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"Neuroscience education" pain

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https://www.readbyqxmd.com/read/28605207/kinesiophobia-and-maladaptive-coping-strategies-prevent-improvements-in-pain-catastrophizing-following-pain-neuroscience-education-in-fibromyalgia-chronic-fatigue-syndrome-an-explorative-study
#1
Anneleen Malfliet, Jessica Van Oosterwijck, Mira Meeus, Barbara Cagnie, Lieven Danneels, Mieke Dolphens, Ronald Buyl, Jo Nijs
Many patients with chronic fatigue syndrome(CFS) and/or fibromyalgia(FM) have little understanding of their condition, leading to maladaptive pain cognitions and coping strategies. These should be tackled during therapy, for instance by pain neurophysiology education (PNE). Although positive effects of PNE are well-established, it remains unclear why some patients benefit more than others. This paper aims at exploring characteristics of patients responding poor to PNE to further improve its effectiveness. Data from two RCT's were pooled to search for baseline predictors...
June 12, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28524700/what-is-important-in-transdisciplinary-pain-neuroscience-education-a-qualitative-study
#2
Amarins J Wijma, Caroline M Speksnijder, Astrid F Crom-Ottens, J M Corine Knulst-Verlaan, Doeke Keizer, Jo Nijs, C Paul van Wilgen
PURPOSE: The main focus of Pain Neuroscience Education is around changing patients' pain perceptions and minimizing further medical care. Even though Pain Neuroscience Education has been studied extensively, the experiences of patients regarding the Pain Neuroscience Education process remain to be explored. Therefore, the aim of this study was to explore the experiences in patients with non-specific chronic pain. MATERIALS AND METHODS: Fifteen patients with non-specific chronic pain from a transdisciplinary treatment centre were in-depth interviewed...
May 19, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28514231/preoperative-pain-neuroscience-education-combined-with-knee-joint-mobilization-for-knee-osteoarthritis-a-randomized-controlled-trial
#3
Enrique Lluch, Lirios Dueñas, Deborah Falla, Isabel Baert, Mira Meeus, Jose Sánchez-Frutos, Jo Nijs
OBJECTIVES: This study aimed to first compare the effects of a preoperative treatment combining pain neuroscience education (PNE) with knee joint mobilization versus biomedical education with knee joint mobilization on central sensitization (CS) in patients with knee osteoarthritis, both before and after surgery. Second, we wanted to compare the effects of both interventions on knee pain, disability, and psychosocial variables. MATERIALS AND METHODS: Forty-four patients with knee osteoarthritis were allocated to receive 4 sessions of either PNE combined with knee joint mobilization or biomedical education with knee joint mobilization before surgery...
May 16, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28407728/long-lasting-improvements-in-health-related-quality-of-life-among-women-with-chronic-pain-following-multidisciplinary-rehabilitation
#4
Sigrún Vala Björnsdóttir, Jan Triebel, Margrét Arnljótsdóttir, Gunnar Tómasson, Unnur Anna Valdimarsdóttir
PURPOSE: To determine whether observed health-related quality-of-life improvements after four-week traditional multidisciplinary pain management program and additional neuroscience education and mindfulness-based cognitive therapy for chronic pain are sustained at six-month follow-up. METHOD: This observational longitudinal follow-up study, with complete follow-up of 75 women, 61.5% of initial traditional approach group (treated 2001-2005) and 56 (62.2%) receiving the new approach (treated 2006-2009)...
April 14, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28339330/-clinical-biopsychosocial-physiotherapy-assessment-of-patients-with-chronic-pain-the-first-step-in-pain-neuroscience-education-by-amarins-j-wijma-et-al-2016
#5
Rob A B Oostendorp, Hans Elvers, Emilia Mikolajewska, Marjan Laekeman, Emiel van Trijffel, Han Samwel
No abstract text is available yet for this article.
March 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28097246/three-year-follow-up-of-a-randomized-controlled-trial-comparing-preoperative-neuroscience-education-for-patients-undergoing-surgery-for-lumbar-radiculopathy
#6
Adriaan Louw, Ina Diener, Merrill R Landers, Kory Zimney, Emilio J Puentedura
BACKGROUND: Results from a previous multicenter randomized controlled trial (RCT) on preoperative pain neuroscience education (PNE) for lumbar radiculopathy found no significant difference in patient reported outcomes between groups. However, patients who received PNE viewed their surgical experience more favorably and utilized significantly less healthcare compared to those that did not. The purpose is to determine if the reduction in healthcare costs from 1-year would be continued at 3-year following surgery, and to explore differences (if any) in patient reported outcomes...
December 2016: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/28009822/pain-neuroscience-education-state-of-the-art-and-application-in-pediatrics
#7
REVIEW
Hannah Robins, Victoria Perron, Lauren C Heathcote, Laura E Simons
Chronic pain is a widespread problem in the field of pediatrics. Many interventions to ameliorate pain-related dysfunction have a biobehavioral focus. As treatments for chronic pain (e.g., increased movement) often stand in stark contrast to treatments for an acute injury (e.g., rest), providing a solid rationale for treatment is necessary to gain patient and parent buy-in. Most pain treatment interventions incorporate psychoeducation, or pain neuroscience education (PNE), as an essential component, and in some cases, as a stand-alone approach...
December 21, 2016: Children
https://www.readbyqxmd.com/read/27400330/special-issue-perspectives-on-pain-neuroscience-education
#8
EDITORIAL
Scott Hasson
No abstract text is available yet for this article.
July 2016: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/27362980/combining-manual-therapy-with-pain-neuroscience-education-in-the-treatment-of-chronic-low-back-pain-a-narrative-review-of-the-literature
#9
REVIEW
Emilio J Puentedura, Timothy Flynn
Teaching people with chronic low back pain (CLBP) about the neurobiology and neurophysiology of their pain is referred to as pain neuroscience education (PNE). There is growing evidence that when PNE is provided to patients with chronic musculoskeletal pain, it can result in decreased pain, pain catastrophization, disability, and improved physical performance. Because the aim of PNE is to shift the patient's focus from the tissues in the low back as the source of their pain to the brain's interpretation of inputs, many clinicians could mistakenly believe that PNE should be a "hands-off," education-only approach...
July 2016: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/27356079/reconciling-movement-and-exercise-with-pain-neuroscience-education-a-case-for-consistent-education
#10
REVIEW
Cory Blickenstaff, Neil Pearson
This article will introduce a conceptual framework of kinesthetic education that is consistent with and reinforces pain neuroscience education. This article will also provide some specific guidance for integrating pain neuroscience education with exercise and movement in a more congruent manner. Our belief is that this will enhance the effectiveness of specific movement approaches such as graded exposure techniques. Over the past decade, a new paradigm of pain education has been explored in an effort to improve patient outcomes...
July 2016: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/27351903/the-clinical-application-of-teaching-people-about-pain
#11
REVIEW
Adriaan Louw, Kory Zimney, Christine O'Hotto, Sandra Hilton
Teaching people about the neurobiology and neurophysiology of their pain experience has a therapeutic effect and has been referred to as pain neuroscience education (PNE). Various high-quality randomized controlled trials and systematic reviews have shown increasing efficacy of PNE decreasing pain, disability, pain catastrophization, movement restrictions, and healthcare utilization. Research studies, however, by virtue of their design, are very controlled environments and, therefore, in contrast to the ever-increasing evidence for PNE, little is known about the clinical application of this emerging therapy...
July 2016: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/27351769/clinical-biopsychosocial-physiotherapy-assessment-of-patients-with-chronic-pain-the-first-step-in-pain-neuroscience-education
#12
REVIEW
Amarins J Wijma, C Paul van Wilgen, Mira Meeus, Jo Nijs
Pain neuroscience education (PNE) is increasingly used as part of a physical therapy treatment in patients with chronic pain. A thorough clinical biopsychosocial assessment is recommended prior to PNE to allow proper explanation of the neurophysiology of pain and the biopsychosocial interactions in an interactive and patient-centered manner. However, without clear guidelines, clinicians are left wondering how a biopsychosocial assessment should be administered. Therefore, we provided a practical guide, based on scientific research and clinical experience, for the biopsychosocial assessment of patients with chronic pain in physiotherapy practice...
July 2016: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/27351690/listening-is-therapy-patient-interviewing-from-a-pain-science-perspective
#13
REVIEW
Ina Diener, Mark Kargela, Adriaan Louw
The interview of a patient attending physical therapy is the cornerstone of the physical examination, diagnosis, plan of care, prognosis, and overall efficacy of the therapeutic experience. A thorough, skilled interview drives the objective tests and measures chosen, as well as provides context for the interpretation of those tests and measures, during the physical examination. Information from the interview powerfully influences the treatment modalities chosen by the physical therapist (PT) and thus also impacts the overall outcome and prognosis of the therapy sessions...
July 2016: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/27351541/the-efficacy-of-pain-neuroscience-education-on-musculoskeletal-pain-a-systematic-review-of-the-literature
#14
REVIEW
Adriaan Louw, Kory Zimney, Emilio J Puentedura, Ina Diener
OBJECTIVE: Systematic review of randomized control trials (RCTs) for the effectiveness of pain neuroscience education (PNE) on pain, function, disability, psychosocial factors, movement, and healthcare utilization in individuals with chronic musculoskeletal (MSK) pain. DATA SOURCES: Systematic searches were conducted on 11 databases. Secondary searching (PEARLing) was undertaken, whereby reference lists of the selected articles were reviewed for additional references not identified in the primary search...
July 2016: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/27298051/back-school-or-brain-school-for-patients-undergoing-surgery-for-lumbar-radiculopathy-protocol-for-a-randomised-controlled-trial
#15
RANDOMIZED CONTROLLED TRIAL
Kelly Ickmans, Maarten Moens, Koen Putman, Ronald Buyl, Lisa Goudman, Eva Huysmans, Ina Diener, Tine Logghe, Adriaan Louw, Jo Nijs
INTRODUCTION: Despite scientific progress with regard to pain neuroscience, perioperative education tends to stick to the biomedical model. This may involve, for example, explaining the surgical procedure or 'back school' (education that focuses on biomechanics of the lumbar spine and ergonomics). Current perioperative education strategies that are based on the biomedical model are not only ineffective, they can even increase anxiety and fear in patients undergoing spinal surgery. Therefore, perioperative pain neuroscience education is proposed as a dramatic shift in educating patients prior to and following surgery for lumbar radiculopathy...
July 2016: Journal of Physiotherapy
https://www.readbyqxmd.com/read/26928735/know-pain-know-gain-a-perspective-on-pain-neuroscience-education-in-physical-therapy
#16
Adriaan Louw, Emilio J Puentedura, Kory Zimney, Stephen Schmidt
Chronic pain is incredibly complex, and so are decisions as to its treatment. During physical therapy care, pain neuroscience education (PNE) aims to help patients understand more about their pain from a biological and physiological perspective. Accompanying the growing evidence for the ability of PNE to reduce pain and disability in patients with chronic pain is an increased interest in PNE from scientists, educators, clinicians, and conference organizers. However, the rise in popularity of PNE has highlighted a historical paradox of increased knowledge not necessarily corresponding with improved care...
March 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/26451623/a-clinical-contrast-physical-therapists-with-low-back-pain-treating-patients-with-low-back-pain
#17
Adriaan Louw, Emilio J Puentedura, Kory Zimney
Patients with low back pain (LBP) often display faulty beliefs and cognitions regarding their pain experience. Pain neuroscience education (PNE) aims to alter the pain experience by targeting these faulty beliefs and cognitions. One PNE strategy aims specifically to reframe commonly held beliefs about tissues by patients with LBP as the single source of pain. In line with this reasoning, it is hypothesized that physical therapists (PT) treating patients with LBP may indeed experience similar, if not worse, pain experiences while treating a patient with LBP...
2015: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/26395827/preoperative-therapeutic-neuroscience-education-for-lumbar-radiculopathy-a-single-case-fmri-report
#18
Adriaan Louw, Emilio J Puentedura, Ina Diener, Randal R Peoples
Therapeutic neuroscience education (TNE) has been shown to be effective in the treatment of mainly chronic musculoskeletal pain conditions. This case study aims to describe the changes in brain activation on functional magnetic resonance imaging (fMRI) scanning, before and after the application of a newly-designed preoperative TNE program. A 30-year-old female with a current acute episode of low back pain (LBP) and radiculopathy participated in a single preoperative TNE session. She completed pre- and post-education measures including visual analog scale (VAS) for LBP and leg pain; Oswestry Disability Index (ODI); Fear Avoidance Beliefs Questionnaire (FABQ); Pain Catastrophizing Scale (PCS) and a series of Likert-scale questions regarding beliefs and attitudes to lumbar surgery (LS)...
2015: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/26308707/chronic-pain-and-the-thoracic-spine
#19
Adriaan Louw, Stephen G Schmidt
In recent years there has been an increased interest in pain neuroscience in physical therapy.1,2 Emerging pain neuroscience research has challenged prevailing models used to understand and treat pain, including the Cartesian model of pain and the pain gate.2-4 Focus has shifted to the brain's processing of a pain experience, the pain neuromatrix and more recently, cortical reorganisation of body maps.2,3,5,6 In turn, these emerging theories have catapulted new treatments, such as therapeutic neuroscience education (TNE)7-10 and graded motor imagery (GMI),11,12 to the forefront of treating people suffering from persistent spinal pain...
July 2015: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/26122546/health-related-quality-of-life-improvements-among-women-with-chronic-pain-comparison-of-two-multidisciplinary-interventions
#20
COMPARATIVE STUDY
Sigrún Vala Björnsdóttir, Margrét Arnljótsdóttir, Gunnar Tómasson, Jan Triebel, Unnur Anna Valdimarsdóttir
PURPOSE: To measure the effect of 4 weeks traditional multidisciplinary pain management program (TMP) versus neuroscience education and mindfulness-based cognitive therapy (NEM) on quality of life (HRQL) among women with chronic pain. METHOD: This observational longitudinal cohort study conducted in an Icelandic rehabilitation centre included 122 women who received TMP, 90 receiving NEM, and 57 waiting list controls. Pain intensity (visual analogue scale) and HRQL (Icelandic Quality of Life scale) were measured before and after interventions...
2016: Disability and Rehabilitation
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