±3.2 points in the CT group (p<0.001). A decrease in the severity of depression on the HADS scale from 7.78±0.46 to 6.36±2.6 points in the ST group and from 7.69±3.4 to 5.83±3.4 points in the CT group (p<0.001). A decrease in the severity of anxiety on the HADS scale from 10.47±0.63 to 7.63±2.5 points in the ST group from 10.53±0.58 to 6.42±4.2 points in the CT group (p<0.001). Reduction of functional disorders on the Oswestry scale from 41.14±0.78 to 22.07±14.2% in the ST group and from 40.91±0.56 to 19.1±17.4% in the CT group (p<0.001). Improvement of the quality of life according to the SF-12 questionnaire from 35.01±0.84 to 19.3±21.2 points in the ST group and up to 35.12±0.03 to 13.7±9.8 points in the CT group (p<0.001).
Conclusion. CT in comparison with ST reduces pain more significantly, improves the functional and emotional state of patients, and improves the quality of life. Widespread introduction of CT CWPS into real clinical practice is recommended.
Keywords: musculoskeletal pain, chronic chest wall pain syndrome, nonsteroidal anti-inflammatory drugs, kinesiotherapy, complex therapy
Цель. Сравнить эффективность СТ и КТ при ХНТ.
Материалы и методы. Наблюдались 104 пациента с ХНТ, из них у 52 пациентов (19 мужчин и 33 женщины, средний возраст – 49±14,6 года) применялась СТ, у 52 пациентов (20 мужчин и 32 женщины, средний возраст составил 47±15,8 года) – КТ. Интенсивность боли оценивали по цифровой рейтинговой шкале, наличие психических расстройств – по Госпитальной шкале тревоги и депрессии (HADS), функциональное состояние – по опроснику Освестри, качество жизни – по опроснику SF-12.
Результаты. Через 6 мес терапии наблюдались: снижение интенсивности боли по цифровой рейтинговой шкале с 6,32±0,48 до 3,53±1,9 балла в группе СТ и с 6,64±0,75 до 2,67±3,2 балла в группе КТ (p<0,001), уменьшение выраженности депрессии по шкале HADS с 7,78±0,46 до 6,36±2,6 балла в группе СТ и с 7,69±3,4 до 5,83±3,4 балла в группе КТ (p<0,001), уменьшение выраженности тревожности по шкале HADS с 10,47±0,63 до 7,63±2,5 балла в группе СТ с 10,53±0,58 до 6,42±4,2 балла в группе КТ (p<0,001), уменьшение функциональных нарушений по шкале Освестри с 41,14±0,78 до 22,07±14,2% в группе СТ и с 40,91±0,56 до 19,1±17,4% – в группе КТ (p<0,001), повышение качества жизни по опроснику SF-12 с 35,01±0,84 до 19,3±21,2 балла в группе СТ и с 35,12±0,03 до 13,7±9,8 балла в группе КТ (p<0,001).
Заключение. При ХНТ КТ в сравнении с СТ существенно уменьшает боль, улучшает функциональное и эмоциональное состояние пациентов, повышает качество жизни. Рекомендуется широкое внедрение КТ ХНТ в реальную клиническую практику.
Ключевые слова: скелетно-мышечная боль, хроническая неспецифическая торакалгия, нестероидные противовоспалительные средства, кинезиотерапия, комплексная терапия
________________________________________________
Aim. To compare the effectiveness of ST and CT for patients with CWPS.
Materials and methods. One hundred four patients with CWPS were observed, of which 52 patients (19 men and 33 women, 49±14.6 y.o.) received ST, 52 patients (20 men and 32 women, 47±15.8 y.o.) received CT. Pain intensity was assessed using a digital rating scale, the presence of mental disorders – according the Hospital Anxiety and Depression Scale (HADS), functional status – according to the Oswestry questionnaire, quality of life – according to the SF-12 questionnaire.
Results. After 6 months of therapy, the decreases were observed in the intensity of pain from 6.32±0.48 to 3.53±1.9 points in the ST group and from 6.64±0.75 to 2.67±3.2 points in the CT group (p<0.001). A decrease in the severity of depression on the HADS scale from 7.78±0.46 to 6.36±2.6 points in the ST group and from 7.69±3.4 to 5.83±3.4 points in the CT group (p<0.001). A decrease in the severity of anxiety on the HADS scale from 10.47±0.63 to 7.63±2.5 points in the ST group from 10.53±0.58 to 6.42±4.2 points in the CT group (p<0.001). Reduction of functional disorders on the Oswestry scale from 41.14±0.78 to 22.07±14.2% in the ST group and from 40.91±0.56 to 19.1±17.4% in the CT group (p<0.001). Improvement of the quality of life according to the SF-12 questionnaire from 35.01±0.84 to 19.3±21.2 points in the ST group and up to 35.12±0.03 to 13.7±9.8 points in the CT group (p<0.001).
Conclusion. CT in comparison with ST reduces pain more significantly, improves the functional and emotional state of patients, and improves the quality of life. Widespread introduction of CT CWPS into real clinical practice is recommended.
Keywords: musculoskeletal pain, chronic chest wall pain syndrome, nonsteroidal anti-inflammatory drugs, kinesiotherapy, complex therapy
Полный текст
Список литературы
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19. Richmond H, Hall AM, Copsey B, et al. The Effectiveness of Cognitive Behavioural Treatment for Non-Specific Low Back Pain: A Systematic Review and Meta-Analysis. PLoS One. 2015;10(8):e0134192. DOI:10.1371/journal.pone.0134192
20. Magalhães MO, Comachio J, Ferreira PH, et al. Effectiveness of graded activity versus physiotherapy in patients with chronic nonspecific low back pain: midterm follow up results of a randomized controlled trial. Braz J Phys Ther. 2018;22(1):82-91. DOI:10.1016/j.bjpt.2017.07.002
21. Feher R. A comparison of usual care physiotherapy, a pedometer-based walking intervention and a combination of both to treat patients suffering from nociceptive or neuropathic chronic lower back pain: A Randomised Controlled Trial. University of Bath, 2021. Available at: https://researchportal.bath.ac.uk/en/studentTheses/a-comparison-of-usual-carephysiotherapy-a-pedomet.... Accessed: 27.05.2024.
22. Williams ACC, Fisher E, Hearn L, Eccleston C. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst Rev. 2020;8(8):CD007407. DOI:10.1002/14651858.CD007407.pub4
23. Парфенов В.А., Ламкова И.А. Эффективность кинезиотерапии при хронической неспецифической люмбалгии. Анналы клинической и экспериментальной неврологии. 2021;15(3):35-42 [Parfenov VA, Lamkova IA. Effectiveness of kinesiotherapy in chronic non-specific low back pain. Annals of Clinical and Experimental Neurology. 2021;15(3):35-42 (in Russian)]. DOI:10.54101/ACEN.2021.3.4
24. Hung CI, Liu CY, Fu TS. Depression: an important factor associated with disability among patients with chronic low back pain. Int J Psychiatry Med. 2015;49(3):187-98. DOI:10.1177/0091217415573937
25. Chambers JB, Marks EM, Russell V, Hunter MS. A Multidisciplinary, Biopsychosocial Treatment for Non-Cardiac Chest Pain. Int J Clin Pract. 2015;69(9):922-7. DOI:10.1111/ijcp.12533
26. Cherkin DC, Sherman KJ, Balderson BH, Cook AJ. Effects of mindfulness-based stress reduction vs cognitive-behavioral therapy and usual care on back pain and functional limitations among adults with chronic low back pain: A randomized clinical trial. JAMA. 2016;315(12):124-9. DOI:10.1001/jama.2016.2323
27. Fitzcharles MA, Cohen SP, Clauw DJ, et al. Nociplastic pain: towards an understanding of prevalent pain conditions. Lancet. 2021;397(10289):2098-110.
DOI:10.1016/S0140-6736(21)00392-5
2. Parfenov VA, Yakhno NN, Davydov OS, et al. Chronic nonspecific (musculoskeletal) low back pain. Guidelines of the Russian Society for the Study of Pain (RSSP). Neurology, Neuropsychiatry, Psychosomatics. 2019;11(2S):7-16 (in Russian). DOI:10.14412/2074-2711-2019-2S-7-16
3. Hawker GA. The assessment of musculoskeletal pain. Clin Exp Rheumatol. 2017;35 Suppl. 107(5):8-12.
4. Golovacheva VA, Golovacheva AA, Parfenov VA. Management of patients with subacute back pain: how to effectively prevent chronicity. Neurology, Neuropsychiatry, Psychosomatics. 2022;14(4):62-7 (in Russian). DOI:10.14412/2074-2711-2022-4-62-67
5. Golovacheva VA, Tabeeva GR, Golovacheva AA. Non-specific low back pain: principles and algorithms for successful management of patients in real clinical practice. Neurology, Neuropsychiatry, Psychosomatics. 2023;15(3):85-94 (in Russian). DOI:10.14412/2074-2711-2023-3-85-94
6. Sletten CD, Kurklinsky S, Chinburapa V, Ghazi S. Economic analysis of a comprehensive pain rehabilitation program: a collaboration between Florida Blue and Mayo Clinic Florida. Pain Med. 2015;16(5):898-904. DOI:10.1111/pme.12679
7. Iakhno NN. Bol, prakticheskoe rukovodstvo. Moscow: MEDpress-inform, 2022 (in Russian).
8. Bakhtadze MA, Lusnikova IV, Kanaev SP, Rasstrigin SN. Low back pain: which scales and questionnaires are preferable? Russian Journal of Pain. 2020;18(1):22‑8 (in Russian). DOI:10.17116/pain20201801122
9. Shkaly testy i oprosniki v meditsinskoi reabilitatsii: Rukovodstvo dlia vrachei i nauchnykh rabotnikov. Pod red. AN Belovoi, ON Shchepetovoi. Moscow: Antidor, 2002 (in Russian).
10. Jenkinson C, Layte R, Jenkinson D. A shorter form health survey: can the SF-12 replicate results from the SF-36 in longitudinal studies? J Public Health Med.
1997;19(2):79-86. DOI:10.1093/oxfordjournals.pubmed.a024606
11. Herrmann C. International experiences with the hospital anxiety and depression scale – A review of validation data and clinical results. J Psychosom Res. 1997;42(1):17-41. DOI:10.1016/s0022-3999(96)00216-4
12. Kamper SJ, Apeldoorn AT, Chiarotto A, et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain. Cochrane Database Syst Rev.
2014;(9):CD000963. DOI:10.1002/14651858.CD000963.pub3
13. Takahashi N, Omata JI, Iwabuchi M, et al. Therapeutic efficacy of nonsteroidal anti-inflammatory drug therapy versus exercise therapy in patients with chronic nonspecific low back pain: a prospective study. Fukushima J Med Sci. 2017;63(1):8-15. DOI:10.5387/fms.2016-12
14. Şengül M, Tekeli Şengül S. Efficacy of trigger point injection therapy in noncardiac chest pain: A randomized controlled trial. Turk J Phys Med Rehabil. 2024;70(1):98-104. DOI:10.5606/tftrd.2024.12716
15. Golovacheva AA, Golovacheva VA, Parfenov VA. Kinesiotherapy and non-steroidal anti-inflammatory drugs for nonspecific lumbago. Neurology, Neuropsychiatry, Psychosomatics. 2022;14(1):89-96 (in Russian). DOI:10.14412/2074-2711-2022-1-89-96
16. Van Beek MH, Oude Voshaar RC, Beek AM, et al. A brief cognitive-behavioral intervention for treating depression and panic disorder in patients with noncardiac chest pain: a 24-week randomized controlled trial. Depress Anxiety. 2013;30(7):670-8. DOI:10.1002/da.22106
17. Van Middelkoop M, Rubinstein SM, Verhagen AP, et al. Exercise therapy for chronic nonspecific low-back pain. Best Pract Res Clin Rheumatol. 2010;24(2):193-204. DOI:10.1016/j.berh.2010.01.002
18. Chou R, Deyo R, Friedly J, et al. Nonpharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline. Ann Intern Med. 2017;166(7):493-505. DOI:10.7326/M16-2459
19. Richmond H, Hall AM, Copsey B, et al. The Effectiveness of Cognitive Behavioural Treatment for Non-Specific Low Back Pain: A Systematic Review and Meta-Analysis. PLoS One. 2015;10(8):e0134192. DOI:10.1371/journal.pone.0134192
20. Magalhães MO, Comachio J, Ferreira PH, et al. Effectiveness of graded activity versus physiotherapy in patients with chronic nonspecific low back pain: midterm follow up results of a randomized controlled trial. Braz J Phys Ther. 2018;22(1):82-91. DOI:10.1016/j.bjpt.2017.07.002
21. Feher R. A comparison of usual care physiotherapy, a pedometer-based walking intervention and a combination of both to treat patients suffering from nociceptive or neuropathic chronic lower back pain: A Randomised Controlled Trial. University of Bath, 2021. Available at: https://researchportal.bath.ac.uk/en/studentTheses/a-comparison-of-usual-carephysiotherapy-a-pedomet.... Accessed: 27.05.2024.
22. Williams ACC, Fisher E, Hearn L, Eccleston C. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst Rev. 2020;8(8):CD007407. DOI:10.1002/14651858.CD007407.pub4
23. Parfenov VA, Lamkova IA. Effectiveness of kinesiotherapy in chronic non-specific low back pain. Annals of Clinical and Experimental Neurology. 2021;15(3):35-42 (in Russian). DOI:10.54101/ACEN.2021.3.4
24. Hung CI, Liu CY, Fu TS. Depression: an important factor associated with disability among patients with chronic low back pain. Int J Psychiatry Med. 2015;49(3):187-98. DOI:10.1177/0091217415573937
25. Chambers JB, Marks EM, Russell V, Hunter MS. A Multidisciplinary, Biopsychosocial Treatment for Non-Cardiac Chest Pain. Int J Clin Pract. 2015;69(9):922-7. DOI:10.1111/ijcp.12533
26. Cherkin DC, Sherman KJ, Balderson BH, Cook AJ. Effects of mindfulness-based stress reduction vs cognitive-behavioral therapy and usual care on back pain and functional limitations among adults with chronic low back pain: A randomized clinical trial. JAMA. 2016;315(12):124-9. DOI:10.1001/jama.2016.2323
27. Fitzcharles MA, Cohen SP, Clauw DJ, et al. Nociplastic pain: towards an understanding of prevalent pain conditions. Lancet. 2021;397(10289):2098-110.
DOI:10.1016/S0140-6736(21)00392-5
2. Парфенов В.А., Яхно Н.Н., Давыдов О.С., и др. Хроническая неспецифическая (скелетно-мышечная) поясничная боль. Рекомендации Российского общества по изучению боли (РОИБ). Неврология, нейропсихиатрия, психосоматика. 2019;11(2S):7-16 [Parfenov VA, Yakhno NN, Davydov OS, et al. Chronic nonspecific (musculoskeletal) low back pain. Guidelines of the Russian Society for the Study of Pain (RSSP). Neurology, Neuropsychiatry, Psychosomatics. 2019;11(2S):7-16 (in Russian)]. DOI:10.14412/2074-2711-2019-2S-7-16
3. Hawker GA. The assessment of musculoskeletal pain. Clin Exp Rheumatol. 2017;35 Suppl. 107(5):8-12.
4. Головачева В.А., Головачева А.А., Парфенов В.А. Ведение пациентов с подострой болью в спине: как эффективно предупредить хронизацию. Неврология, нейропсихиатрия, психосоматика. 2022;14(4):62-7 [Golovacheva VA, Golovacheva AA, Parfenov VA. Management of patients with subacute back pain: how to effectively prevent chronicity. Neurology, Neuropsychiatry, Psychosomatics. 2022;14(4):62-7 (in Russian)]. DOI:10.14412/2074-2711-2022-4-62-67
5. Головачева В.А., Табеева Г.Р., Головачева А.А. Неспецифическая боль в нижней части спины: принципы и алгоритмы успешного ведения пациентов в реальной клинической практике. Неврология, нейропсихиатрия, психосоматика. 2023;15(3):85-94 [Golovacheva VA, Tabeeva GR, Golovacheva AA. Non-specific low back pain: principles and algorithms for successful management of patients in real clinical practice. Neurology, Neuropsychiatry, Psychosomatics. 2023;15(3):85-94 (in Russian)].
DOI:10.14412/2074-2711-2023-3-85-94
6. Sletten CD, Kurklinsky S, Chinburapa V, Ghazi S. Economic analysis of a comprehensive pain rehabilitation program: a collaboration between Florida Blue and Mayo Clinic Florida. Pain Med. 2015;16(5):898-904. DOI:10.1111/pme.12679
7. Яхно Н.Н. Боль, практическое руководство. M.: МЕДпресс-информ, 2022 [Iakhno NN. Bol, prakticheskoe rukovodstvo. Moscow: MEDpress-inform, 2022 (in Russian)].
8. Бахтадзе М.А., Лусникова И.В., Канаев С.П., Расстригин С.Н. Боль в нижней части спины: какие шкалы и опросники выбрать? Российский журнал боли. 2020;18(1):22-8 [Bakhtadze MA, Lusnikova IV, Kanaev SP, Rasstrigin SN. Low back pain: which scales and questionnaires are preferable? Russian Journal of Pain. 2020;18(1):22‑8 (in Russian)]. DOI:10.17116/pain20201801122
9. Шкалы, тесты и опросники в медицинской реабилитации: Руководство для врачей и научных работников. Под ред. А.Н. Беловой, О.Н. Щепетовой. М.: Антидор, 2002 [Shkaly testy i oprosniki v meditsinskoi reabilitatsii: Rukovodstvo dlia vrachei i nauchnykh rabotnikov. Pod red. AN Belovoi, ON Shchepetovoi. Moscow: Antidor, 2002 (in Russian)].
10. Jenkinson C, Layte R, Jenkinson D. A shorter form health survey: can the SF-12 replicate results from the SF-36 in longitudinal studies? J Public Health Med.
1997;19(2):79-86. DOI:10.1093/oxfordjournals.pubmed.a024606
11. Herrmann C. International experiences with the hospital anxiety and depression scale – A review of validation data and clinical results. J Psychosom Res. 1997;42(1):17-41. DOI:10.1016/s0022-3999(96)00216-4
12. Kamper SJ, Apeldoorn AT, Chiarotto A, et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain. Cochrane Database Syst Rev.
2014;(9):CD000963. DOI:10.1002/14651858.CD000963.pub3
13. Takahashi N, Omata JI, Iwabuchi M, et al. Therapeutic efficacy of nonsteroidal anti-inflammatory drug therapy versus exercise therapy in patients with chronic nonspecific low back pain: a prospective study. Fukushima J Med Sci. 2017;63(1):8-15. DOI:10.5387/fms.2016-12
14. Şengül M, Tekeli Şengül S. Efficacy of trigger point injection therapy in noncardiac chest pain: A randomized controlled trial. Turk J Phys Med Rehabil. 2024;70(1):98-104. DOI:10.5606/tftrd.2024.12716
15. Головачева А.А., Головачева В.А., Парфенов В.А. Кинезиотерапия и нестероидные противовоспалительные препараты при неспецифической люмбалгии. Неврология, нейропсихиатрия, психосоматика. 2022;14(1):89-96 [Golovacheva AA, Golovacheva VA, Parfenov VA. Kinesiotherapy and non-steroidal anti-inflammatory drugs for nonspecific lumbago. Neurology, Neuropsychiatry, Psychosomatics. 2022;14(1):89-96 (in Russian)]. DOI:10.14412/2074-2711-2022-1-89-96
16. Van Beek MH, Oude Voshaar RC, Beek AM, et al. A brief cognitive-behavioral intervention for treating depression and panic disorder in patients with noncardiac chest pain: a 24-week randomized controlled trial. Depress Anxiety. 2013;30(7):670-8. DOI:10.1002/da.22106
17. Van Middelkoop M, Rubinstein SM, Verhagen AP, et al. Exercise therapy for chronic nonspecific low-back pain. Best Pract Res Clin Rheumatol. 2010;24(2):193-204. DOI:10.1016/j.berh.2010.01.002
18. Chou R, Deyo R, Friedly J, et al. Nonpharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline. Ann Intern Med. 2017;166(7):493-505. DOI:10.7326/M16-2459
19. Richmond H, Hall AM, Copsey B, et al. The Effectiveness of Cognitive Behavioural Treatment for Non-Specific Low Back Pain: A Systematic Review and Meta-Analysis. PLoS One. 2015;10(8):e0134192. DOI:10.1371/journal.pone.0134192
20. Magalhães MO, Comachio J, Ferreira PH, et al. Effectiveness of graded activity versus physiotherapy in patients with chronic nonspecific low back pain: midterm follow up results of a randomized controlled trial. Braz J Phys Ther. 2018;22(1):82-91. DOI:10.1016/j.bjpt.2017.07.002
21. Feher R. A comparison of usual care physiotherapy, a pedometer-based walking intervention and a combination of both to treat patients suffering from nociceptive or neuropathic chronic lower back pain: A Randomised Controlled Trial. University of Bath, 2021. Available at: https://researchportal.bath.ac.uk/en/studentTheses/a-comparison-of-usual-carephysiotherapy-a-pedomet.... Accessed: 27.05.2024.
22. Williams ACC, Fisher E, Hearn L, Eccleston C. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst Rev. 2020;8(8):CD007407. DOI:10.1002/14651858.CD007407.pub4
23. Парфенов В.А., Ламкова И.А. Эффективность кинезиотерапии при хронической неспецифической люмбалгии. Анналы клинической и экспериментальной неврологии. 2021;15(3):35-42 [Parfenov VA, Lamkova IA. Effectiveness of kinesiotherapy in chronic non-specific low back pain. Annals of Clinical and Experimental Neurology. 2021;15(3):35-42 (in Russian)]. DOI:10.54101/ACEN.2021.3.4
24. Hung CI, Liu CY, Fu TS. Depression: an important factor associated with disability among patients with chronic low back pain. Int J Psychiatry Med. 2015;49(3):187-98. DOI:10.1177/0091217415573937
25. Chambers JB, Marks EM, Russell V, Hunter MS. A Multidisciplinary, Biopsychosocial Treatment for Non-Cardiac Chest Pain. Int J Clin Pract. 2015;69(9):922-7. DOI:10.1111/ijcp.12533
26. Cherkin DC, Sherman KJ, Balderson BH, Cook AJ. Effects of mindfulness-based stress reduction vs cognitive-behavioral therapy and usual care on back pain and functional limitations among adults with chronic low back pain: A randomized clinical trial. JAMA. 2016;315(12):124-9. DOI:10.1001/jama.2016.2323
27. Fitzcharles MA, Cohen SP, Clauw DJ, et al. Nociplastic pain: towards an understanding of prevalent pain conditions. Lancet. 2021;397(10289):2098-110.
DOI:10.1016/S0140-6736(21)00392-5
________________________________________________
2. Parfenov VA, Yakhno NN, Davydov OS, et al. Chronic nonspecific (musculoskeletal) low back pain. Guidelines of the Russian Society for the Study of Pain (RSSP). Neurology, Neuropsychiatry, Psychosomatics. 2019;11(2S):7-16 (in Russian). DOI:10.14412/2074-2711-2019-2S-7-16
3. Hawker GA. The assessment of musculoskeletal pain. Clin Exp Rheumatol. 2017;35 Suppl. 107(5):8-12.
4. Golovacheva VA, Golovacheva AA, Parfenov VA. Management of patients with subacute back pain: how to effectively prevent chronicity. Neurology, Neuropsychiatry, Psychosomatics. 2022;14(4):62-7 (in Russian). DOI:10.14412/2074-2711-2022-4-62-67
5. Golovacheva VA, Tabeeva GR, Golovacheva AA. Non-specific low back pain: principles and algorithms for successful management of patients in real clinical practice. Neurology, Neuropsychiatry, Psychosomatics. 2023;15(3):85-94 (in Russian). DOI:10.14412/2074-2711-2023-3-85-94
6. Sletten CD, Kurklinsky S, Chinburapa V, Ghazi S. Economic analysis of a comprehensive pain rehabilitation program: a collaboration between Florida Blue and Mayo Clinic Florida. Pain Med. 2015;16(5):898-904. DOI:10.1111/pme.12679
7. Iakhno NN. Bol, prakticheskoe rukovodstvo. Moscow: MEDpress-inform, 2022 (in Russian).
8. Bakhtadze MA, Lusnikova IV, Kanaev SP, Rasstrigin SN. Low back pain: which scales and questionnaires are preferable? Russian Journal of Pain. 2020;18(1):22‑8 (in Russian). DOI:10.17116/pain20201801122
9. Shkaly testy i oprosniki v meditsinskoi reabilitatsii: Rukovodstvo dlia vrachei i nauchnykh rabotnikov. Pod red. AN Belovoi, ON Shchepetovoi. Moscow: Antidor, 2002 (in Russian).
10. Jenkinson C, Layte R, Jenkinson D. A shorter form health survey: can the SF-12 replicate results from the SF-36 in longitudinal studies? J Public Health Med.
1997;19(2):79-86. DOI:10.1093/oxfordjournals.pubmed.a024606
11. Herrmann C. International experiences with the hospital anxiety and depression scale – A review of validation data and clinical results. J Psychosom Res. 1997;42(1):17-41. DOI:10.1016/s0022-3999(96)00216-4
12. Kamper SJ, Apeldoorn AT, Chiarotto A, et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain. Cochrane Database Syst Rev.
2014;(9):CD000963. DOI:10.1002/14651858.CD000963.pub3
13. Takahashi N, Omata JI, Iwabuchi M, et al. Therapeutic efficacy of nonsteroidal anti-inflammatory drug therapy versus exercise therapy in patients with chronic nonspecific low back pain: a prospective study. Fukushima J Med Sci. 2017;63(1):8-15. DOI:10.5387/fms.2016-12
14. Şengül M, Tekeli Şengül S. Efficacy of trigger point injection therapy in noncardiac chest pain: A randomized controlled trial. Turk J Phys Med Rehabil. 2024;70(1):98-104. DOI:10.5606/tftrd.2024.12716
15. Golovacheva AA, Golovacheva VA, Parfenov VA. Kinesiotherapy and non-steroidal anti-inflammatory drugs for nonspecific lumbago. Neurology, Neuropsychiatry, Psychosomatics. 2022;14(1):89-96 (in Russian). DOI:10.14412/2074-2711-2022-1-89-96
16. Van Beek MH, Oude Voshaar RC, Beek AM, et al. A brief cognitive-behavioral intervention for treating depression and panic disorder in patients with noncardiac chest pain: a 24-week randomized controlled trial. Depress Anxiety. 2013;30(7):670-8. DOI:10.1002/da.22106
17. Van Middelkoop M, Rubinstein SM, Verhagen AP, et al. Exercise therapy for chronic nonspecific low-back pain. Best Pract Res Clin Rheumatol. 2010;24(2):193-204. DOI:10.1016/j.berh.2010.01.002
18. Chou R, Deyo R, Friedly J, et al. Nonpharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline. Ann Intern Med. 2017;166(7):493-505. DOI:10.7326/M16-2459
19. Richmond H, Hall AM, Copsey B, et al. The Effectiveness of Cognitive Behavioural Treatment for Non-Specific Low Back Pain: A Systematic Review and Meta-Analysis. PLoS One. 2015;10(8):e0134192. DOI:10.1371/journal.pone.0134192
20. Magalhães MO, Comachio J, Ferreira PH, et al. Effectiveness of graded activity versus physiotherapy in patients with chronic nonspecific low back pain: midterm follow up results of a randomized controlled trial. Braz J Phys Ther. 2018;22(1):82-91. DOI:10.1016/j.bjpt.2017.07.002
21. Feher R. A comparison of usual care physiotherapy, a pedometer-based walking intervention and a combination of both to treat patients suffering from nociceptive or neuropathic chronic lower back pain: A Randomised Controlled Trial. University of Bath, 2021. Available at: https://researchportal.bath.ac.uk/en/studentTheses/a-comparison-of-usual-carephysiotherapy-a-pedomet.... Accessed: 27.05.2024.
22. Williams ACC, Fisher E, Hearn L, Eccleston C. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst Rev. 2020;8(8):CD007407. DOI:10.1002/14651858.CD007407.pub4
23. Parfenov VA, Lamkova IA. Effectiveness of kinesiotherapy in chronic non-specific low back pain. Annals of Clinical and Experimental Neurology. 2021;15(3):35-42 (in Russian). DOI:10.54101/ACEN.2021.3.4
24. Hung CI, Liu CY, Fu TS. Depression: an important factor associated with disability among patients with chronic low back pain. Int J Psychiatry Med. 2015;49(3):187-98. DOI:10.1177/0091217415573937
25. Chambers JB, Marks EM, Russell V, Hunter MS. A Multidisciplinary, Biopsychosocial Treatment for Non-Cardiac Chest Pain. Int J Clin Pract. 2015;69(9):922-7. DOI:10.1111/ijcp.12533
26. Cherkin DC, Sherman KJ, Balderson BH, Cook AJ. Effects of mindfulness-based stress reduction vs cognitive-behavioral therapy and usual care on back pain and functional limitations among adults with chronic low back pain: A randomized clinical trial. JAMA. 2016;315(12):124-9. DOI:10.1001/jama.2016.2323
27. Fitzcharles MA, Cohen SP, Clauw DJ, et al. Nociplastic pain: towards an understanding of prevalent pain conditions. Lancet. 2021;397(10289):2098-110.
DOI:10.1016/S0140-6736(21)00392-5
Авторы
А.Н. Баринов*1, Е.В. Яковлева2
1АО «Группа компаний „Медси“», Москва, Россия;
2ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия
*rusiaspim@gmail.com
1Medsi group JSC, Moscow, Russia;
2Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
*rusiaspim@gmail.com
1АО «Группа компаний „Медси“», Москва, Россия;
2ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия
*rusiaspim@gmail.com
________________________________________________
1Medsi group JSC, Moscow, Russia;
2Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
*rusiaspim@gmail.com
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