Efficacy of physiotherapy treatments in children and adolescents with somatic symptom disorder and other related disorders: systematic review of the literature.

Conversion disorders Functional somatic symptoms Medically unexplained physical symptoms Paediatric Physiotherapy rehabilitation Psychogenic

Journal

Italian journal of pediatrics
ISSN: 1824-7288
Titre abrégé: Ital J Pediatr
Pays: England
ID NLM: 101510759

Informations de publication

Date de publication:
27 Jul 2022
Historique:
received: 14 01 2022
accepted: 04 07 2022
entrez: 27 7 2022
pubmed: 28 7 2022
medline: 30 7 2022
Statut: epublish

Résumé

According to the latest version of the Diagnostic and Statistical Manual of Mental Disorders, somatic symptom and related disorders (SSRDs) are defined as psychopathological manifestations characterized by physical signs not attributable to organic pathology. Their incidence has grown dramatically over the past few decades, and treatment is challenging. Besides other interventions on the child and the family, physiotherapy is considered an integral part of the treatment, although there is no evidence for its efficacy.The study aimed to review the available proof on the effectiveness of physiotherapy in children and adolescents with SSRDs. A systematic literature search was conducted on MEDLINE/PubMed, CINAHL, Cochrane Library, PsycINFO, and PEDro, including 1999 to 2021. The methodological quality of the publications was assessed by applying the guidelines proposed by the Equator network, according to the different study designs. The scientific bibliography on the subject was minimal and had poor methodological quality. The choice of outcome indicators and the scales to measure them varied from study to study and were not standardized, making comparison and meta-analysis challenging.Conclusion: According to the available evidence, it is impossible to answer the review question regarding the effectiveness of physiotherapy in children and adolescents with SSRDs. It is necessary to improve the methodological quality of the studies. Definition of standard rehabilitation treatments, identification of appropriate result indicators, and adoption of standardized evaluation scales are needed.

Identifiants

pubmed: 35897067
doi: 10.1186/s13052-022-01317-3
pii: 10.1186/s13052-022-01317-3
pmc: PMC9327258
doi:

Types de publication

Journal Article Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

127

Informations de copyright

© 2022. The Author(s).

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Auteurs

Roberta Sartori (R)

IRCCS Materno Infantile Burlo Garofolo, Trieste, Italy.

Antimo Tessitore (A)

University of Trieste, Piazzale Europa, 1, 34127, Trieste, Italy. antimo.tessitore.at@gmail.com.

Aurora Della Torca (A)

University of Trieste, Piazzale Europa, 1, 34127, Trieste, Italy.

Egidio Barbi (E)

IRCCS Materno Infantile Burlo Garofolo, Trieste, Italy.
University of Trieste, Piazzale Europa, 1, 34127, Trieste, Italy.

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Classifications MeSH