根据最新版本的精神疾病诊断和统计手册,躯体症状和相关疾病(SSRD)被定义为精神病理学表现,其特征是不能归因于器质性病理学的体征。在过去的几十年中,它们的发病率急剧增长,治疗具有挑战性。除了对儿童和家庭的其他干预措施,物理治疗被认为是治疗的一个组成部分,尽管没有证据表明其疗效。该研究旨在审查有关SSRD儿童和青少年物理治疗有效性的可用证据。在MEDLINE/PubMed上进行了系统的文献检索,CINAHL,科克伦图书馆,PsycINFO,还有PEDro,包括1999年至2021年。通过应用赤道网络提出的指南,评估了出版物的方法学质量。根据不同的研究设计。有关该主题的科学参考书目很少,方法质量差。结果指标的选择和衡量指标的量表因研究而异,没有标准化,使比较和荟萃分析具有挑战性。结论:根据现有证据,无法回答有关SSRD儿童和青少年物理治疗有效性的综述问题.有必要提高研究的方法学质量。标准康复治疗的定义,确定适当的结果指标,需要采用标准化的评估量表。
According to the latest version of the Diagnostic and Statistical Manual of Mental Disorders, somatic symptom and related disorders (SSRDs) are defined as psychopathological manifestations characterized by physical signs not attributable to organic pathology. Their incidence has grown dramatically over the past few decades, and treatment is challenging. Besides other interventions on the child and the family, physiotherapy is considered an integral part of the treatment, although there is no evidence for its efficacy.The study aimed to
review the available proof on the effectiveness of physiotherapy in children and adolescents with SSRDs. A systematic literature search was conducted on MEDLINE/PubMed, CINAHL, Cochrane Library, PsycINFO, and PEDro, including 1999 to 2021. The methodological quality of the publications was assessed by applying the guidelines proposed by the Equator network, according to the different study designs. The scientific bibliography on the subject was minimal and had poor methodological quality. The choice of outcome indicators and the scales to measure them varied from study to study and were not standardized, making comparison and meta-analysis challenging.Conclusion: According to the available evidence, it is impossible to answer the
review question regarding the effectiveness of physiotherapy in children and adolescents with SSRDs. It is necessary to improve the methodological quality of the studies. Definition of standard rehabilitation treatments, identification of appropriate result indicators, and adoption of standardized evaluation scales are needed.