The Effect of Neuroscience Education on Pain, Disability, Anxiety, and Stress in Chronic Musculoskeletal Pain

Louw, Adriaan; Diener, Ina; Butler, David S.; Puentedura, Emilio J.

doi:10.1016/j.apmr.2011.07.198

Cited by 553 publications

(428 citation statements)

References 77 publications

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“…There is evidence supporting claims that PNE, delivered in a variety of ways, can help to alter inappropriate beliefs, reduce catastrophizing and diminish fear, consistent with the claimed mechanism of reconceptualisaton (Clarke et al, 2011;Van Oosterwijck et al, 2011;Louw et al 2011). …”

Section: That the Relationship Between Pain And The State Of The Tissmentioning

confidence: 73%

“…While this is within the range of methods by which PNE has been delivered within the literature (Louw et al, 2011) it may be that other delivery formats (e.g. multiple shorter sessions rather than a single longer session) would be more conducive to reconceptualisation, perhaps resulting in greater benefits and reduced negative experiences.…”

Section: Strengths and Limitationsmentioning

confidence: 93%

“…The research literature describes a wide variety of formats in which PNE is delivered, with some studies using a single session lasting anywhere from 30 minutes to four hours, while other studies report multiple sessions (Louw et al 2011). The greatest total amount of education delivered (duration x frequency) was eight hours (Moseley 2002) while the lowest was 30 minutes (Meeus et al 2010).…”

Section: That the Relationship Between Pain And The State Of The Tissmentioning

confidence: 99%

“…Early evidence supports the potential of PNE to contribute, alongside other methods, towards the reduction of pain and disability, although the evidence is limited because of the few studies that have investigated this intervention (Moseley, 2003a(Moseley, , 2004Ryan et al, 2010;Clarke et al, 2011;Van Oosterwijck et al, 2011;Louw et al 2011;Van Oosterwijck et al 2013;Pires et al 2015). There is evidence supporting claims that PNE, delivered in a variety of ways, can help to alter inappropriate beliefs, reduce catastrophizing and diminish fear, consistent with the claimed mechanism of reconceptualisaton (Clarke et al, 2011;Van Oosterwijck et al, 2011;Louw et al 2011).…”

Section: That the Relationship Between Pain And The State Of The Tissmentioning

confidence: 99%

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A qualitative exploration of people's experiences of pain neurophysiological education for chronic pain: The importance of relevance for the individual

et al. 2016

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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 two-hour group session. The interview transcripts were analysed for emerging themes. We identified three themes: perceived relevance for the individual participant; perceived benefits for the individual participant; and evidence of reconceptualisation.An interlinking narrative was the importance of relevance. Eight participants viewed the session as relevant and reported benefits ranging from a better understanding of pain, improved ability to cope with the pain, and some suggested improved levels of physical activity. Four of these participants showed evidence of reconceptualisation, which we describe as partial and patchy. Two participants reported no benefit and did not perceive the material delivered within PNE to be relevant to themselves. Relevance to the individual needs of a person with chronic pain may be a key factor in the success of PNE, and this is a particular challenge when it is delivered in a group situation.

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Section: That the Relationship Between Pain And The State Of The Tissmentioning

confidence: 73%

Section: Strengths and Limitationsmentioning

confidence: 93%

Section: That the Relationship Between Pain And The State Of The Tissmentioning

confidence: 99%

Section: That the Relationship Between Pain And The State Of The Tissmentioning

confidence: 99%

See 2 more Smart Citations

A qualitative exploration of people's experiences of pain neurophysiological education for chronic pain: The importance of relevance for the individual

et al. 2016

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“…Emerging evidence suggests that PNE can be effective for pain and function -physical, psychological and social [3,4,5,6,7,8,9]. While most studies have focused on changes in these outcomes, less attention has been paid to exploring the mechanisms by which PNE works.…”

Section: Introductionmentioning

confidence: 99%

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

King

Robinson

Ryan

et al. 2016

Patient Education and Counseling

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

et al. 2018

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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

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The Effect of Neuroscience Education on Pain, Disability, Anxiety, and Stress in Chronic Musculoskeletal Pain

Cited by 553 publications

References 77 publications

A qualitative exploration of people's experiences of pain neurophysiological education for chronic pain: The importance of relevance for the individual

A qualitative exploration of people's experiences of pain neurophysiological education for chronic pain: The importance of relevance for the individual

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

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

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