The short-term impact of combining pain neuroscience education with exercise for chronic musculoskeletal pain

Pain ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ben Siddall ◽  
Adrian Ram ◽  
Matthew D. Jones ◽  
John Booth ◽  
Diana Perriman ◽  
...  
2020 ◽  
Vol 9 (7) ◽  
pp. 2195 ◽  
Author(s):  
Antonio Rondon-Ramos ◽  
Javier Martinez-Calderon ◽  
Juan Luis Diaz-Cerrillo ◽  
Francisco Rivas-Ruiz ◽  
Gina Rocio Ariza-Hurtado ◽  
...  

Self-efficacy beliefs are associated with less physical impairment and pain intensity in people with chronic pain. Interventions that build self-efficacy beliefs may foster behavioral changes among this population. A non-randomized trial has been carried out to evaluate the effectiveness of pain neuroscience education (PNE) plus usual care in modifying self-efficacy beliefs, pain intensity, pain interference and analgesics consumption in people with chronic musculoskeletal pain. Participants were allocated to an experimental (PNE plus usual care, n = 49) and a control (usual care alone, n = 51) group. The primary outcome was self-efficacy beliefs (Chronic Pain Self-Efficacy Scale), and the secondary outcomes were pain intensity, pain interference (Graded Chronic Pain Scale) and analgesics consumption. The participant’s pain knowledge (revised Neurophysiology of Pain Questionnaire) after PNE intervention was also assessed to analyze its influence on every outcome measure. All the outcome measures were assessed at the baseline and at four-week and four-month follow-ups. PNE plus usual care was more effective than usual care alone to increase self-efficacy beliefs and decrease pain intensity and pain interference at all follow-up points. No differences between groups were found in terms of analgesics consumption. Knowledge of pain neurophysiology did not modify the effects of PNE plus usual care in any of the outcome measures. These results should be taken with caution because of the non-randomized nature of this design, the limited follow-ups and the uncertainty of the presence of clinical changes in self-efficacy for participants. Larger, methodological sound trials are needed.


2019 ◽  
Vol 20 (10) ◽  
pp. 1140.e1-1140.e22 ◽  
Author(s):  
James A. Watson ◽  
Cormac G. Ryan ◽  
Lesley Cooper ◽  
Dominic Ellington ◽  
Robbie Whittle ◽  
...  

2020 ◽  
Vol 24 (01) ◽  
pp. 7-7
Author(s):  
Arne Vielitz

Watson JA, Ryan CG, Cooper L et al. Pain Neuroscience Education for Adults with Chronic Musculoskeletal Pain: A Mixed-Methods Systematic Review and Meta-Analysis. J Pain 2019; 20: 1140.e1–1140.e22. doi: 10.1016/j.jpain.2019.02.011. Epub 2019 Mar 1


2021 ◽  
Author(s):  
Roberta Giovinazzi ◽  
Andrea Tamborrino ◽  
Michele Marelli ◽  
Leonardo Pellicciari ◽  
Tiziano Innocenti

AbstractBackgroundPain Neuroscience Education (PNE) is an effective widely used strategy in the field of chronic pain management. The objective of this scoping review is to summarize the literature to identify how PNE is performed in patients with chronic musculoskeletal pain.MethodsThis scoping review will be performed in accordance with the Joanna Briggs Institute methodology. Studies will be included if they meet the following population, concept, and context criteria: any patient with chronic musculoskeletal pain aged over 18 years old, any PNE delivery method, any context. No study design, publication type, and data restrictions will be applied. MEDLINE, Cochrane Central, Scopus, PsycInfo and PEDro databases will be searched up to March 2021. Additional records will be identified through searching in grey literature and reference lists of all relevant and included studies. Two reviewers will independently screen all title, abstracts and full-text studies for inclusion. A data collection form will be developed by the research team to extract the characteristics of the studies included. A tabular and accompanying narrative summary of the information will be provided.ConclusionsThis will be the first scoping review to provide a comprehensive overview of the topic. The results will add meaningful information for future research and clinical practice. Furthermore, any knowledge gaps on the topic will be identified. The results of this research will be published in a peer-reviewed journal and will be presented at relevant (inter)national scientific events.


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