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An International Multidisciplinary Delphi-Based Consensus on Heat Therapy in Musculoskeletal Pain

dc.contributor.authorLubrano, E
dc.contributor.authorMazas, P
dc.contributor.authorFreiwald, J
dc.contributor.authorKrüger, K
dc.contributor.authorGrattagliano, I
dc.contributor.authorMur, E
dc.contributor.authorQueiro Silva, R
dc.contributor.authorMaruri, G
dc.contributor.authorSequeira de Medeiros, L
dc.date.accessioned2024-03-08T16:52:38Z
dc.date.available2024-03-08T16:52:38Z
dc.date.issued2022-02
dc.description.abstractIntroduction: Musculoskeletal pain (MP) is prevalent in our society, having a strong negative impact on physical and psychosocial quality of life. Heat therapy (HT) has been frequently described as a treatment strategy for musculoskeletal pain, but scientific evidence is still poor. The aim of the present Delphi method study is to gather a consensus among European experts on the role of HT in MP. Methods: To address this topic, a list of 54 statements was developed, concerning mechanism of action of heat on muscle, types of MP eligible for heat treatment, efficacy of HT, time and modalities of treatment, maximizing compliance to HT, safety (based on heat wraps), wrong beliefs and common errors in the prescription of HT and the role of HT in preventing muscular damage in athletes. The survey was distributed to 116 European experts, using a 5-point Likert scale to express agreement or disagreement with the statements; 66% concordance with the statements was needed to define a consensus. Results: Consensus was reached on 78% of statements. There was a strong consensus on the mechanism of action of heat on muscle, the indication in chronic MP, its effectiveness as part of a multimodal approach to MP and the safety and tolerability of superficial heat therapy. A low-level of consensus was obtained on the role of heat in preventing muscular damage and in acute MP. Conclusion: This Delphi consensus recognizes the role of HT mostly in chronic MP and highlights the need for stronger scientific evidence to regulate the use of this therapy in clinical practice.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPain Ther . 2023 Feb;12(1):93-110.pt_PT
dc.identifier.doi10.1007/s40122-022-00419-4pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4837
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.subjectCHLC MFRpt_PT
dc.subjectDelphi Techniquept_PT
dc.subjectInduced Hyperthermiapt_PT
dc.subjectMusculoskeletal Painpt_PT
dc.subjectSuperficial Heat Therapypt_PT
dc.titleAn International Multidisciplinary Delphi-Based Consensus on Heat Therapy in Musculoskeletal Painpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage110pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage93pt_PT
oaire.citation.titlePain and Therapypt_PT
oaire.citation.volume12pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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