Efficacy of adding pain neuroscience education to a multimodal treatment in fibromyalgia: A systematic review and meta‐analysis

Saraçoğlu, İsmail; Akin, Esra; Dincer, Gökce Basak Aydin

doi:10.1111/1756-185x.14293

Cited by 38 publications

(47 citation statements)

References 40 publications

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“…These findings are consistent with previous reviews, although the level of confidence in our results may be higher due to the higher level of precision in our study ( Sosa-Reina et al, 2017 ). Furthermore, the positive effect of PEBT on pain reduction may be observed in the use of exergames ( Cortés-Pérez et al, 2021 ) or pain neuroeducation programs ( Saracoglu et al, 2022 ) to obtain more improvements. However, our findings did not show statistically significant differences between exercises (such as yoga or tai chi) and other therapies, in contrast to previous reviews ( Cheng et al, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

Optimal dose and type of exercise to reduce pain, anxiety and increase quality of life in patients with fibromyalgia. A systematic review with meta-analysis

et al. 2023

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The aim of our meta-analysis was to compile the available evidence to evaluate the effect of physical exercise-based therapy (PEBT) on pain, impact of the disease, quality of life (QoL) and anxiety in patients with fibromyalgia syndrome (FMS), to determine the effect of different modes of physical exercise-based therapy, and the most effective dose of physical exercise-based therapy for improving each outcome. A systematic review and meta-analysis was carried out. The PubMed (MEDLINE), SCOPUS, Web of Science, CINAHL Complete and Physiotherapy Evidence Database (PEDro) databases were searched up to November 2022. Randomized controlled trials (RCTs) comparing the effects of physical exercise-based therapy and other treatments on pain, the impact of the disease, QoL and/or anxiety in patients with FMS were included. The standardized mean difference (SMD) and a 95% CI were estimated for all the outcome measures using random effect models. Three reviewers independently extracted data and assessed the risk of bias using the PEDro scale. Sixty-eight RCTs involving 5,474 participants were included. Selection, detection and performance biases were the most identified. In comparison to other therapies, at immediate assessment, physical exercise-based therapy was effective at improving pain [SMD-0.62 (95%CI, −0.78 to −0.46)], the impact of the disease [SMD-0.52 (95%CI, −0.67 to −0.36)], the physical [SMD 0.51 (95%CI, 0.33 to 0.69)] and mental dimensions of QoL [SMD 0.48 (95%CI, 0.29 to 0.67)], and the anxiety [SMD-0.36 (95%CI, −0.49 to −0.25)]. The most effective dose of physical exercise-based therapy for reducing pain was 21–40 sessions [SMD-0.83 (95%CI, 1.1–−0.56)], 3 sessions/week [SMD-0.82 (95%CI, −1.2–−0.48)] and 61–90 min per session [SMD-1.08 (95%CI, −1.55–−0.62)]. The effect of PEBT on pain reduction was maintained up to 12 weeks [SMD-0.74 (95%CI, −1.03–−0.45)]. Among patients with FMS, PEBT (including circuit-based exercises or exercise movement techniques) is effective at reducing pain, the impact of the disease and anxiety as well as increasing QoL.Systematic Review Registration: PROSPERO https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42021232013.

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Section: Discussionmentioning

confidence: 99%

Optimal dose and type of exercise to reduce pain, anxiety and increase quality of life in patients with fibromyalgia. A systematic review with meta-analysis

et al. 2023

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“…In this respect, multicomponent therapy, including primarily psychological and exercise therapy, is effective with regard to key fibromyalgia symptoms, self-efficacy, and physical fitness ( Musekamp et al, 2019 ). In a systematic review with meta-analysis, Saracoglu et al (2022) investigated whether the inclusion of pain neuroscience education produces additional benefits in patients with fibromyalgia and showed that pain neuroscience education combined with other non-pharmacological treatments (including exercise therapy) can be effective in improving the condition. Functional, symptoms related to pain, anxiety and depression in these individuals.…”

Section: Introductionmentioning

confidence: 99%

The role of physiotherapy in fibromyalgia: Current and future perspectives

Antunes

Marques

2022

Front. Physiol.

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Fibromyalgia is a chronic pain condition characterized by generalized musculoskeletal pain, hyperalgesia and allodynia, commonly associated with other symptoms such as fatigue, poor sleep quality, anxiety and depression. The clinical manifestations of this rheumatic disease have significant psychosocial and economic repercussions, with a substantial impact on health status, quality of life and social activities. Currently, recommendations for the management of fibromyalgia include patient education and non-pharmacological interventions, and among the indicated treatments, clinical guidelines include several physiotherapeutic resources, essential for individuals affected by this syndrome. Research in the physiotherapy field has demonstrated its effectiveness, but there is a need to update the literature. This study aims to identify the effectiveness of physiotherapy in the treatment of individuals with fibromyalgia. We performed a literature review looking for articles dated from March 2012 to March 2022 using the terms “fibromyalgia”, “physiotherapy”, “physical therapy”, “rehabilitation” in different languages in various databases and their main information was read and collected and presented in a descriptive way. The effects of physiotherapy interventions are summarized in order to provide a reference for future research and clinical application. Research on non-pharmacological physiotherapy-oriented treatments has grown in recent years as an alternative for fibromyalgia treatment. This review allows fibromyalgia patients to receive appropriate physical therapy interventions to promote their health.

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“…

We read with interest the systematic review and meta-analysis (SR/ MA) by Saracoglu et al regarding the efficacy of adding pain neuroscience education (PNE) to a multimodal treatment in fibromyalgia. 1 Fibromyalgia can cause widespread musculoskeletal pain, fatigue, sleep disturbance, cognitive dysfunction, and psychiatric symptoms.Moreover, a lack of consensus on etiopathogenesis, classification criteria, and diagnostic criteria leads to inconsistency of treatment. 2

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confidence: 99%

Comment on: Efficacy of adding pain neuroscience education to a multimodal treatment in fibromyalgia: A systematic review and meta‐analysis

Lee

2023

Int J of Rheum Dis

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Efficacy of adding pain neuroscience education to a multimodal treatment in fibromyalgia: A systematic review and meta‐analysis

Cited by 38 publications

References 40 publications

Optimal dose and type of exercise to reduce pain, anxiety and increase quality of life in patients with fibromyalgia. A systematic review with meta-analysis

Optimal dose and type of exercise to reduce pain, anxiety and increase quality of life in patients with fibromyalgia. A systematic review with meta-analysis

The role of physiotherapy in fibromyalgia: Current and future perspectives

Comment on: Efficacy of adding pain neuroscience education to a multimodal treatment in fibromyalgia: A systematic review and meta‐analysis

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