Talking to Children and Families about Chronic Pain: The Importance of Pain Education—An Introduction for Pediatricians and Other Health Care Providers

Koechlin, Helen; Locher, Cosima; Prchal, Alice

doi:10.3390/children7100179

Cited by 21 publications

(28 citation statements)

References 85 publications

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“…1,4 Furthermore, one in five people suffers from musculoskeletal pain. 1 Pain is an important warning signal for the body that something is wrong, 5 and back pain is a common problem in athletes. [6][7][8][9] According to a study of 590 basketball athletes, 12.9% reported low back pain.…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal disorders in basketball players and associated factors: a systematic review protocol with meta-analysis

Borges

Fernandes²,

Noll

et al. 2021

F1000Res

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Introduction: Musculoskeletal disorders play an important role in athletes’ health and success in sports; they are the main contributors to disability, and back pain is a common problem in athletes. Back pain and spinal injuries occur in players because of the repetitive and unilateral body overload during sports practice. Reviews focused on musculoskeletal disorders in basketball players are scarce in the literature. We describe a systematic review protocol for assessing the prevalence of musculoskeletal disorders and the associated factors in basketball players. Methods and analysis: The protocol will be based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) items and articles will be searches in the databases EMBASE, PubMed, and Scopus. Studies will be included if they are written in English and without restriction regarding the search period. All research stages will be performed by two independent reviewers and will be conducted using Rayyan. Potential disagreements will be analyzed by a third reviewer. The inter-rater reliability will be determined through the Cohen's kappa coefficient. Evidence quality will be ascertained by using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) system, while the Downs and Black checklist will be used for assessing the risk of bias. A descriptive summary and presentation of the characteristics and findings of all included studies will be provided in a table. Regarding these data, if there are sufficient high-quality studies, we plan to perform a meta-analysis. Discussion: The obtained results might possibly relate back pain to postural changes in this population. In addition, the data will be compared based on gender and different age groups. It is expected that the results can support the implementation of programs and actions for prevention, ultimately aiming at improving health, quality of life, and sports performance. Registration: PROSPERO CRD42020201653 on August, 31, 2020.

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Section: Introductionmentioning

confidence: 99%

Musculoskeletal disorders in basketball players and associated factors: a systematic review protocol with meta-analysis

Borges

Fernandes²,

Noll

et al. 2021

F1000Res

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“…Children/youth adapted communication style and the use of informative adapted materials suitable for children and parents were often recommended among the experts in our survey, what is also reflected in the current literature [59,60]. For an adapted education about pain neuroscience vivid, child-friendly materials are available in different languages, e.g., an educational video "Understanding pain-and what's to be done about it in 10 min!"…”

Section: Discussionmentioning

confidence: 85%

“…Especially the answers to the open questions were able to map that the responding experts put a special emphasis on the differences in pain presentation and handling with a pediatric population compared to adults. Pediatric patients should not be treated like small adults, they need a specialized assessment and management [ 54 , 58 ], and an adequate interaction and communication between therapists-child -parents is imperative [ 59 , 60 ].…”

Section: Discussionmentioning

confidence: 99%

Recommendations for a Pediatric Pain Education Curriculum for Physical and Occupational Therapists: Scoping Review and Survey

Laekeman

Schäfer²,

Moog³

et al. 2021

Children

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Specialization training for physiotherapists, occupational therapists, and sports therapists involved in pediatric pain is scarce and curricula are rarely published. The objectives of this study are twofold: firstly, to perform a scoping review to derive important contents for a pediatric pain education curriculum for specialized pain therapists. Secondly, to conduct a survey on specific contents in curricula currently used by pain experts and to obtain their evaluation regarding the importance of such contents for a specialized curriculum. The review substantiated the importance of a specific curriculum in pediatric pain education, but provided little information on adequate contents. In the survey, 45 experts in pediatric pain education confirmed that specific curricula and specialized contents for pediatric pain education are missing. Their answers give a well-defined picture of the specifics needed in the interaction with a pediatric population. The most important items they classified were e.g., the biopsychosocial framework and the impact of pediatric pain on daily life. Those expert ratings were in line with the recommendations of pediatric pain management guidelines. Further curriculum work in an interdisciplinary, international network is highly recommended.

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“…The biopsychosocial model of chronic pain helps to explain how physiologic and psychological factors and social context dynamically interact and contribute to the experience of pain [ 31 , 32 ]. A clear explanation of this model enables patients and families to better describe what they experience [ 33 ]. A study from 2018 stated that education in recognising emotions and an awareness of the relationship between emotions and bodily sensations in primary school-age children could help prevent somatization and pain in later life [ 34 ].…”

Section: Discussion Of the Resultsmentioning

confidence: 99%

General practitioners’ experiences with children and adolescents with functional gastro-intestinal disorders: a qualitative study in Norway

Brodwall

Brekke

2021

Scandinavian Journal of Primary Health Care

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Objective: Functional gastrointestinal disorders (FGIDs) are common in children and adolescents. During 2016 and 2019, we investigated the experiences among parents of children with FGIDs and interviewed their children and adolescents during 2020. The aim of the present study was to explore the experiences among general practitioners (GPs) who treat this patient group. Design: Individual interviews with open-ended questions were audio recorded and transcribed, and subsequently analysed using descriptive content analysis. Setting: Urban and rural areas in two municipalities in Southern Norway. Participants: Twelve GPs practicing in the region were interviewed. Results: GPs generally feel competent treating these patients without referring them to hospital or specialists. Having known the patients and their families over time is important. Providing psycho-educational resources to the patients and parents is essential for their understanding that the pain is not dangerous. The importance of attending school was emphasised. Conclusions: The GPs' biopsychosocial focus and long-term follow-up care are essential in treating children and adolescents with FGIDs and their parents. KEY POINTS Current awareness Abdominal pain is a common symptom in children and adolescents, for which an organic cause is seldom found. Main statements GPs feel competent to treat children and adolescents who have functional gastro-intestinal disorders (FGIDs) without referring them to hospital or specialists. • A main task for GPs is to inform children, adolescents, and their parents that FGIDs are not a serious organic disease and that everyday life should continue.

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Talking to Children and Families about Chronic Pain: The Importance of Pain Education—An Introduction for Pediatricians and Other Health Care Providers

Cited by 21 publications

References 85 publications

Musculoskeletal disorders in basketball players and associated factors: a systematic review protocol with meta-analysis

Musculoskeletal disorders in basketball players and associated factors: a systematic review protocol with meta-analysis

Recommendations for a Pediatric Pain Education Curriculum for Physical and Occupational Therapists: Scoping Review and Survey

General practitioners’ experiences with children and adolescents with functional gastro-intestinal disorders: a qualitative study in Norway

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