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

Abstract 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 drama...

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Main Authors: Roberta Sartori, Antimo Tessitore, Aurora Della Torca, Egidio Barbi
Format: Article
Language:English
Published: BMC 2022-07-01
Series:Italian Journal of Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s13052-022-01317-3
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author Roberta Sartori
Antimo Tessitore
Aurora Della Torca
Egidio Barbi
author_facet Roberta Sartori
Antimo Tessitore
Aurora Della Torca
Egidio Barbi
author_sort Roberta Sartori
collection DOAJ
description Abstract 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.
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spelling doaj.art-a18b16b8d5f1452cb681438835ff75672022-12-22T02:05:49ZengBMCItalian Journal of Pediatrics1824-72882022-07-0148111110.1186/s13052-022-01317-3Efficacy of physiotherapy treatments in children and adolescents with somatic symptom disorder and other related disorders: systematic review of the literatureRoberta Sartori0Antimo Tessitore1Aurora Della Torca2Egidio Barbi3IRCCS Materno Infantile Burlo GarofoloUniversity of TriesteUniversity of TriesteIRCCS Materno Infantile Burlo GarofoloAbstract 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.https://doi.org/10.1186/s13052-022-01317-3Functional somatic symptomsPsychogenicMedically unexplained physical symptomsConversion disordersPhysiotherapy rehabilitationPaediatric
spellingShingle Roberta Sartori
Antimo Tessitore
Aurora Della Torca
Egidio Barbi
Efficacy of physiotherapy treatments in children and adolescents with somatic symptom disorder and other related disorders: systematic review of the literature
Italian Journal of Pediatrics
Functional somatic symptoms
Psychogenic
Medically unexplained physical symptoms
Conversion disorders
Physiotherapy rehabilitation
Paediatric
title Efficacy of physiotherapy treatments in children and adolescents with somatic symptom disorder and other related disorders: systematic review of the literature
title_full Efficacy of physiotherapy treatments in children and adolescents with somatic symptom disorder and other related disorders: systematic review of the literature
title_fullStr Efficacy of physiotherapy treatments in children and adolescents with somatic symptom disorder and other related disorders: systematic review of the literature
title_full_unstemmed Efficacy of physiotherapy treatments in children and adolescents with somatic symptom disorder and other related disorders: systematic review of the literature
title_short Efficacy of physiotherapy treatments in children and adolescents with somatic symptom disorder and other related disorders: systematic review of the literature
title_sort efficacy of physiotherapy treatments in children and adolescents with somatic symptom disorder and other related disorders systematic review of the literature
topic Functional somatic symptoms
Psychogenic
Medically unexplained physical symptoms
Conversion disorders
Physiotherapy rehabilitation
Paediatric
url https://doi.org/10.1186/s13052-022-01317-3
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