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Pain neuroscience education

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https://www.readbyqxmd.com/read/29753112/patients-with-chronic-spinal-pain-benefit-from-pain-neuroscience-education-regardless-the-self-reported-signs-of-central-sensitization-secondary-analysis-of-a-randomized-controlled-multicentre-trial
#1
Anneleen Malfliet, Jeroen Kregel, Mira Meeus, Lieven Danneels, Barbara Cagnie, Nathalie Roussel, Jo Nijs
BACKGROUND: Pain neuroscience education is effective in chronic pain management. Central sensitization (i.e. generalized hypersensitivity) is often explained as underlying mechanism for chronic pain, because of its clinical relevance and influence on pain severity, prognosis, and treatment outcome. OBJECTIVES: To examine whether patients with more or fewer symptoms of central sensitization respond differently to pain neuroscience education. DESIGN: A secondary analysis of a multicentre, triple-blind randomized controlled trial SETTING: University hospital Ghent and University Hospital Brussels, Belgium...
May 9, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29710099/effect-of-pain-neuroscience-education-combined-with-cognition-targeted-motor-control-training-on-chronic-spinal-pain-a-randomized-clinical-trial
#2
Anneleen Malfliet, Jeroen Kregel, Iris Coppieters, Robby De Pauw, Mira Meeus, Nathalie Roussel, Barbara Cagnie, Lieven Danneels, Jo Nijs
Importance: Effective treatments for chronic spinal pain are essential to reduce the related high personal and socioeconomic costs. Objective: To compare pain neuroscience education combined with cognition-targeted motor control training with current best-evidence physiotherapy for reducing pain and improving functionality, gray matter morphologic features, and pain cognitions in individuals with chronic spinal pain. Design, Setting, and Participants: Multicenter randomized clinical trial conducted from January 1, 2014, to January 30, 2017, among 120 patients with chronic nonspecific spinal pain in 2 outpatient hospitals with follow-up at 3, 6, and 12 months...
April 16, 2018: JAMA Neurology
https://www.readbyqxmd.com/read/29669079/blended-learning-pain-neuroscience-education-for-people-with-chronic-spinal-pain-randomized-controlled-multicenter-trial
#3
Anneleen Malfliet, Jeroen Kregel, Mira Meeus, Nathalie Roussel, Lieven Danneels, Barbara Cagnie, Mieke Dolphens, Jo Nijs
Background: Available evidence favors the use of pain neuroscience education (PNE) in patients with chronic pain. However, PNE trials are often limited to small sample sizes and, despite the current digital era, the effects of blended-learning PNE (ie, the combination of online digital media with traditional educational methods) have not yet been investigated. Objective: The study objective was to examine whether blended-learning PNE is able to improve disability, catastrophizing, kinesiophobia, and illness perceptions...
May 1, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29601227/the-use-of-pain-neuroscience-education-in-older-adults-with-chronic-back-and-or-lower-extremity-pain
#4
Adam Rufa, Katherine Beissner, Michelle Dolphin
INTRODUCTION: Chronic pain due to musculoskeletal disorders is the leading cause of disability among older adults and is associated with a lower quality of life, reduced function, and increased risk of institutionalization. Pain Neuroscience Education (PNE) has demonstrated effectiveness in reducing pain and improving pain self-efficacy in individuals under 60 years of age, but there is a paucity of research examining its use with older adults. If PNE has similar effects in older adults, it has the potential to be a useful non-pharmacological intervention for this population...
March 30, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29589782/immediate-preoperative-outcomes-of-pain-neuroscience-education-for-patients-undergoing-total-knee-arthroplasty-a-case-series
#5
Adriaan Louw, Kory Zimney, Jordan Reed, Merrill Landers, Emilio J Puentedura
BACKGROUND: Standard preoperative education for total knee arthroplasty (TKA) has been shown to have no effect on postoperative outcomes. This may be because such education programs fail to educate patients about pain. Pain neuroscience education (PNE) focuses on teaching people more about pain from a neurobiological and neurophysiological perspective. DESIGN AND SETTING: Case Series. AIM: To determine the immediate effects, if any, of providing PNE before TKA surgery on patient self-report measures...
March 28, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29550259/development-and-feasibility-testing-of-a-pain-neuroscience-education-program-for-children-with-chronic-pain-treatment-protocol
#6
Roselien Pas, Mira Meeus, Anneleen Malfliet, Isabel Baert, Sophie Van Oosterwijck, Laurence Leysen, Jo Nijs, Kelly Ickmans
BACKGROUND: Current treatment for adults with chronic pain often includes Pain Neuroscience Education (PNE) to make people understand the nature underlying their pain and thus provides a clear rational for a biopsychosocial approach. Despite recommendations to use Pain Neuroscience Education as well in children with chronic pain, a specific program, tailored to children aged 6-12 years is lacking. OBJECTIVES: The aim of this study was to develop a Pain Neuroscience Education program for children with chronic pain and test its feasibility...
May 2018: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/29535617/yoga-therapy-and-polyvagal-theory-the-convergence-of-traditional-wisdom-and-contemporary-neuroscience-for-self-regulation-and-resilience
#7
Marlysa B Sullivan, Matt Erb, Laura Schmalzl, Steffany Moonaz, Jessica Noggle Taylor, Stephen W Porges
Yoga therapy is a newly emerging, self-regulating complementary and integrative healthcare (CIH) practice. It is growing in its professionalization, recognition and utilization with a demonstrated commitment to setting practice standards, educational and accreditation standards, and promoting research to support its efficacy for various populations and conditions. However, heterogeneity of practice, poor reporting standards, and lack of a broadly accepted understanding of the neurophysiological mechanisms involved in yoga therapy limits the structuring of testable hypotheses and clinical applications...
2018: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29430052/-i-didn-t-pay-her-to-teach-me-how-to-fix-my-back-a-focused-ethnographic-study-exploring-chiropractors-and-chiropractic-patients-experiences-and-beliefs-regarding-exercise-adherence
#8
Peter Stilwell, Katherine Harman
Aim: To inform future research and exercise prescription for patients with chronic low back pain (CLBP), this study explored chiropractors' and chiropractic patients' experiences and beliefs regarding the barriers and facilitators to prescribed exercise adherence. Methods: A focused ethnographic approach was used involving 16 semi-structured interviews, including pilot interviews (n = 4) followed by interviews with chiropractors (n = 6) and chiropractic patients with CLBP (n = 6)...
December 2017: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/29405811/the-effect-of-pain-neuroscience-education-on-sports-therapy-and-rehabilitation-students-knowledge-attitudes-and-clinical-recommendations-towards-athletes-with-chronic-pain
#9
Neil Maguire, Paul Chesterton, Cormac Ryan
CONTEXT: Pain education is a fundamental part of a holistic approach to athlete injury management. OBJECTIVE: Investigate the effect of Pain Neuroscience Education (PNE) on Sports Therapy and Rehabilitation (STR) students: 1) knowledge of persistent pain; 2) attitudes towards athletes with persistent pain; 3) clinical recommendations for athletes with persistent pain. DESIGN: Parallel groups, single-blind randomised control trial. SETTING: A UK University...
February 6, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29319386/the-effects-of-pain-neuroscience-education-and-exercise-on-pain-muscle-endurance-catastrophizing-and-anxiety-in-adolescents-with-chronic-idiopathic-neck-pain-a-school-based-pilot-randomized-and-controlled-study
#10
Rosa Andias, Maritza Neto, Anabela G Silva
PURPOSE: To compare the effectiveness of pain neuroscience education (PNE) and neck/shoulder exercises with no intervention in adolescents with chronic idiopathic neck pain (CINP). METHODS: Forty-three adolescents with CINP were randomly allocated to receive PNE and shoulder/neck exercises (n = 21) or no intervention (n = 22). Data on pain intensity, neck flexor and extensor muscles endurance, scapular stabilizers endurance, pain catastrophizing, anxiety, and knowledge of pain neurophysiology were collected...
January 10, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29111859/effect-of-physical-therapy-management-of-nonspecific-low-back-pain-with-exercise-addiction-behaviors-a-case-series
#11
Sudarshan Anandkumar, Murugavel Manivasagam, Vivian Tie Suk Kee, Uta Meyding-Lamade
This case series describes two patients, aged 35 and 45 years, respectively, who presented with chronic nonspecific low back pain (NSLBP) having exercise addiction (EA) behaviors. Diagnosis of EA was based on clinical findings, exercising patterns and withdrawal symptoms along with high scores in the EA inventory. This report is a potential first-time description of the successful physical therapy management of NSLBP associated with EA utilizing pain neuroscience education (with individualized curriculum), mindfulness, breathing, quota-based reduction in exercises and modification of exercises into social participation, pleasure activities and hobbies...
April 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28971346/combined-pet-mri-global-warming-summary-report-of-the-6th-international-workshop-on-pet-mri-march-27-29-2017-t%C3%A3-bingen-germany
#12
REVIEW
D L Bailey, B J Pichler, B Gückel, G Antoch, H Barthel, Z M Bhujwalla, S Biskup, S Biswal, M Bitzer, R Boellaard, R F Braren, C Brendle, K Brindle, A Chiti, C la Fougère, R Gillies, V Goh, M Goyen, M Hacker, L Heukamp, G M Knudsen, A M Krackhardt, I Law, J C Morris, K Nikolaou, J Nuyts, A A Ordonez, K Pantel, H H Quick, K Riklund, O Sabri, B Sattler, E G C Troost, M Zaiss, L Zender, Thomas Beyer
The 6th annual meeting to address key issues in positron emission tomography (PET)/magnetic resonance imaging (MRI) was held again in Tübingen, Germany, from March 27 to 29, 2017. Over three days of invited plenary lectures, round table discussions and dialogue board deliberations, participants critically assessed the current state of PET/MRI, both clinically and as a research tool, and attempted to chart future directions. The meeting addressed the use of PET/MRI and workflows in oncology, neurosciences, infection, inflammation and chronic pain syndromes, as well as deeper discussions about how best to characterise the tumour microenvironment, optimise the complementary information available from PET and MRI, and how advanced data mining and bioinformatics, as well as information from liquid biomarkers (circulating tumour cells and nucleic acids) and pathology, can be integrated to give a more complete characterisation of disease phenotype...
February 2018: Molecular Imaging and Biology: MIB: the Official Publication of the Academy of Molecular Imaging
https://www.readbyqxmd.com/read/28967357/in-the-spine-or-in-the-brain-recent-advances-in-pain-neuroscience-applied-in-the-intervention-for-low-back-pain
#13
REVIEW
Jo Nijs, Jacqui Clark, Anneleen Malfliet, Kelly Ickmans, Lennard Voogt, Sanneke Don, Hester den Bandt, Dorien Goubert, Jeroen Kregel, Iris Coppieters, Wim Dankaerts
Conservative, surgical and pharmacological strategies for chronic low back pain (CLBP) management offer at best modest effect sizes in reducing pain and related disability, indicating a need for improvement. Such improvement may be derived from applying contemporary pain neuroscience to the management of CLBP. Current interventions for people with CLBP are often based entirely on a "biomedical" or "psychological" model without consideration of information concerning underlying pain mechanisms and contemporary pain neuroscience...
September 2017: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/28914719/physical-therapy-management-of-patients-with-chronic-low-back-pain-and-hip-abductor-weakness
#14
Seth Peterson, Thomas Denninger
BACKGROUND AND PURPOSE: Hip abductor dysfunction is common in individuals with chronic low back pain (CLBP). Previous research investigating abductor strengthening in the heterogeneous CLBP population is sparse and has failed to target those patients most likely to benefit. The aim of the current case series was to describe the physical therapy management and outcomes of 3 patients with CLBP matching a previously identified subgroup characterized by substantial hip abductor weakness. CASE DESCRIPTION: Three nonconsecutive patients with CLBP-a 77-year-old man, a 78-year-old woman, and an 85-year-old woman-were treated in an outpatient physical therapy clinic...
September 13, 2017: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/28855788/an-abbreviated-therapeutic-neuroscience-education-session-improves-pain-knowledge-in-first-year-physical-therapy-students-but-does-not-change-attitudes-or-beliefs
#15
Terry Cox, Adriaan Louw, Emilio J Puentedura
OBJECTIVE: To determine if a 3-hour therapeutic neuroscience education session alters physical therapy student's knowledge of pain and effects their attitudes and beliefs regarding treating chronic pain. METHODS: Seventy-seven entry-level doctoral physical therapy students participated in the study. Following consent, demographic data were obtained and then the subjects completed the Neuroscience of Pain Questionnaire, the Health Care Provider's Pain and Impairment Relationship Scale and an additional questionnaire designed by the researchers...
February 2017: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/28820626/the-clinical-implementation-of-pain-neuroscience-education-a-survey-study
#16
Adriaan Louw, Emilio J Puentedura, Kory Zimney, Terry Cox, Debbie Rico
Pain neuroscience education (PNE) has gained considerable attention in research. Three systematic reviews have shown increasing efficacy of PNE decreasing pain, disability, pain catastrophization, movement restrictions, and healthcare utilization. In the development of any new therapeutic approach, it is proposed that there are three stages: development, validation, and implementation. To date, the development and validation of PNE have been well-established. The third stage, implementation, however, lacks when it comes to PNE...
November 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28736211/applying-contemporary-neuroscience-in-exercise-interventions-for-chronic-spinal-pain-treatment-protocol
#17
Anneleen Malfliet, Jeroen Kregel, Mira Meeus, Barbara Cagnie, Nathalie Roussel, Mieke Dolphens, Lieven Danneels, Jo Nijs
BACKGROUND: Nonspecific chronic spinal pain is a common problem within the chronic pain population and is characterized by high social, economic and personal impact. To date, therapists are still struggling in adequately treating these types of patients, as seen in the small and short-term benefits of frequently applied primary care treatments. It is remarkable that despite the well-documented presence of abnormalities in central nociceptive processing in nonspecific chronic spinal pain patients, the implementation of this knowledge in clinical practice is still nearly non-existent...
September 2017: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/28694679/a-clinical-perspective-on-a-pain-neuroscience-education-approach-to-manual-therapy
#18
Adriaan Louw, Jo Nijs, Emilio J Puentedura
In recent years, there has been an increased interest in pain neuroscience education (PNE) in physical therapy. There is growing evidence for the efficacy of PNE to decrease pain, disability, fear-avoidance, pain catastrophization, limited movement, and health care utilization in people struggling with pain. PNE teaches people in pain more about the biology and physiology of their pain experience including processes such as central sensitization, peripheral sensitization, allodynia, inhibition, facilitation, neuroplasticity and more...
July 2017: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/28650061/-effectiveness-of-education-based-on-neuroscience-in-the-treatment-of-musculoskeletal-chronic-pain
#19
J D Cuenda-Gago, L Espejo-Antunez
INTRODUCTION: Chronic pain is one of the most frequent health, economic and social problems. Given this, numerous approaches have been described, one of which is pain neuroscience education. AIM: To examine the effectiveness of pain neuroscience education in the treatment of musculoskeletal disorders with chronic pain and to explore the impact of specific aspects of the technique on its effectiveness. MATERIAL AND METHODS: Relevant studies published between 2000 and 2015 were identified by searching PubMed, Scopus and Web of Science...
July 1, 2017: Revista de Neurologia
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
#20
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
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