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Noninvasive nonpharmacological treatment for chronic pain : a systematic review / Pacific Northwest Evidence-based Practice Center ; SKELLY, Andrea C. ; [et al].
Rockville, MD : Agency for Healthcare Research and Quality, 2018, [1398] p.

https://effectivehealthcare.ahrq.gov/sites/default/file... (14-06-2018)
Collection : Comparative Effectiveness Review ; Number 209
Format de fichier : Adobe Acrobat PDF Droits d'auteur : Cette oeuvre est protégée par un droit d'auteur. Elle ne peut être reproduite qu'à des fins d'études privées ou de recherche et seulement si la source est mentionnée.

Mots-clés principaux :
Douleur chronique
Approche non pharmacologique

Mots-clés secondaires : Activité physique ; Gymnastique médicale ; Thérapie cognitive ; Thérapie comportementale ; Chiropraxie ; Acupuncture ; Dorsalgie ; Cervicalgie ; Arthrose de la main ; Coxarthrose ; Gonarthrose ; Céphalée ; Fibromyalgie

Résumé :
"A new AHRQ evidence review concludes that exercise, cognitive behavioral therapy, chiropractic care and acupuncture are among non-drug treatments that can effectively manage some chronic pain conditions for more than one month after treatment. The report follows an update to Centers for Disease Control and Prevention guidelines, which recommend non-pharmacological interventions as a first line of treatment for chronic pain before initiating opioid therapy. Authors of AHRQ's report reviewed the evidence on non-pharmacological therapies for common conditions including chronic low back and neck pain, knee and hip osteoarthritis, chronic headache tension and fibromyalgia. The AHRQ review found no published studies that directly compared opioids to alternatives for pain management, and most lacked evidence on long-term effectiveness. The findings in this report can help clinicians, patients and policymakers make better-informed decisions to improve the management of chronic pain."

Langue : Anglais

Doc n° : 35373
NumRec : 7778603