127726 20241125101200.0 doi 10.1016/j.sleep.2023.09.008 sideral 134816 ART-2023-134816 eng Calvo, Sandra Universidad de Zaragoza (orcid)0000-0002-1674-7788 Are physical therapy interventions effective in improving sleep in people with chronic pain? A systematic review and multivariate meta-analysis 2023 Access copy available to the general public Unrestricted Chronic pain exerts an enormous personal and economic burden, with sleep disturbances being one of the most reported problems by adults with chronic pain. The aim of this study was to analyse whether different physical therapy interventions could lead to improvements in sleep quality and pain intensity in individuals with chronic pain, as well as if there is any association. A systematic review and a univariate and multivariate meta-analysis were carried out according to the PRISMA guidelines. A search in PubMed, Scopus and Web of Science databases was performed. Six randomised controlled trials were included in the review and four of them were included in the meta-analysis; all of them with a moderate to high methodological quality. Data from adult participants with chronic pain after different physical therapy interventions was extracted. For the meta-analysis, the Insomnia Severity Index and the Numerical Rating Scale were considered. Results from the qualitative and quantitative analysis showed that most of the physical therapy interventions included had higher improvements in the intervention group than in the control group, although the effect size was not statistically significant (univariate for sleep quality: −0.08 [−0.34, 0.18], p = 0.46; univariate for pain intensity: −0.47 [−1.24, 0.30], p = 0.18; multivariate for both outcomes: −0.27). More studies are still needed to determine which physical therapy interventions are effective to improve sleep in people with chronic pain and if there are patients with specific characteristics who may benefit more than others. info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 3.8 2023 CLINICAL NEUROLOGY 59 / 280 = 0.211 2023 Q1 T1 1.368 2023 Medicine (miscellaneous) 2023 Q1 8.4 2023 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion González, Cristina Lapuente-Hernández, Diego Universidad de Zaragoza (orcid)0000-0002-6506-6081 Cuenca-Zaldívar, Juan Nicolás Herrero, Pablo Universidad de Zaragoza (orcid)0000-0002-9201-0120 Gil-Calvo, Marina (orcid)0000-0003-4792-1782 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 111 (2023), 70-81 Sleep Med. SLEEP MEDICINE 1389-9457 3414768 http://zaguan.unizar.es/record/127726/files/texto_completo.pdf Versión publicada 2593764 http://zaguan.unizar.es/record/127726/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:127726 articulos driver 2024-11-22-12:11:10 ARTICLE