fa اثر ترکیب آموزش علوم اعصاب درد با مداخلات مختلف درمانی بر درد و ناتوانی بیماران مبتلا به گردن درد 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:">چکیده</span></span></span></b></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:">زمینه و هدف</span></span></span></b><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">:</span></span></span><span style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> گردن‌درد مزمن یک اختلال اسکلتی</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">&ndash;</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">عضلانی شایع است که اغلب با درد پایدار و ناتوانی همراه می‌باشد. آموزش علوم اعصاب درد</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> (PNE) </span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">به‌عنوان یک رویکرد نوین مبتنی بر مدل زیست‌روان‌اجتماعی، به‌منظور اصلاح درک بیماران از درد و کاهش عوامل روان‌شناختی مرتبط با آن مورد توجه قرار گرفته است. هدف این مطالعه مروری، بررسی و تحلیل اثربخشی آموزش علوم اعصاب درد در ترکیب با سایر مداخلات درمانی، بر درد و ناتوانی در افراد مبتلا به گردن‌درد مزمن بود</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">.</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 بررسی</span></span></span></b><b><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">:</span></span></span></b><b> </b><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">جستجوی ادبیات پژوهش شامل مقالات منتشرشده از سال‌های 2015 تا 2025 انجام شد. پایگاه‌های اطلاعاتی</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> PubMed</span></span></span><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 new="" roman="" style="font-family:" times="">Google Scholar</span></span></span><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 new="" roman="" style="font-family:" times="">Scopus</span></span></span> &nbsp;<span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">و</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> ProQuest </span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">برای شناسایی مطالعات مرتبط مورد استفاده قرار گرفتند. کلمات کلیدی شامل (کارآزمایی بالینی تصادفی کنترل‌شده، آموزش علوم اعصاب درد، گردن‌درد مزمن) و</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> (randomized controlled trial, pain neuroscience education, chronic neck pain, nonspecific neck pain, PNE) </span></span></span><span style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">&nbsp;بودند. کیفیت روش‌شناختی مطالعات منتخب با استفاده از ابزار</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> Cochrane Risk of Bias 2 </span></span></span><span style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">&nbsp;ارزیابی گردید</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">.</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:">یافته‌ها</span></span></span></b><b><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">:</span></span></span></b><b> </b><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">در مجموع، 7 مطالعه کارآزمایی تصادفی‌ کنترل‌شده معیارهای ورود را کسب کردند. این مطالعات به طور عمده اثر&nbsp; </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">PNE</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">&nbsp; در ترکیب با سایر مداخلات را مورد مطالعه قرار دادند که اثرات مثبت این ترکیب بر این افراد در این مطالعات به ثبت رسیده است.</span></span></span><b><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"></span></span></span></b></span></span></span></span></span><br> <b><span dir="RTL" lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">نتیجه‌گیری: </span></span></span></b><span style="font-size:14.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">PNE</span></span></span><span dir="RTL" lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">، به‌عنوان بخشی از یک رویکرد درمانی، می‌تواند در مدیریت گردن‌درد مزمن نقش مؤثری ایفا کند. این مداخله با بهبود درک بیماران از مکانیسم‌های درد و کاهش عوامل شناختی</span></span></span><span dir="RTL" lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">&ndash;</span></span></span><span dir="RTL" lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">هیجانی نامطلوب، زمینه را برای مشارکت فعال‌تر در درمان و بهبود غیرمستقیم درد و ناتوانی فراهم می‌سازد.</span></span></span> <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="line-height:107%"><span new="" roman="" style="font-family:" times="">Abstract</span></span></span></b></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="line-height:107%"><span new="" roman="" style="font-family:" times="">Background:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> Chronic neck pain is a common musculoskeletal disorder that is often associated with persistent pain and disability. Pain neuroscience education (PNE) has been considered as a novel approach based on the biopsychosocial model to improve patients&#39; perception of pain and reduce psychological factors associated with it. The aim of this review was to investigate and analyze the effectiveness of pain neuroscience education in combination with other therapeutic interventions on pain and disability in people with chronic neck pain. </span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Mitra""></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="line-height:107%"><span new="" roman="" style="font-family:" times="">Methods:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> A literature search was conducted including articles published from 2015 to 2025. PubMed, Google Scholar, Scopus, and ProQuest databases were used to identify relevant studies. Keywords included (randomized controlled trial, pain neuroscience education, chronic neck pain, nonspecific neck pain, PNE). The methodological quality of the included studies was assessed using the Cochrane Risk of Bias 2 tool.</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="line-height:107%"><span new="" roman="" style="font-family:" times="">Results</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">: A total of 7 randomized controlled trials met the inclusion criteria. These studies mainly studied the effect of PNE in combination with other interventions, and the positive effects of this combination on these subjects were recorded in these studies.</span></span></span></span></span></span><br> <b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> PNE, as part of a therapeutic approach, can play an effective role in the management of chronic neck pain. By improving patients&#39; understanding of pain mechanisms and reducing adverse cognitive-emotional factors, this intervention paves the way for more active participation in treatment and indirectly improving pain and disability</span></span></span> گردن درد مزمن, آموزش علوم اعصاب درد, ناتوانی, درد pain neuroscience education, chronic neck pain, disability, pain 39 53 http://jap.iums.ac.ir/browse.php?a_code=A-10-899-2&slc_lang=fa&sid=1 Sina Saeed Askari سینا سعیدعسکری sinasaeedaskari@gmail.com 100319475328460020267 100319475328460020267 Yes Shahid Bahonar University of Kerman, Kerman, Iran دانشگاه شهید باهنر کرمان ، کرمان ، ایران Mansour Sahebozamani منصور صاحب الزمانی sahebozamani@uk.ac.ir 100319475328460020268 100319475328460020268 No Shahid Bahonar University of Kerman, Kerman, Iran دانشگاه شهید باهنر کرمان ، کرمان ، ایران Saeid Bahiraei سعید بحیرایی s.bahiraei@uk.ac.ir 100319475328460020269 100319475328460020269 No Shahid Bahonar University of Kerman, Kerman, Iran دانشگاه شهید باهنر کرمان ، کرمان ، ایران