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pain neurophysiology education

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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/28532881/preliminary-evidence-of-regional-interdependent-inhibition-using-a-diaphragm-release-to-specifically-induce-an-immediate-hypoalgesic-effect-in-the-cervical-spine
#2
Calum A McCoss, Ross Johnston, Darren J Edwards, Charles Millward
In clinical practice, Osteopaths and Manual Therapists commonly direct treatment towards the diaphragm by the use of a 'Diaphragm Release'. Currently, there is paucity within the literature to support the use of this technique, specifically in pain outcomes. This research aims to support a neurophysiological mechanism based upon the osteopathic principle "The body is a unit". Demonstrating that directing treatment to distal tissue which is neurologically related can reduce pain in the originating spinal segments...
April 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28524700/what-is-important-in-transdisciplinary-pain-neuroscience-education-a-qualitative-study
#3
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/28284239/integrating-self-localization-proprioception-pain-and-performance
#4
Valeria Bellan, Sarah B Wallwork, Alberto Gallace, Charles Spence, G Lorimer Moseley
The ability to know where our own body and body parts are in space is often taken for granted, yet it is of fundamental importance for the majority of our everyday activities, let alone high performance activities such as dancing. This review focuses on the concept of self-localization, the monitoring of the space surrounding one's body, and the disruptions that occur in the presence of pain. A conceptual model is presented of the cortical body matrix with which to consider self-localization; also provided are its historical context, underlying assumptions, and current limitations...
March 1, 2017: Journal of Dance Medicine & Science
https://www.readbyqxmd.com/read/28057925/decreased-empathy-response-to-other-people-s-pain-in-bipolar-disorder-evidence-from-an-event-related-potential-study
#5
Jingyue Yang, Xinglong Hu, Xiaosi Li, Lei Zhang, Yi Dong, Xiang Li, Chunyan Zhu, Wen Xie, Jingjing Mu, Su Yuan, Jie Chen, Fangfang Chen, Fengqiong Yu, Kai Wang
Bipolar disorder (BD) patients often demonstrate poor socialization that may stem from a lower capacity for empathy. We examined the associated neurophysiological abnormalities by comparing event-related potentials (ERP) between 30 BD patients in different states and 23 healthy controls (HCs, matched for age, sex, and education) during a pain empathy task. Subjects were presented pictures depicting pain or neutral images and asked to judge whether the person shown felt pain (pain task) and to identify the affected side (laterality task) during ERP recording...
January 6, 2017: Scientific Reports
https://www.readbyqxmd.com/read/27866120/evidence-based-guidelines-on-the-therapeutic-use-of-transcranial-direct-current-stimulation-tdcs
#6
REVIEW
Jean-Pascal Lefaucheur, Andrea Antal, Samar S Ayache, David H Benninger, Jérôme Brunelin, Filippo Cogiamanian, Maria Cotelli, Dirk De Ridder, Roberta Ferrucci, Berthold Langguth, Paola Marangolo, Veit Mylius, Michael A Nitsche, Frank Padberg, Ulrich Palm, Emmanuel Poulet, Alberto Priori, Simone Rossi, Martin Schecklmann, Sven Vanneste, Ulf Ziemann, Luis Garcia-Larrea, Walter Paulus
A group of European experts was commissioned by the European Chapter of the International Federation of Clinical Neurophysiology to gather knowledge about the state of the art of the therapeutic use of transcranial direct current stimulation (tDCS) from studies published up until September 2016, regarding pain, Parkinson's disease, other movement disorders, motor stroke, poststroke aphasia, multiple sclerosis, epilepsy, consciousness disorders, Alzheimer's disease, tinnitus, depression, schizophrenia, and craving/addiction...
January 2017: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/27779724/-central-sensitisation-and-chronic-organ-related-pain
#7
REVIEW
Jan Lidbeck
Central sensitisation and chronic organ-related pain Central sensitisation is an essential mechanism in chronic musculoskeletal pain. In recent years, increasing evidence has come to light suggesting that central sensitisation is also a cause of chronic organ-related pain. This has several important implications. One is the need for broader professional education in mechanism-based pain classification. Today, simple clinical diagnostic procedures are used for the identification of central sensitisation in chronic musculoskeletal disorders, and these may also prove useful in the classification of organ-related pain...
October 25, 2016: Läkartidningen
https://www.readbyqxmd.com/read/27658363/-migraine-and-evolutionary-theory-paths-for-a-clinical-approach
#8
REVIEW
L C Alvaro-Gonzalez
INTRODUCTION: Migraine is a very common disorder with a raising incidence. The theory of evolution allow us to explain the emergence of the disorder, due to the advantages that the overreactivity to stimulus provided to ancestral groups of Homo sapiens, and a greater presence of the disorder in modern societies, based in the interactions with external factors. Herein we analyze these points. DEVELOPMENT: Design of organisms and their responses to environmental factors emerge to improve survival...
October 1, 2016: Revista de Neurologia
https://www.readbyqxmd.com/read/27582621/lumbar-lateral-shift-in-a-patient-with-interspinous-device-implantation-a-case-report
#9
Seth Peterson, Cheri Hodges
BACKGROUND: Lumbar lateral shift (LLS) is a common clinical observation but has rarely been described in a patient with a history of lumbar surgery. The purpose of the current case report was to describe the use of the McKenzie Method of Mechanical Diagnosis and Therapy (MDT) in the multi-modal treatment of a patient with an LLS and a history of multiple surgical procedures in the lumbar spine, including interspinous process device (IPD) implantation. CASE DESCRIPTION: A 72-year-old female with chronic low back pain (LBP) and a surgical history in the lumbar spine was referred to physical therapy for radiating leg pain and presented with a right LLS...
September 2016: Journal of Manual & Manipulative Therapy
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
#10
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/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/27161442/habituation-deficit-of-auditory-n100m-in-patients-with-fibromyalgia
#13
W Choi, M Lim, J S Kim, C K Chung
BACKGROUND: Habituation refers to the brain's inhibitory mechanism against sensory overload and its brain correlate has been investigated in the form of a well-defined event-related potential, N100 (N1). Fibromyalgia is an extensively described chronic pain syndrome with concurrent manifestations of reduced tolerance and enhanced sensation of painful and non-painful stimulation, suggesting an association with central amplification of all sensory domains. Among diverse sensory modalities, we utilized repetitive auditory stimulation to explore the anomalous sensory information processing in fibromyalgia as evidenced by N1 habituation...
May 10, 2016: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/27049810/the-relationship-between-knowledge-of-pain-neurophysiology-and-fear-avoidance-in-people-with-chronic-pain-a-point-in-time-observational-study
#14
Claire Fletcher, Lynley Bradnam, Christopher Barr
Chronic pain is prevalent in the western world; however fear of pain often has a greater impact than the degree of initial injury. The aim of this study was to explore the relationship between knowledge of the neurophysiology of pain and fear avoidance in individuals diagnosed with chronic pain. Twenty-nine people with chronic musculoskeletal pain were recruited and completed questionnaires to determine their understanding of pain neurophysiology and the degree of their fear avoidance beliefs. There was an inverse relationship between knowledge of pain neurophysiology and the level of fear avoidance...
May 2016: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/27021238/an-exploration-of-the-extent-and-nature-of-reconceptualisation-of-pain-following-pain-neurophysiology-education-a-qualitative-study-of-experiences-of-people-with-chronic-musculoskeletal-pain
#15
Rick King, Victoria Robinson, Cormac G Ryan, Denis J Martin
OBJECTIVE: Pain neurophysiology education (PNE), a method of pain education, purports to work by helping patients reconceptualise their pain, shifting from a tissue injury model towards a biopsychosocial understanding related to neural sensitivity. Better understanding of pain reconceptualisation following PNE is needed to improve the delivery of this educational approach to enhance its effectiveness. This study aimed to investigate the extent and nature of reconceptualisation following PNE...
August 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/26761387/does-changing-pain-related-knowledge-reduce-pain-and-improve-function-through-changes-in-catastrophizing
#16
Hopin Lee, James H McAuley, Markus Hübscher, Steven J Kamper, Adrian C Traeger, G Lorimer Moseley
Evidence from randomized controlled studies shows that reconceptualizing pain improves patients' knowledge of pain biology, reduces catastrophizing thoughts, and improves pain and function. However, causal relationships between these variables remain untested. It is hypothesized that reductions in catastrophizing could mediate the relationship between improvements in pain knowledge and improvements in pain and function. To test this causal mechanism, we conducted longitudinal mediation analyses on a cohort of 799 patients who were exposed to a pain education intervention...
April 2016: Pain
https://www.readbyqxmd.com/read/26511524/a-qualitative-exploration-of-people-s-experiences-of-pain-neurophysiological-education-for-chronic-pain-the-importance-of-relevance-for-the-individual
#17
Victoria Robinson, Richard King, Cormac G Ryan, Denis J Martin
Pain neurophysiology education (PNE) is a distinct form of patient education in pain management. The aims of this study were to explore the experience of PNE for people with chronic pain and to gain insight into their understanding of their pain after PNE. This was a qualitative study, based on Interpretive Phenomenology Analysis, using individual semi-structured interviews to collect data. We recruited a purposive sample of 10 adults with chronic musculoskeletal pain (men and women; mean age 48 years; with a mean pain duration of 9 years) who had recently completed PNE delivered as a single 2-h group session...
April 2016: Manual Therapy
https://www.readbyqxmd.com/read/26493565/comparison-of-pain-neurophysiology-knowledge-among-health-sciences-students-a-cross-sectional-study
#18
COMPARATIVE STUDY
Cristina Adillón, Èrik Lozano, Isabel Salvat
BACKGROUND: A key tool for use in approaching chronic pain treatment is educating patients to reconceptualize pain. Thus, health professionals are fundamental to the transmission of pain information to patients. Because their understanding of pain is acquired during the educational process, the aim of this study was to compare the knowledge about pain neurophysiology in first and final-year students from three different health science programs at a single University to determine their gain in knowledge using a well-known questionnaire designed to evaluate the understanding of pain...
2015: BMC Research Notes
https://www.readbyqxmd.com/read/26466908/chronic-pain-self-management-support-with-pain-science-education-and-exercise-commence-study-protocol-for-a-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Jordan Miller, Joy C MacDermid, David M Walton, Julie Richardson
BACKGROUND: Previous research suggests that self-management programs for people with chronic pain improve knowledge and self-efficacy but result in negligible effects on function. This study will investigate the effectiveness self-management support with pain science education and exercise on improving function for people with chronic pain in comparison to a wait-list control. A secondary objective is to determine which variables help to predict response to the intervention. METHODS/DESIGN: This study will be an unblinded, randomized controlled trial with 110 participants comparing a 6-week program that includes self-management support, pain science education and exercise to a wait-list control...
October 14, 2015: Trials
https://www.readbyqxmd.com/read/26428467/effects-of-education-to-facilitate-knowledge-about-chronic-pain-for-adults-a-systematic-review-with-meta-analysis
#20
REVIEW
Louise J Geneen, Denis J Martin, Nicola Adams, Clare Clarke, Martin Dunbar, Derek Jones, Paul McNamee, Pat Schofield, Blair H Smith
BACKGROUND: Chronic pain can contribute to disability, depression, anxiety, sleep disturbances, poor quality of life and increased health care costs, with close to 20 % of the adult population in Europe reporting chronic pain. To empower the person to self-manage, it is advocated that education and training about the nature of pain and its effects and how to live with pain is provided. The objective of this review is to determine the level of evidence for education to facilitate knowledge about chronic pain, delivered as a stand-alone intervention for adults, to reduce pain and disability...
October 1, 2015: Systematic Reviews
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