The effectiveness of pain neuroscience education combined with manual therapy and home exercise for chronic low back pain: A single-blind randomized controlled trial

Saraçoğlu, İsmail; Arık, Meltem Işıntaş; Afsar, Emrah; Gökpınar, Hasan Hüseyin

doi:10.1080/09593985.2020.1809046

Cited by 35 publications

(55 citation statements)

References 43 publications

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“…After deduplication and applying the exclusion criteria, 12 studies [ 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 ] of the total 1042 studies were included for analysis. The flow diagram could be seen in Figure 1 .…”

Section: Resultsmentioning

confidence: 99%

Effect of Multi-Modal Therapies for Kinesiophobia Caused by Musculoskeletal Disorders: A Systematic Review and Meta-Analysis

Song

Sun

et al. 2020

IJERPH

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This systematic review and meta-analysis aimed to identify the effect of multi-modal therapies that combined physical and psychological therapies for kinesiophobia caused by musculoskeletal disorders compared with uni-modal therapy of only phycological therapy or psychological therapy. The search terms and their logical connector were as following: (1) “kinesiophobia” at the title or abstract; and (2) “randomized” OR “randomized” at title or abstract; not (3) ”design” OR “protocol” at the title. They were typed into the databases of Medline (EBSCO), PubMed, and Ovid, following the different input rules of these databases. The eligibility criteria were: (1) Adults with musculoskeletal disorders or illness as patients; (2) Multi-modal therapies combined physical and psychological therapy as interventions; (3) Uni-modal therapy of only physical or psychological therapy as a comparison; (4) The scores of the 17-items version of the Tampa Scale of Kinesiophobia as the outcome; (5) Randomized controlled trials as study design. As a result, 12 studies were included with a statistically significant polled effect of 6.99 (95% CI 4.59 to 9.38). Despite a large heterogeneity within studies, multi-modal therapies might be more effective in reducing kinesiophobia than the unimodal of only physical or psychological therapy both in the total and subdivision analysis. The effect might decrease with age. What’s more, this review’s mathematical methods were feasible by taking test-retest reliability of the Tampa Scale of Kinesiophobia into consideration.

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Section: Resultsmentioning

confidence: 99%

Effect of Multi-Modal Therapies for Kinesiophobia Caused by Musculoskeletal Disorders: A Systematic Review and Meta-Analysis

Song

Sun

et al. 2020

IJERPH

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“…This review was performed to confirm the effects of PNE on kinesiophobia and pain in persons with chronic pain. It was found that PNE alone was more effective when combined with trigger point dry needling and manual therapy [28,36]. In addition, regardless of therapeutic intensity, a single session alone showed significant improvement [30,35], and indirect online education rather than direct education also showed significant improvement [29,34].…”

Section: Discussionmentioning

confidence: 97%

“…In addition, Visual Analog Scale, Numeric Pain Rating Scale, Pressure Pain Threshold, Pain Disability Index, Pain Catastrophizing Scale were used in selected studies to investigate the effect on pain. All studies selected had a positive effect of PNE compared to the control except for only one study (Table 1) [28][29][30][31][32][33][34][35].…”

Section: Pain Neuroscience Education On Kinesiophobia and Pain For Chmentioning

confidence: 99%

Effects of pain neuroscience education on kinesiophobia in patients with chronic pain: a systematic review and meta-analysis

Kim¹,

Lee

2020

PTRS

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“…The compound and development of the pain neuroscience education intervention were based on previous studies [17,[38][39][40]. Pain neuroscience education discussed peripheral sensitization, central sensitization, and biopsychosocial factors associated with pain [19,41]. During an interview, psychological factors, including self-efficacy, pain interference/disability, coping with pain, catastrophic thoughts, emotional response to pain, anxiety, frustration/anger, fear of damage, concerns regarding pain, and fear of pain, were examined and discussed with patients.…”

Section: Pain Neuroscience Educationmentioning

confidence: 99%

Pain Neuroscience Education Combined with Therapeutic Exercises Provides Added Benefit in the Treatment of Chronic Neck Pain

Javdaneh

Sæterbakken

Shams

et al. 2021

IJERPH

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Background: Chronic neck pain is common in the adult general population. Although the etiology of chronic neck pain is under debate, it is clear that chronic neck pain is multifactorial, with both physical and psychosocial contributors. Objective: To determine whether adding pain neuroscience education (PNE) to therapeutic exercises improved their pain–disability index, pain catastrophizing, fear–avoidance beliefs, and pain self-efficacy in subjects with chronic nonspecific neck pain. Methods: This study was a three-arm randomized control trial. Seventy-two patients with chronic nonspecific neck pain were allocated to three groups: therapeutic exercises alone (n = 24), combined (therapeutic exercises + PNE; (n = 24), and a control group (n = 24). Each program took place three times a week, lasting for six weeks. The disability index, pain catastrophizing, fear–avoidance beliefs, and pain self-efficacy measured by the Neck Pain and Disability Scale (NPAD), Pain Catastrophizing Scale (PCS), Fear–Avoidance Beliefs Questionnaire (FABQ), and Pain Self-Efficacy Questionnaire (PSEQ), respectively. Participants were assessed before and after the six-week intervention, and there was no further follow-up. Results: For the outcomes NPAD, PSC, and FABQ, combined intervention demonstrated more significant improvements than therapeutic exercises alone (p ≤ 0.05), whereas no differences were observed between the two intervention groups for PSEQ (p = 0.99). In addition, significant differences were favoring experimental groups versus control for all outcomes (p ≤ 0.001). Conclusion: Therapeutic exercises combined with pain neuroscience education reduced the pain–disability index, pain catastrophizing, and fear–avoidance beliefs more than therapeutic exercises alone in patients with chronic neck pain. For pain self-efficacy, there was no statistically significant difference between the two intervention groups; however, the combined group had a more significant effect than therapeutic exercises alone. Further studies with longer periods and follow-up are required.

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The effectiveness of pain neuroscience education combined with manual therapy and home exercise for chronic low back pain: A single-blind randomized controlled trial

Cited by 35 publications

References 43 publications

Effect of Multi-Modal Therapies for Kinesiophobia Caused by Musculoskeletal Disorders: A Systematic Review and Meta-Analysis

Effect of Multi-Modal Therapies for Kinesiophobia Caused by Musculoskeletal Disorders: A Systematic Review and Meta-Analysis

Effects of pain neuroscience education on kinesiophobia in patients with chronic pain: a systematic review and meta-analysis

Pain Neuroscience Education Combined with Therapeutic Exercises Provides Added Benefit in the Treatment of Chronic Neck Pain

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