Responsiveness of the Tampa Scale of Kinesiophobia in Italian subjects with chronic low back pain undergoing motor and cognitive rehabilitation

Monticone, Marco; Ambrosini, Emilia; Rocca, Barbara; Foti, Calogero; Ferrante, Simona

doi:10.1007/s00586-016-4682-2

Cited by 36 publications

(34 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Whereas both groups showed baseline Tampa Scale for Kinesiophobia scores around the cutoff to indicate kinesiophobia, only the experimental group showed decreases exceeding the minimally important change of 5.5 (large effect sizes). 36 Similarly, hypervigilance improved more in the experimental group (medium to large effect sizes) than in the control group. Again, the combination of pain neuroscience education with cognition-targeted exercises reveals its added value, as previous research indicates that pain neuroscience education alone did not significantly reduce hypervigilance.…”

Section: Figure Consort Flow Diagrammentioning

confidence: 94%

Effect of Pain Neuroscience Education Combined With Cognition-Targeted Motor Control Training on Chronic Spinal Pain

et al. 2018

View full text Add to dashboard Cite

IMPORTANCEEffective 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 PARTICIPANTSMulticenter 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. INTERVENTIONS Participants were randomized into an experimental group (combined pain neuroscience education and cognition-targeted motor control training) and a control group (combining education on back and neck pain and general exercise therapy). MAIN OUTCOMES AND MEASURES Primary outcomes were pain (pressure pain thresholds, numeric rating scale, and central sensitization inventory) and function (pain disability index and mental health and physical health). RESULTS There were 22 men and 38 women in the experimental group (mean [SD] age, 39.9 [12.0] years) and 25 men and 35 women in the control group (mean [SD] age, 40.5 [12.9] years). Participants in the experimental group experienced reduced pain (small to medium effect sizes): higher pressure pain thresholds at primary test site at 3 months (estimated marginal [EM] mean, 0.971; 95% CI, -0.028 to 1.970) and reduced central sensitization inventory scores at 6 months (EM mean, -5.684; 95% CI, -10.589 to -0.780) and 12 months (EM mean, -6.053; 95% CI, -10.781 to -1.324). They also experienced improved function (small to medium effect sizes): significant and clinically relevant reduction of disability at 3 months (EM mean, -5.113; 95% CI, -9.994 to -0.232), 6 months (EM mean, -6.351; 95% CI, -11.153 to -1.550), and 12 months (EM mean, -5.779; 95% CI, -10.340 to -1.217); better mental health at 6 months (EM mean, 36.496; 95% CI, 7.998-64.995); and better physical health at 3 months (EM mean, 39.263; 95% CI, 9.644-66.882), 6 months (EM mean, 53.007; 95% CI, 23.805-82.209), and 12 months (EM mean, 32.208; 95% CI, 2.402-62.014). CONCLUSIONS AND RELEVANCEPain neuroscience education combined with cognition-targeted motor control training appears to be more effective than current best-evidence physiotherapy for improving pain, symptoms of central sensitization, disability, mental and physical functioning, and pain cognitions in individuals with chronic spinal pain. Significant clinical improvements without detectable changes in brain gray matter morphologic features calls into question the relevance of brain gray matter alterations in this population.TRIAL REGISTRATION clinicaltrials.gov Identifier: NCT02098005

show abstract

Section: Figure Consort Flow Diagrammentioning

confidence: 94%

Effect of Pain Neuroscience Education Combined With Cognition-Targeted Motor Control Training on Chronic Spinal Pain

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Three studies reported on the short‐term outcomes of fear of movement or kinesiophobia (Malfliet et al., ; Pires et al., ; Tellez‐Garcia et al., ) utilizing the Tampa Scale of Kinesiophobia. The weighted mean group difference was 4.72 (95% CI 2.32, 7.13) in favour of PNE ( p = 0.0001; please see Figure ); however, this was clinically insignificant falling short of the required 5.5 points to demonstrate a minimal clinically important change in CLBP (Monticone, Ambrosini, Rocca, Foti, & Ferrante, ).…”

Section: Resultsmentioning

confidence: 97%

“…There is also a high degree of heterogeneity (I 2 = 95%). k For a continuous outcome; there is a small sample size (<400) resulting in imprecision; further the effect size confidence interval is smaller than the minimal important difference (5.5 (Monticone et al., )). l There is a significant variety in effect size and direction between the two studies.…”

Section: Resultsmentioning

confidence: 99%

A systematic review and meta‐analysis of pain neuroscience education for chronic low back pain: Short‐and long‐term outcomes of pain and disability

Wood

Hendrick

2018

European Journal of Pain

181

111

View full text Add to dashboard Cite

show abstract

“…Lo que se deduce de los datos es que la intensidad del dolor incrementa la interferencia del dolor y, en consecuencia: a) se incrementa la incapacidad de la corteza prefontal para afrontar los desafíos del ambiente (2,84), y b) se incrementa el estrés percibido por el sujeto, lo que en última instancia provoca más incapacidad de la corteza prefrontal para gobernar la conducta, gestionar las cogniciones y controlar las emociones. Lo que sugieren los datos es que en el tratamiento integral del dolor crónico deben implementarse intervenciones psicológicas centradas en la mejora del afrontamiento del estrés (40-42) y centradas en la optimización cognitiva de las habilidades relacionadas con el funcionamiento prefrontal (43,44) de cara a mejorar la calidad de vida de los pacientes.…”

Section: Discussionunclassified

Dolor crónico: relación con sintomatología prefrontal y estrés percibido

Paz-Domingo

León

Paz-Solís

et al. 2017

Rev. Soc. Esp. Dolor.

View full text Add to dashboard Cite

show abstract

Responsiveness of the Tampa Scale of Kinesiophobia in Italian subjects with chronic low back pain undergoing motor and cognitive rehabilitation

Abstract: The TSK was sensitive in detecting clinical changes in subjects with chronic low back pain. We recommend taking the MICs provided into account when assessing patients' improvement or planning studies in this clinical context.

Cited by 36 publications

References 27 publications

Effect of Pain Neuroscience Education Combined With Cognition-Targeted Motor Control Training on Chronic Spinal Pain

Effect of Pain Neuroscience Education Combined With Cognition-Targeted Motor Control Training on Chronic Spinal Pain

A systematic review and meta‐analysis of pain neuroscience education for chronic low back pain: Short‐and long‐term outcomes of pain and disability

Dolor crónico: relación con sintomatología prefrontal y estrés percibido

Contact Info

Product

Resources

About