NONINVASIVE NONPHARMACOLOGICAL TREATMENT FOR CHRONIC PAIN: A SYSTEMATIC REVIEW UPDATE (2020)
 
   
 

Noninvasive Nonpharmacological Treatment for Chronic Pain:
A Systematic Review Update
(April 16, 2020).

Andrea C. Skelly, Ph.D., M.P.H., Roger Chou, M.D., Joseph R. Dettori, Ph.D., M.P.H., M.P.T.,
Judith A. Turner, Ph.D., et al.

Rockville (MD): Agency for Healthcare Research and Quality (US); 2020 (Apr)


This section was compiled by Frank M. Painter, D.C.
Send all comments or additions to:
  Frankp@chiro.org
 
   

Appendix A: Search Strategies

Prior AHRQ Report, 2018

Database: Ovid MEDLINE(R) without Revisions 1996 to May Week 2 2017

Search Strategy:

  1. exp Low Back Pain/
  2. exp Chronic Pain/
  3. 2 and (back or spine or spinal or radicular).ti,ab.
  4. or/1-3
  5. Neck Pain/ or neck.ti,ab.
  6. exp Osteoarthritis/ or osteoarthritis.ti,ab.
  7. Headache/ or headache.ti,ab.
  8. Fibromyalgia/ or fibromyalgia.ti,ab.
  9. exp Exercise Therapy/
  10. exp Physical Therapy Modalities/
  11. exp Braces/
  12. exp Mind-Body Therapies/
  13. exp Acupuncture Therapy/
  14. exp Rehabilitation/
  15. exp Psychotherapy/
  16. exp Musculoskeletal Manipulations/
  17. (noninvasive or non-invasive or nonpharmacologic* or non-pharmacologic*).ti,ab.
  18. (exercise or physical therapy or cognitive or behavioral or feedback or relaxation or acceptance or commitment or traction or ultrasound or stimulation or laser or magnet* or inferential or electromuscular or diathermy or heat or cold or manipulation or manual or craniosacral or mindfulness or meditation or mind-body or yoga or pilates or Qigong or acupuncture or “functional restoration” or multidisciplin* or interdisciplin*).ti,ab.
  19. rh.fs.
  20. or/9-19
  21. (or/5-8) and pain.mp.
  22. 20 and 21
  23. limit 22 to (meta analysis or systematic reviews)
  24. limit 23 to (english language and humans)
  25. limit 22 to randomized controlled trial
  26. limit 25 to (english language and humans)
  27. 4 and 20
  28. limit 27 to randomized controlled trial
  29. limit 28 to yr="2016 - 2017"
  30. limit 29 to (english language and humans)
  31. 24 or 26 or 30

Database: EBM Reviews - Cochrane Central Register of Controlled Trials April 2017

  1. exp Low Back Pain/
  2. exp Chronic Pain/
  3. 2 and (back or spine or spinal or radicular).ti,ab.
  4. or/1-3
  5. Neck Pain/ or neck.ti,ab.
  6. exp Osteoarthritis/ or osteoarthritis.ti,ab.
  7. Headache/ or headache.ti,ab.
  8. Fibromyalgia/ or fibromyalgia.ti,ab.
  9. exp Exercise Therapy/
  10. exp Physical Therapy Modalities/
  11. exp Braces/
  12. exp Mind-Body Therapies/
  13. exp Acupuncture Therapy/
  14. exp Rehabilitation/
  15. exp Psychotherapy/
  16. exp Musculoskeletal Manipulations/
  17. (noninvasive or non-invasive or nonpharmacologic* or non-pharmacologic*).ti,ab.
  18. (exercise or physical therapy or cognitive or behavioral or feedback or relaxation or acceptance or commitment or traction or ultrasound or stimulation or laser or magnet* or inferential or electromuscular or diathermy or heat or cold or manipulation or manual or craniosacral or mindfulness or meditation or mind-body or yoga or pilates or Qigong or acupuncture or functional restoration or multidisciplin* or interdisciplin*).ti,ab.
  19. rh.fs.
  20. or/9-19
  21. (or/5-8) and pain.mp.
  22. 20 and 21
  23. limit 22 to randomized controlled trial
  24. 4 and 20
  25. limit 24 to randomized controlled trial
  26. limit 25 to yr="2016 - 2017"
  27. 23 or 26
  28. limit 27 to english language
  29. limit 28 to medline records
  30. 28 not 29

Database: EBM Reviews - Cochrane Database of Systematic Reviews 2005 to December 21, 2016

  1. chronic.ti,ab.
  2. (back or spine or spinal or radicular or neck or osteoarthritis or fibromyalgia or headache).ti,ab.
  3. (noninvasive or non-invasive or nonpharmacologic* or non-pharmacologic*).ti,ab.
  4. (exercise or psychosocial or “cognitive behavioral therapy” or CBT or biofeedback or relaxation or “physical modal*” or traction or ultrasound or “transcutaneous electrical nerve stimulation” or TENS or laser or heat or cold or cryotherapy or magnet* or manual* or manipulation or massage or mindfulness or meditation or “mind-body” or “yoga to tai chi” or qigong or acupuncture or “functional restoration” or “occupational therapy” or multidisciplinary).ti,ab.
  5. 1 and 2
  6. 3 or 4
  7. 5 and 6

AHRQ Report Update, 2019

(Slightly modified from prior search criteria as a result of peer review)

Database: Ovid MEDLINE(R) and Epub Ahead of Print, In-Process & Other Non-Indexed Citations, Daily and Versions(R), September Week 1 2017 through December Week 2 2018

  1. exp Low Back Pain/ or ((back or spine or spinal) adj2 pain).ti,ab.
  2. exp Chronic Pain/
  3. Neck Pain/ or neck.ti,ab.
  4. exp Osteoarthritis/ or osteoarthritis.ti,ab.
  5. Headache/ or headache.ti,ab.
  6. Fibromyalgia/ or fibromyalgia.ti,ab.
  7. exp Exercise Therapy/
  8. exp Physical Therapy Modalities/
  9. exp Braces/
  10. exp Mind-Body Therapies/
  11. exp Acupuncture Therapy/
  12. exp Rehabilitation/
  13. exp Psychotherapy/
  14. exp Musculoskeletal Manipulations/
  15. (noninvasive or non-invasive or nonpharmacologic* or non-pharmacologic*).ti,ab.
  16. (exercise or physical therapy or cognitive or behavioral or feedback or relaxation or acceptance or commitment or traction or ultrasound or stimulation or laser or magnet* or inferential or electromuscular or diathermy or heat or cold or manipulation or manual or craniosacral or mindfulness or meditation or mind-body or yoga or pilates or Qigong or acupuncture or functional restoration or multidisciplin* or interdisciplin*).ti,ab.
  17. rh.fs.
  18. or/1-6
  19. or/7-17
  20. 18 and 19
  21. randomized controlled trial.pt.
  22. controlled clinical trial.pt.
  23. clinical trials as topic.sh.
  24. (random* or trial or placebo).ti,ab.
  25. clinical trials as topic.sh.
  26. exp animals/ not humans.sh.
  27. or/21-25
  28. 27 not 26
  29. 20 and 28
  30. limit 29 to english language
  31. limit 30 to humans
  32. 31 and (20171$ or 2018$).dt,ed,ep.
  33. meta-analysis.pt.
  34. meta-analysis/ or systematic review/ or meta-analysis as topic/ or “meta analysis (topic)”/ or “systematic review (topic)”/ or exp technology assessment, biomedical/
  35. ((systematic* adj3 (review* or overview*)) or (methodologic* adj3 (review* or overview*))).ti,ab.
  36. ((quantitative adj3 (review* or overview* or synthes*)) or (research adj3 (integrati* or overview*))).ti,ab.
  37. ((integrative adj3 (review* or overview*)) or (collaborative adj3 (review* or overview*)) or (pool* adj3 analy*)).ti,ab.
  38. (data synthes* or data extraction* or data abstraction*).ti,ab.
  39. (handsearch* or hand search*).ti,ab.
  40. (mantel haenszel or peto or der simonian or dersimonian or fixed effect* or latin square*).ti,ab.
  41. (met analy* or metanaly* or technology assessment* or HTA or HTAs or technology overview* or technology appraisal*).ti,ab.
  42. (meta regression* or metaregression*).ti,ab.
  43. (meta-analy* or metaanaly* or systematic review* or biomedical technology assessment* or bio-medical technology assessment*).mp,hw.
  44. (medline or cochrane or pubmed or medlars or embase or cinahl).ti,ab,hw.
  45. (cochrane or (health adj2 technology assessment) or evidence report).jw.
  46. (meta-analysis or systematic review).ti,ab.
  47. (comparative adj3 (efficacy or effectiveness)).ti,ab.
  48. (outcomes research or relative effectiveness).ti,ab.
  49. ((indirect or indirect treatment or mixed-treatment) adj comparison*).ti,ab.
  50. or/33-49
  51. 20 and 50
  52. limit 51 to english language
  53. limit 52 to humans
  54. 53 and (20171$ or 2018$).dt,ed,ep.
  55. 32 or 54

Database: EBM Reviews - Cochrane Central Register of Controlled Trials, September Week 1 2017 through December Week 2 2018

  1. exp Low Back Pain/ or ((back or spine or spinal) adj2 pain).ti,ab.
  2. exp Chronic Pain/
  3. Neck Pain/ or neck.ti,ab.
  4. exp Osteoarthritis/ or osteoarthritis.ti,ab.
  5. Headache/ or headache.ti,ab.
  6. Fibromyalgia/ or fibromyalgia.ti,ab.
  7. exp Exercise Therapy/
  8. exp Physical Therapy Modalities/
  9. exp Braces/
  10. exp Mind-Body Therapies/
  11. exp Acupuncture Therapy/
  12. exp Rehabilitation/
  13. exp Psychotherapy/
  14. exp Musculoskeletal Manipulations/
  15. (noninvasive or non-invasive or nonpharmacologic* or non-pharmacologic*).ti,ab.
  16. (exercise or physical therapy or cognitive or behavioral or feedback or relaxation or acceptance or commitment or traction or ultrasound or stimulation or laser or magnet* or inferential or electromuscular or diathermy or heat or cold or manipulation or manual or craniosacral or mindfulness or meditation or mind-body or yoga or pilates or Qigong or acupuncture or functional restoration or multidisciplin* or interdisciplin*).ti,ab.
  17. rh.fs.
  18. or/1-6
  19. or/7-17
  20. 18 and 19
  21. limit 20 to yr="2017 -Current"
  22. limit 21 to medline records
  23. 21 not 22
  24. limit 23 to english language

Database: EBM Reviews - Cochrane Database of Systematic Reviews, September Week 1 2017 through December Week 2 2018

1.

((back or spine or spinal) adj2 pain).ti.

2.

(neck adj2 pain).ti.

3.

osteoarthritis.ti.

4.

headache.ti.

5.

fibromyalgia.ti.

6.

(noninvasive or non-invasive or nonpharmacologic* or non-pharmacologic*).ti,ab. (295)

7.

(exercise or physical therapy or cognitive or behavioral or feedback or relaxation or acceptance or commitment or traction or ultrasound or stimulation or laser or magnet* or inferential or electromuscular or diathermy or heat or cold or manipulation or manual or craniosacral or mindfulness or meditation or mind-body or yoga or pilates or Qigong or acupuncture or functional restoration or multidisciplin* or interdisciplin*).ti,ab.

9.

6 or 7

10.

8 and 9

11.

limit 10 to new reviews


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