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"Neuroscience education" pain

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https://www.readbyqxmd.com/read/27400330/special-issue-perspectives-on-pain-neuroscience-education
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
https://www.readbyqxmd.com/read/26118519/neuroscience-education-in-addition-to-trigger-point-dry-needling-for-the-management-of-patients-with-mechanical-chronic-low-back-pain-a-preliminary-clinical-trial
#14
RANDOMIZED CONTROLLED TRIAL
Mario Téllez-García, Ana I de-la-Llave-Rincón, Jaime Salom-Moreno, Maria Palacios-Ceña, Ricardo Ortega-Santiago, César Fernández-de-Las-Peñas
The objective of the current study was to determine the short-term effects of trigger point dry needling (TrP-DN) alone or combined with neuroscience education on pain, disability, kinesiophobia and widespread pressure sensitivity in patients with mechanical low back pain (LBP). Twelve patients with LBP were randomly assigned to receive either TrP-DN (TrP-DN) or TrP-DN plus neuroscience education (TrP-DN + EDU). Pain intensity (Numerical Pain Rating Scale, 0-10), disability (Roland-Morris Disability Questionnaire-RMQ-, Oswestry Low Back Pain Disability Index-ODI), kinesiophobia (Tampa Scale of Kinesiophobia-TSK), and pressure pain thresholds (PPT) over the C5-C6 zygapophyseal joint, transverse process of L3 vertebra, second metacarpal, and tibialis anterior muscle were collected at baseline and 1-week after the intervention...
July 2015: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/26056626/the-short-term-effects-of-preoperative-neuroscience-education-for-lumbar-radiculopathy-a-case-series
#15
Adriaan Louw, Ina Diener, Emilio J Puentedura
BACKGROUND: Recently a preoperative pain neuroscience education (NE) program was developed for lumbar surgery (LS) for radiculopathy as a means to decrease postoperative pain and disability. This study attempts to determine the short term effects, if any, of providing NE before surgery on patient outcomes. METHODS: A case series of 10 patients (female = 7) received preoperative one-on-one educational session by a physical therapist on the neuroscience of pain, accompanied by an evidence-based booklet, prior to LS for radiculopathy...
2015: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/25487824/effect-of-pain-neuroscience-education-and-dry-needling-on-chronic-elbow-pain-as-a-result-of-cyberchondria-a-case-report
#16
Sudarshan Anandkumar
This case report describes a 31-year-old male who presented with complaints of chronic pain in his right elbow. Detailed subjective examination revealed that the patient had searched Google for extensive online information relating to his pain, ultimately self-labeling with various diagnoses. After researching in YouTube, the patient self-treated with ice, exercises, neural mobilization, self-massage and taping, all resulting in a failed outcome. Clinical findings revealed trigger points in his right brachioradialis muscle with added symptoms of central pain...
March 2015: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/25169787/balancing-hands-on-with-hands-off-physical-therapy-interventions-for-the-treatment-of-central-sensitization-pain-in-osteoarthritis
#17
E Lluch Girbés, M Meeus, I Baert, J Nijs
Traditional understanding of osteoarthritis-related pain has recently been challenged in light of evidence supporting a key role of central sensitization in a subgroup of this population. This fact may erroneously lead musculoskeletal therapists to conclude that hands-on interventions have no place in OA management, and that hands-off interventions must be applied exclusively. The aim of this paper is to encourage clinicians in finding an equilibrium between hands-on and hands-off interventions in patients with osteoarthritis-related pain dominated by central sensitization...
April 2015: Manual Therapy
https://www.readbyqxmd.com/read/25090974/exercise-therapy-for-chronic-musculoskeletal-pain-innovation-by-altering-pain-memories
#18
Jo Nijs, Enrique Lluch Girbés, Mari Lundberg, Anneleen Malfliet, Michele Sterling
Even though nociceptive pathology has often long subsided, the brain of patients with chronic musculoskeletal pain has typically acquired a protective (movement-related) pain memory. Exercise therapy for patients with chronic musculoskeletal pain is often hampered by such pain memories. Here the authors explain how musculoskeletal therapists can alter pain memories in patients with chronic musculoskeletal pain, by integrating pain neuroscience education with exercise interventions. The latter includes applying graded exposure in vivo principles during exercise therapy, for targeting the brain circuitries orchestrated by the amygdala (the memory of fear centre in the brain)...
February 2015: Manual Therapy
https://www.readbyqxmd.com/read/24930805/treatment-of-central-sensitization-in-patients-with-unexplained-chronic-pain-an-update
#19
REVIEW
Jo Nijs, Anneleen Malfliet, Kelly Ickmans, Isabel Baert, Mira Meeus
INTRODUCTION: Central sensitization (CS) is present in a variety of chronic pain disorders, including whiplash, temporomandibular disorders, low back pain, osteoarthritis, fibromyalgia, headache, lateral epicondylalgia among others. In spite of our increased understanding of the mechanisms involved in CS pain, its treatment remains a challenging issue. AREAS COVERED: An overview of the treatment options we have for desensitising the CNS in patients with CS pain is provided...
August 2014: Expert Opinion on Pharmacotherapy
https://www.readbyqxmd.com/read/24885889/efficacy-of-a-modern-neuroscience-approach-versus-usual-care-evidence-based-physiotherapy-on-pain-disability-and-brain-characteristics-in-chronic-spinal-pain-patients-protocol-of-a-randomized-clinical-trial
#20
RANDOMIZED CONTROLLED TRIAL
Mieke Dolphens, Jo Nijs, Barbara Cagnie, Mira Meeus, Nathalie Roussel, Jeroen Kregel, Anneleen Malfliet, Guy Vanderstraeten, Lieven Danneels
BACKGROUND: Among the multiple conservative modalities, physiotherapy is a commonly utilized treatment modality in managing chronic non-specific spinal pain. Despite the scientific progresses with regard to pain and motor control neuroscience, treatment of chronic spinal pain (CSP) often tends to stick to a peripheral biomechanical model, without targeting brain mechanisms. With a view to enhance clinical efficacy of existing physiotherapeutic treatments for CSP, the development of clinical strategies targeted at 'training the brain' is to be pursued...
2014: BMC Musculoskeletal Disorders
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