Group pain neuroscience education and dance in institutionalized older adults with chronic pain: a case series study

Simões, Patrícia; Andias, Rosa; Simões, Diana; Silva, Ana

doi:10.1080/09593985.2020.1728794

Cited by 9 publications

(5 citation statements)

References 35 publications

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“…31 There was also variation between the studies regarding the PSE intervention. For example, 7 studies (50%) delivered PSE as a standalone treatment whereas the remaining 7 (50%) delivered PSE in combination with other treatments including self-management workbook 17 or exercise 16,[18][19][20]26,27 (Table 2). However, exploratory subgroup analysis did not show any differences in associations between combined or PSE-only interventions.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have assessed patient pain neurophysiology knowledge and clinical outcomes before and after PSE, but the associations between changes in knowledge with changes in outcomes have seldom been examined. 10,[15][16][17][18][19][20][21][22][23][24][25][26][27] Using mediation analysis, Lee et al 10 showed that improved pain neurophysiology knowledge after PSE was significantly associated with a reduction in pain intensity (total effect = −1.34, 95% CI = −2.12 to −0.55) and improved physical function (total effect = 1.70, 95% CI = 1. 25-2.15).…”

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confidence: 99%

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Are Improvements in Pain Neurophysiology Knowledge Following Pain Science Education Associated With Improved Outcomes in People With Chronic Pain?

Ram

Booth

Thom

et al. 2022

The Clinical Journal of Pain

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Objective: This systematic review and meta-analysis aimed to determine the association between changes in patients' pain knowledge after pain science education (PSE) with treatment outcomes in people with chronic pain.Methods: Six electronic databases and 2 clinical trial registries were searched from inception to September 15, 2021 for studies where participants received PSE and had their pain knowledge and clinical outcomes assessed before and after PSE. Meta-analyses were performed for pain intensity, kinesiophobia, and pain catastrophizing. Physical function and quality of life outcomes were synthesized narratively. Risk of bias was assessed using the Cochrane tool for nonrandomized studies and the quality of evidence was assessed using GRADE.Results: Fourteen studies (n = 1500 participants) were included. Metaanalyses revealed no significant associations between short-term (< 12 wk) changes in pain neurophysiology knowledge with changes in pain intensity (n = 1075, r = −0.01, 95% CI = −0.14 to 0.13, very low certainty), kinesiophobia (n = 152, r = 0.02, 95% CI = −0.27 to 0.24, very low certainty) and pain catastrophizing (n = 976, r = −0.03, 95% CI = −0.18 to 0.11, low certainty). No significant associations were found between short-term changes in pain neurophysiology knowledge and physical function or quality of life either.Discussion: These findings do not support a short-term association between improvements in pain neurophysiology knowledge and better treatment outcomes in people with chronic pain. Increased understanding of how PSE works, as well as better ways to measure it, may help clinicians deliver more targeted education to help patients reconceptualize pain and promote engagement in active treatment strategies (eg, exercise).

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Are Improvements in Pain Neurophysiology Knowledge Following Pain Science Education Associated With Improved Outcomes in People With Chronic Pain?

Ram

Booth

Thom

et al. 2022

The Clinical Journal of Pain

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“…13 However, published studies on PNE in older adults are scarce 13 and have been conducted with higher educated older adults with low back pain 14 or with institutionalized older adults. 15 Given the paucity of studies on PNE with older adults in general, we conducted a feasibility study on PNE and exercise in community-dwelling older adults. Feasibility studies help determine whether an intervention is appropriate for further testing and are useful when existing literature on the topic is scarce; when interventions depend on the sociocultural beliefs of a population; when existing interventions have not been developed in partnership with the target population; and when previous studies have shown positive results but in different groups of individuals.…”

Section: Research Reportmentioning

confidence: 99%

“…26 It has good internal consistency (Cronbach α = 0.82) and test-retest reliability (ICC = 0.99). 26 Total scores can be interpreted as indicating subclinical (13)(14)(15)(16)(17)(18)(19)(20)(21)(22), mild (23)(24)(25)(26)(27)(28)(29)(30)(31)(32), moderate (33)(34)(35)(36)(37)(38)(39)(40)(41)(42), and severe (43-52) levels of kinesiophobia. 31 Depressive symptoms were assessed using the 15-item Geriatric Depression Scale.…”

Section: Clinical Outcomes Assessmentmentioning

confidence: 99%

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A Feasibility Study of Pain Neuroscience Education and Exercise for Community-Dwelling Older Adults With Chronic Pain

Heleno

Andias

Neto³

et al. 2021

Journal of Geriatric Physical Therapy

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Background and Purpose: Pain prevalence in older adults is high and greatly impacts their functioning. The primary aim of this study was to determine the feasibility of an intervention consisting of pain neuroscience education (PNE) plus exercise for community-dwelling older adults attending primary care, by assessing recruitment rates (inclusion, refusal, and exclusion rates), adverse events, and acceptability of the intervention. Secondary aims were to establish suitable procedures for delivering the intervention and assess the feasibility of data collection for psychosocial and physical functioning. Methods: A mixed-methods feasibility study with 2 groups was conducted. One group received 8 weekly 75-minute sessions of PNE plus exercise (PNE+E) and the other received usual care (UC), which consisted of appointments with the general practitioner. Inclusion, refusal, exclusion, and retention rates, dropouts, and adverse events were assessed. The Brief Pain Inventory, the Pain Catastrophizing Scale, the Tampa Scale, the Geriatric Depression Scale, the World Health Organization Disability Assessment Schedule, the 4-meter walk gait speed test and the 5 times sit-to-stand tests were used for assessment. A focus group interview was conducted with participants from the PNE+E group. Descriptive statistics were used for quantitative data and thematic analysis for qualitative data. Results and Discussion: Of 61 participants recruited, 33 (PNE+E = 22; UC = 11) entered the study, and 24 completed the intervention (PNE+E = 15; UC = 9). The inclusion rate was 54%, the refusal rate was 21%, the exclusion rate was 35%, the dropout rate was 32% in the PNE+E and 18% in the UC, and the retention rate was 68% in the PNE+E group and 82% in the UC group. No adverse events were reported and the intervention was well accepted by participants. Data collection for the clinical outcomes was feasible and results suggested higher improvements in the PNE+E group than in the UC group. Conclusion: PNE+E is possible to implement, safe, and well accepted by community-dwelling older adults independent of their education level. This study informs future studies on practical and methodological strategies that should be considered when designing a PNE+E intervention for older adults, such as adapting the language of the PNE to participants, using relatable metaphors, and encouraging written and exercise homework.

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Arts Therapy and Its Implications in Chronic Pain Management: A Narrative Review

Raudenská,

Šteinerová,

Vodičková

et al. 2023

Pain Ther

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Group pain neuroscience education and dance in institutionalized older adults with chronic pain: a case series study

Cited by 9 publications

References 35 publications

Are Improvements in Pain Neurophysiology Knowledge Following Pain Science Education Associated With Improved Outcomes in People With Chronic Pain?

Are Improvements in Pain Neurophysiology Knowledge Following Pain Science Education Associated With Improved Outcomes in People With Chronic Pain?

A Feasibility Study of Pain Neuroscience Education and Exercise for Community-Dwelling Older Adults With Chronic Pain

Arts Therapy and Its Implications in Chronic Pain Management: A Narrative Review

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