Evidence-based position paper on Physical and Rehabilitation Medicine professional practice for persons with acute and chronic pain. The European PRM position (UEMS PRM Section)

Fazekas, Gábor; Antunes, Filipe; Négrini, Stefano; Barotsis, Nikolaos; Schwarzkopf, S. R.; Winkelmann, Andreas; Donoso, E; Christodoulou, N.

doi:10.23736/s1973-9087.18.05410-2

Cited by 6 publications

(3 citation statements)

References 6 publications

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“…Pain is a common complaint among patients undergoing rehabilitation, and existing evidence suggests that the role of physical therapists in pain management is justified [ 48 ]. Individuals with musculoskeletal pain issues are often overlooked, and their concerns are frequently misunderstood by healthcare providers, leading to a lack of timely or effective treatment.…”

Section: The Development Practical Process and Future Of Ebrmmentioning

confidence: 99%

Evidence-based rehabilitation medicine: definition, foundation, practice and development

Zhang,

2023

Medical Review

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To determine the definition, foundation, practice, and development of evidence-based rehabilitation medicine (EBRM) and point out the development direction for EBRM. Retrieve the database of PubMed, Cochrane Library, Embase, China national knowledge infrastructure (CNKI), Wanfang, and China science and technology journal database (CSTJ). The search was conducted from the establishment of the database to June 2023. The key words are “rehabilitation medicine and evidence based” in Chinese and English. After reading the abstract or full text of the literature, a summary analysis is conducted to determine the definition, foundation, practice, and development of EBRM. A total of 127 articles were included. The development of 14 sub majors in EBRM are not balanced, evidence-based musculoskeletal rehabilitation medicine (EBMRM) (31 articles, mainly focuses on osteoarthritis, osteoporosis and musculoskeletal pain), evidence-based neurorehabilitation medicine (EBNM) (34 articles, mainly concentrated in stroke, traumatic brain injury and spinal cord injury) and evidence-based education rehabilitation medicine (EBEDRM) (17 articles, mainly focuses on educational methodology), evidence-based nursing rehabilitation medicine (EBNRM) (2 articles), evidence-based engineering rehabilitation medicine (EBENRM) (7 articles), evidence-based traditional Chinese rehabilitation medicine (EBTCRM) (3 articles), evidence-based internal rehabilitation medicine (EBIRM) (11 articles), evidence-based intensive care rehabilitation medicine (EBICRM) (4 articles), evidence-based oncology rehabilitation medicine (EBORM) (6 articles), evidence-based physical therapy medicine (EBPTM) (3 articles), evidence-based cardiopulmonary rehabilitation medicine (EBCRM) (6 articles), evidence-based speech therapy medicine (EBSTM)/evidence-based occupation therapy medicine (EBOTM)/evidence-based geriatric rehabilitation medicine (EBGRM) (1 article). The EBMRM, EBNM and EBEDRM are relatively well developed. The development of EBNRM, EBENRM, EBTCRM, EBIRM, EBICRM, EBGRM, EBORM, EBCRM, EBPTM, EBSTM and EBOTM is relatively slow, indicating these eleven fields should be pay more attention in future.

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Section: The Development Practical Process and Future Of Ebrmmentioning

confidence: 99%

Evidence-based rehabilitation medicine: definition, foundation, practice and development

Zhang,

2023

Medical Review

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“…[ 8 ] Non-pharmacological and noninvasive management are recommended by current related guidelines, including advise to remain active, education, exercise therapy, physical therapy, and cognitive behavior therapy. [ 9 , 10 ] As an alternative physical therapy, extracorporeal shockwave therapy (ESWT) contained an appropriate generator conveying a sequence of single sonic pulses to specific target areas. [ 11 , 12 ] EPSW was widely used in various musculoskeletal disorders and demonstrated to be effective for managing some CMPC such as frozen shoulder, tennis elbow, low back pain, OA knee with few adverse events.…”

Section: Introductionmentioning

confidence: 99%

The efficacy of extracorporeal shock wave for chronic musculoskeletal pain conditions

Qin

Jin

et al. 2020

Medicine

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Background: This systematic review is the first one to assess the effectiveness and safety of extracorporeal shock-wave therapy (ESWT) for patients with chronic musculoskeletal pain conditions (CMPC). Methods: Seven electronic databases were searched for all relevant literature from inception to December 2019, including PubMed, the Web of Science, EMBASE, Cochrane library, China National Knowledge Infrastructure Database (CNKI), Chinese Scientific Journal Database (VIP), and Wanfang database. Only randomized controlled trials (RCTs) of ESWT for chronic musculoskeletal pain will be included. Two reviewers will independently select eligible studies and collected the detailed information, assessed the methodological quality. A third reviewer will join in discussion to solve disagreements. The mean difference (MD) or standard mean difference (SMD) with 95% confidence intervals (CIs) will be presented to demonstrate the effectiveness of ESWT for patients with chronic MSK pain conditions. RevMan 5.4 software will be used for statistical analysis. Results: This systematic review will explore the effectiveness and safety of ESWT for patients with CMPC. The primary outcome includes pain level, and secondary outcome includes function limitation and adverse events. Conclusion: It can provide the updated evidence which is of great importance for patients, clinical practice and health related policy maker in ESWT treating CMPC.

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“…Pain diagnosis and management are an essential part of the rehabilitation approach and the field of competence of the physiatrist . Chronic neuropathic pain is a complex condition impacting patients' physical, cognitive, and psychosocial functioning.…”

Section: Introductionmentioning

confidence: 99%

Should Pregabalin Be Used in the Management of Chronic Neuropathic Pain in Adults? A Cochrane Review Summary With Commentary

Kiekens¹

2019

PM&R

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Evidence-based position paper on Physical and Rehabilitation Medicine professional practice for persons with acute and chronic pain. The European PRM position (UEMS PRM Section)

Cited by 6 publications

References 6 publications

Evidence-based rehabilitation medicine: definition, foundation, practice and development

Evidence-based rehabilitation medicine: definition, foundation, practice and development

The efficacy of extracorporeal shock wave for chronic musculoskeletal pain conditions

Should Pregabalin Be Used in the Management of Chronic Neuropathic Pain in Adults? A Cochrane Review Summary With Commentary

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