The effect of education on pain and functionality on patients with musculoskeletal dysfunctions of the upper limb: a systematic review

ABSTRACT This study verifies the effects of patient education (PE) in patients with musculoskeletal disorders of the upper limb (UL) on pain and/or functionality. The PubMed, Cochrane, PEDro, SciELO, and LILACS databases were independently searched by two reviewers, from the beginning of the publications until April 2021. We included randomized clinical trials with individuals with musculoskeletal disorders of the UL with pain and/or functionality outcomes, who have undergone intervention with PE. Reviewers independently determined study eligibility, extracted data, and assessed methodological quality using the PEDro scale. We included eight studies, totaling 603 participants. Compared to the controlled group, the PE intervention showed better results in three studies for pain relief and/or functionality improvement. Apparently, PE is more effective when combined with exercise.摘要 本研究旨在验证上肢（upper limb, UL）肌肉骨骼疾病患者接受患者教育（patient education, PE）对其疼痛及/或功能状态的影响。本研究由两名评价员独立检索PubMed、Cochrane、PEDro量表（PEDro scale）、SciELO及LILACS数据库，检索时限为各数据库建库起至2021年4月。研究纳入以疼痛及/或功能状态为结局指标、接受患者教育干预的上肢肌肉骨骼疾病患者相关随机对照临床试验。两名评价员独立完成研究纳入资格判定、数据提取，并采用PEDro量表对研究方法学质量进行评估。最终纳入8项研究，共计603名受试者。与对照组相比，3项研究结果显示患者教育干预在缓解疼痛及/或改善功能方面效果更优。提示患者教育联合运动干预时可获得更显著的干预效果。