Perceptions and Experiences of Individuals With Neck Pain: A Systematic Critical Review of Qualitative Studies With Meta-Summary and Meta-Synthesis

Maistrello, Luca Falsiroli; Zanconato, Laura; Palese, Alvisa; Geri, Tommaso; Turolla, Andrea; Gianola, Silvia; Dell’Isola, Andrea; Rossettini, Giacomo

doi:10.1093/ptj/pzac080

Cited by 20 publications

(15 citation statements)

References 65 publications

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“…People with pain struggle to affirm themselves (Themes 1, 2), adapt to living with pain (Theme 3), find a suitable explanation for their pain (Theme 6), negotiate the healthcare system (Theme 7), and be viewed by observers as legitimate (Themes 6, 7). Beyond the meta/mega-ethnography, our results align with published data in other qualitative systematic or meta-analyses on chronic pain 38,48,49 . The main innovation of our study is the development of a survey to evaluate our findings in a UK population.…”

Section: Discussionsupporting

confidence: 87%

Understanding the Lived Experience of Chronic Pain: A Systematic Review and Synthesis of Qualitative Evidence Syntheses

Rysewyk

Blomkvisk

Crighton

et al. 2023

Preprint

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Background: Although multiple measures of the causes and consequences of chronic non-cancer pain (CNCP) are available and can inform pain management, no quantitative summary of these measures can describe the meaning of pain for a patient. The lived experience of pain tends to be a blind spot in pain management. This study aimed to: (1) integrate qualitative research investigating the lived experience of a range of CNCP conditions; (2) establish common qualitative themes in CNCP experience; and (3) evaluate the relevance of our results through a survey questionnaire based on these themes, administered across the United Kingdom. Methods: Six bibliographic databases were searched from inception to February 2021 to identify Qualitative Evidence Syntheses (QES) that investigated the lived experience of CNCP and its impact on everyday life and activities. Themes and trends were derived by thematic qualitative analysis in collaboration with two patient and public involvement representatives through two workshops. The output from these workshops helped inform the creation of twenty survey statements. Results: The research team identified and screened 1,323 titles, and considered 86 abstracts, including 20 in the final review. Eight themes were developed from the study findings: (1) my pain gives rise to negative emotions; (2) changes to my life and to my self; (3) adapting to my new normal; (4) effects of my pain management strategies; (5) hiding and showing my pain; (6) medically explaining my pain; (7) relationships to those around me; and (8) working while in pain. Each theme gave rise to one or two survey questions. The survey was shared with members of the UK pain community over a two-week period in November 2021, and was completed by 1,219 people, largely confirming the above themes. Conclusion/implications: This study provides a validated summary of the lived experience of CNCP. It highlights the adverse nature, complications, and consequences of living with CNCP in the UK, and the multiple shortcomings in the ways in which pain is addressed by others in the UK. Our findings are consistent with published meta-ethnographies on chronic non-malignant musculoskeletal pain, and chronic low-back pain. Despite the underrepresentation of qualitative research in the pain literature compared to quantitative approaches, for understanding the complexity of the lived experience of pain, qualitative research is an essential tool.

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Section: Discussionsupporting

confidence: 87%

Understanding the Lived Experience of Chronic Pain: A Systematic Review and Synthesis of Qualitative Evidence Syntheses

Rysewyk

Blomkvisk

Crighton

et al. 2023

Preprint

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“…In addition, research on pain disorders and patient experience is critical to understanding the mechanisms for diagnosing and treating CEH. For example, a study on neck pain by Falsiroli Maistrello et al ( 46 ) highlighted the importance of considering the individual patient’s neck pain experience. Another study by Rossettini et al ( 47 ) emphasized assessing patient satisfaction with physical therapy procedures for musculoskeletal pain conditions.…”

Section: Resultsmentioning

confidence: 99%

Global trends in research on cervicogenic headache: a bibliometric analysis

Gao

Jiang

et al. 2023

Front. Neurol.

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BackgroundThere has been a marked increase in cervicogenic headaches in recent years, significantly affecting sufferers’ daily lives and work. While several treatments exist for this type of headache, their long-term effects could be improved, and additional data from large clinical samples are needed. This study aims to systematically examine the current state of research in cervicogenic headaches through a bibliometric analysis, identify areas of current interest, and provide insight into potential future research directions.MethodsThis article examines research trends in the field of cervicogenic headache through a bibliometric analysis of scholarly articles in the field of cervicogenic headache over the past four decades. The bibliometric analysis method employed included searching the Web of Science database using topics related to cervicogenic headaches. Inclusion criteria were limited to articles and review papers on cervicogenic headaches published between 1982 and 2022. The retrieved dataset was then analyzed using R software and VOSviewer to identify the major research areas, countries and institutions, the most influential authors, journals and keywords, co-citations in the literature, and co-authorship networks.ResultsThis study analyzed 866 articles published between 1982 and 2022, involving 2,688 authors and generating 1,499 unique author keywords. Neuroscience and neurology were the primary focus, with participation from 47 countries, primarily led by the United States, which has the most published articles (n = 207), connections (n = 29), and citations (n = 5,238). In the cervicogenic headache study, which involved 602 institutions, the University of Queensland received the most significant number of citations (n = 876), and Cephalalgia was the journal with the most published articles and received the most local citations (n = 82) and highest growth (n = 36). Two hundred sixty-nine journals have published articles on cervicogenic headaches. Among researchers studying cervicogenic headache, Sjaastad O had the most published articles (n = 51) and citations (n = 22). The most commonly occurring keyword was “cervicogenic headache.” Except for the fourth most impactful paper, as determined by the Local Citation Score, which analyzed clinical treatments, all the top documents emphasized investigating the diagnostic mechanisms of cervicogenic headache. The most commonly occurring keyword was “cervicogenic headache.”ConclusionThis study used bibliometric analysis to provide a comprehensive overview of the current research on cervicogenic headaches. The findings highlight several areas of research interest, including the need for further investigation into the diagnosis and treatment of cervicogenic headaches, the impact of lifestyle factors on cervicogenic headaches, and the development of new interventions to improve patient outcomes. By identifying these gaps in the literature, this study provides a foundation for guiding future research to improve the diagnosis and treatment of cervicogenic headaches.

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“…Meanwhile, exercise interventions that encourage self-management are recommended for people with chronic musculoskeletal pain [ 13 – 15 ] and are the basic training of this approach. Due to the bio-psycho-social nature of chronic musculoskeletal pain, it seems that the educational approach based on the bio-psycho-social model is an appropriate educational model for treating these people [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…During the initial evaluation, a strong therapeutic alliance can be established by introducing the concepts of pain neuroscience education (PNE) and carefully choosing words to reduce the fear of persistent pain [ 19 ]. Also, expressing problems in the patient’s own words provides more accurate information than ready-made checklists [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

“…PNE gives comprehensive and adequate information on the nervous system’s response to harmful or potentially harmful stimuli; hypersensitivity to afferent neurotransmitters, such as swelling after acute injury; increased pain response in the central nervous system, hypersensitivity, or increased pain response; and neural plasticity, changes in the nervous system resulting from physical and cognitive activity [ 16 , 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

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The comparison between the effects of pain education interventions with online and face-to-face exercise and the control group received biomedical education + standardized physical therapy in patients with chronic nonspecific neck pain during COVID-19: protocol for a parallel-group randomized controlled trial

Khosrokiani

Letafatkar

Hadadnezhad

et al. 2022

Trials

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Background Various psychological issues and serious health concerns during the imposed lockdown by coronavirus disease 2019 (COVID-19) have induced many changes in the treatment of patients. More effective self-management strategies through tele-rehabilitation are suggested to be applied for patients with chronic neck pain to reduce referrals to health cares and disability support through COVID-19. Also, the pain neuroscience education (PNE) approach is an educational method used by health professionals to assist patients in understanding the biology, physiology, and psychosocial factors affecting their pain experience and aligning with the cognitions and beliefs associated with pain and recurrent disability. PNE combined with tele-rehabilitation could be a new solution to encourage patients to manage their condition by themselves and increase the continuity of practice instead of face-to-face sessions. Objective This randomized control trial (RCT) aims to investigate the effects of PNE with online and face-to-face exercise interventions, and the control group received biomedical education + standardized physical therapy on neck pain and disability, psychological factors, and function in non-traumatic chronic neck pain. Methods/design Patients with non-traumatic chronic neck pain (patient-centered care and active involvement of patients and the public) will be recruited via flyers displayed in hospitals and universities to participate in an RCT with two experimental and one control group designed to investigate the effects of PNE with online and face-to-face exercise interventions, and the control group received biomedical education + standardized physical therapy on neck pain and disability, psychological factors, and function in non-traumatic chronic neck pain. The outcomes will be measured at baseline, after PNE, and after 3 months of an exercise intervention. All outcomes are presented as mean ± SD, and statistical significance was set at α level of < 0.05. The normal distribution of the variables was verified by the Kolmogorov-Smirnov test, following a descriptive analysis. Discussion It seems that PNE plus online and face-to-face exercise interventions are appropriate educational models for the treatment of patients with neck pain during COVID-19. Also, online training seems to encourage patients to continue their treatment. Trial registration Iranian Registry of Clinical Trials IRCT20150503022068N5. Registered on 09 September 2021

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Perceptions and Experiences of Individuals With Neck Pain: A Systematic Critical Review of Qualitative Studies With Meta-Summary and Meta-Synthesis

Cited by 20 publications

References 65 publications

Understanding the Lived Experience of Chronic Pain: A Systematic Review and Synthesis of Qualitative Evidence Syntheses

Understanding the Lived Experience of Chronic Pain: A Systematic Review and Synthesis of Qualitative Evidence Syntheses

Global trends in research on cervicogenic headache: a bibliometric analysis

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