fa اثر ترکیب آموزش علوم اعصاب درد با مداخلات مختلف درمانی بر درد و ناتوانی بیماران مبتلا به کمردرد مزمن: مروری نظام مند مديريت درد مزمن Chronic pain managment مروری Review <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">مقدمه</span></span></span></b><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">: کمردرد مزمن </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span mitra="" style="font-family:">(<a name="_Hlk170207938">CLBP</a>)</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> اغلب به دلایل فیزیولوژیکی و روانی با ناتوانی همراه است که آموزش علوم اعصاب درد</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span mitra="" style="font-family:">(PNE) </span></span></span><span style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">&nbsp;اخیرا به عنوان یکی از مداخلات غیر دارویی مورد توجه درمانگران قرار گرفته است. هدف از این مطالعه مروری، بررسی و تحلیل اثر ترکیب آموزش علوم اعصاب درد با مداخلات درمانی مختلف بر درد و ناتوانی بیماران مبتلا به </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span mitra="" style="font-family:">CLBP</span></span></span><span style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> می باشد.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">روش شناسی</span></span></span></b><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">: جستجوی ادبیات تحقیق شامل مقالات منتشر شده از سال‌ </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">2018</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> تا </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">2023</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> می باشد که از پایگاه های اطلاعاتی داده</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">PubMed, Google scholar, Scopus, Pro Quest </span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">&nbsp;استفاده شد. کلمات کلیدی شامل (کارآزمایی بالینی تصادفی کنترل شده، آموزش علوم اعصاب درد، کمر درد مزمن، درد و ناتوانی،</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">randomized controlled trial, pain neuroscience</span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">education, chronic low back pain, pain and disability</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">) </span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">بود. جهت بررسی کیفیت مقالات وارد شده از مقیاس </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">PEDro</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> استفاده گردید.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">یافته ها</span></span></span></b><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">: از بین </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">16</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> مقاله یافت شده</span></span></span> <span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">تعداد </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">6</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> مقاله معیارهای ورود مطالعه را کسب کردند. این مطالعات به طور عمده اثر&nbsp;&nbsp; </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span mitra="" style="font-family:">PNE</span></span></span> &nbsp;<span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">در ترکیب با تمرینات سنتی کمر و گردن، تمرینات کنترل حرکتی، تمرینات ثبات مرکزی، درمان دستی، تمرینات خانگی، حرکت درمانی و فیزیوتراپی را مورد مطالعه قرار دادند که </span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">اثرات</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">مثبت</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">ترکیب </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span mitra="" style="font-family:">PNE</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> با این مداخلات بر</span></span></span> <span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">درد و ناتوانی</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">این</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">مطالعات</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">به</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">ثبت</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">رسیده</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">است</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span mitra="" style="font-family:">.</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">بحث و نتیجه گیری</span></span></span></b><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">:</span></span></span> <span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span mitra="" style="font-family:">PNE</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> با هدف تغییر درک افراد از چیستی درد، عملکرد آن و اینکه چه فرآیندهای بیولوژیکی و فیزیولوژیکی از آن پشتیبانی می‌کنند، </span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">می تواند در ترکیب با سایر مداخلات درمانی و تمرینی به هدایت و توسعه مداخلات و بهبود مدیریت </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span mitra="" style="font-family:">CLBP</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">کمک کند.</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span style="color:#333333">Introduction:</span></span></span></span></strong><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> <strong><span style="background:white">Chronic low back pain</span></strong></span></span></span> (<strong><span style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%">CLBP) is often associated with disability for physiological and psychological reasons. Pain neuroscience education (PNE) is one of the non-pharmacological interventions that have recently attracted the attention of therapists. The purpose of this narrative review is to investigate and analyze the effect of pain neuroscience training on pain and disability in patients with CLBP.<span style="color:#333333"></span></span></span></span></strong></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:#333333">Methods:</span></span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> <span style="background:white">Our research literature search includes articles published from 2018 to 2023, which were used from databases PubMed, Google scholar, Scopus, Pro Quest. Key words included (randomized controlled trial, pain neuroscience education, chronic low back pain, pain and disability).</span> <span style="background:white">The PEDro scale was used to check the quality of the articles entered.<b><span style="color:#333333"></span></b></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:#333333">Results:</span></span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> <span style="background:white">Among the 16 articles found, 6 articles met the inclusion criteria. These studies mainly measured the effect of pain neuroscience education in combination with traditional back and neck exercises, motor control exercises, core stability exercises, manual therapy, home exercises, movement therapy and physiotherapy and the positive effects of combining PNE with this interventions on the pain and disability have been recorded in these studies.<b><span style="color:#333333"></span></b></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:#333333">Conclusion</span></span></span></span></span></b><b><span style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:#030303">:</span></span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> <span style="background:white"><span style="color:#030303">PNE with the aim of changing people&#39;s understanding of what pain is, its function and what biological and physiological processes support it.</span></span> <span style="background:white"><span style="color:#030303">In combination with other therapeutic and exercise interventions, it can help guide and develop interventions and improve the management of CLBP.</span></span></span></span></span></span></span></span><br> &nbsp; کمر درد مزمن, آموزش علوم اعصاب درد, درد, ناتوانی Chronic Low Back Pain, Pain Neuroscience Education, Pain, Disability. 71 83 http://jap.iums.ac.ir/browse.php?a_code=A-10-862-1&slc_lang=fa&sid=1 Sina Saeedaskari سینا سعیدعسکری sinasaeedaskari@sport.uk.ac.ir 100319475328460019584 100319475328460019584 Yes 1. Ph.D Student in sports injury and corrective exercises in Shahid Bahonar University of Kerman, Kerman, Iran دانشجوی دکتری آسیب شناسی ورزشی و حرکات اصلاحی ، دانشکده تربیت بدنی و علوم ورزشی ، دانشگاه شهید باهنر کرمان ، کرمان ، ایران Mansor Sahebozamani منصور صاحب الزمانی sahebozamani@uk.ac.ir 100319475328460019585 100319475328460019585 No Prof. of Sport Therapy & Sport Rehabilitation Department of Sports Injuries and Corrective Exercises, Faculty of Physical Education and Sport Sciences, Shahid Bahonar University of Kerman, Kerman, Iran 2. استاد گروه آسیب شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه شهید باهنر کرمان، کرمان، ایران Saeed Bahiraei سعید بحیرایی s.bahiraei@uk.ac.ir 100319475328460019586 100319475328460019586 No 3. Assistant Professor of Adapted Physical Activity Faculty of Physical Education and Sports Science, Shahid Bahonar University of Kerman, Iran استادیار گروه آسیب شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه شهید باهنر کرمان، کرمان، ایران Abdolhamid Daneshjoo عبدالحمید دانشجو daneshjoo.hamid@uk.ac.ir 100319475328460019587 100319475328460019587 No 4. Associate Professor of Sport Injuries, Department of Sports Injuries and Corrective Exercises, Faculty of Physical Education and Sport Sciences, Shahid Bahonar University of Kerman, Kerman, Iran دانشیار گروه آسیب شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه شهید باهنر کرمان، کرمان، ایران Fariba Moradi فریبا مرادی faribamoradi@sport.uk.ac.ir 100319475328460019588 100319475328460019588 No 1. Ph.D Student in sports injury and corrective exercises in Shahid Bahonar University of Kerman, Kerman, Iran دانشجوی دکتری آسیب شناسی ورزشی و حرکات اصلاحی ، دانشکده تربیت بدنی و علوم ورزشی ، دانشگاه شهید باهنر کرمان ، کرمان ، ایران