The effects of pain neuroscience education and exercise on pain, muscle endurance, catastrophizing and anxiety in adolescents with chronic idiopathic neck pain: a school-based pilot, randomized and controlled study

Andias, Rosa; Neto, Maritza; Silva, Ana

doi:10.1080/09593985.2018.1423590

Cited by 70 publications

(78 citation statements)

References 28 publications

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“…Although the benefits of pain education have been acknowledged in the adult pain literature, 63 evidence in the pediatric population is nascent. 15,19,64,65 The effects of pain education may be better understood when associated with peer interactions, 19 also recognized as a positive treatment effect in our study. Group treatment reportedly creates an environment for normalization, for sharing experiences, and for reflecting on one's own circumstances in contrast to others.…”

Section: Discussionsupporting

confidence: 51%

Youth and parent perceptions on participating in specialized multidisciplinary pain rehabilitation options: A qualitative timeline effect analysis

Hurtubise

Brousselle

Noel

et al. 2021

Canadian Journal of Pain

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Background : Little is known about how the specialized treatment journey is perceived by youth with pain-related disability and their parents. Aims : Describe and compare the treatment effects and outcomes as perceived by youth and their parents enrolled in intensive interdisciplinary pain treatment (IIPT) or multimodal treatment (MMT). Methods : Eleven IIPT youth and five parents and three MMT youth and five parents were recruited. All were asked to complete a treatment journey timeline, followed by separately conducted semistructured interviews. Transcribed interviews were analyzed using reflective thematic analysis. Results : The main themes spanned the treatment trajectory. All participants described similar initial struggles (Theme 1). Positive and negative treatment effects associated with acquisitions and disruptions (Theme 2), and outcomes post-discharge related to supports and realities (Theme 3) emerged. Knowledge, skills, and support acquisition during treatment and feeling empowered and confident to self-manage postdischarge were identified as IIPT benefits. However, the change effort and life disruptions required and the difficulty transitioning to real life postprogram were acknowledged as detrimental IIPT impacts. Continuing with life as usual and maintaining supports in daily contexts (e.g., school personnel, friends) were reported MMT benefits. However, the challenges of managing pain, treatment adherence within the competing demands of daily realities, and the lack of support to integrate strategies were emphasized as detrimental MMT impacts. Conclusions : Detailed impacts of two specialized multidisciplinary pain rehabilitation interventions on the lives of youth with pain-related disability and their parents are described. The treatments benefits and previously unexplored detrimental effects are unveiled.

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Section: Discussionsupporting

confidence: 51%

Youth and parent perceptions on participating in specialized multidisciplinary pain rehabilitation options: A qualitative timeline effect analysis

Hurtubise

Brousselle

Noel

et al. 2021

Canadian Journal of Pain

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“…The 13 items can be grouped into 3 subscales: (1) rumination, (2) magnification, and (3) helplessness. The PCS has already been used with adolescents, and the European Portuguese version is psychometrically sound…”

Section: Methodsmentioning

confidence: 99%

Cross‐Cultural Adaptation and Psychometric Properties of the European Portuguese Version of the Central Sensitization Inventory in Adolescents With Musculoskeletal Chronic Pain

Andias

Silva

2020

Pain Practice

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Background Central sensitization (CS) is an important feature in musculoskeletal chronic pain, and associated symptoms can be assessed using the Central Sensitization Inventory (CSI). Objectives This study aimed to translate and cross‐culturally adapt the CSI to the European Portuguese language and to assess its validity and reliability in adolescents with musculoskeletal chronic pain. Methods The European Portuguese version of the CSI was established following the translation and testing processes recommended by international guidelines. Then, this version of the CSI was completed by 1,730 adolescents, who also completed the Nordic Musculoskeletal Questionnaire; the Pain Catastrophizing Scale; the Depression, Anxiety and Stress Scale; the Tampa Scale of Kinesiophobia; and the Basic Scale on Insomnia Complaints and Quality of Sleep. Test‐retest reliability and measurement error, internal consistency, hypothesis testing, and factor analysis were assessed for the translated version of the CSI. Results Cronbach's alpha was 0.91, the intraclass correlation coefficient was 0.94 (95% confidence interval: 0.90, 0.96), and the standard error of measurement and smallest detectable change were 4.15 and 11.50, respectively. Fair correlations were found between CSI and fear of movement (Spearman’s correlation [rs] = 0.46), sleep (rs = 0.46), and catastrophizing (rs = 0.49). Moderate to good correlations were found between CSI and depression (rs = 0.60), anxiety (rs = 0.59), and stress (rs = 0.65). Conclusion The European Portuguese version of the CSI was considered easy to understand and showed very good internal consistency, excellent test‐retest reliability, and excellent construct validity in a community sample of adolescents with musculoskeletal chronic pain.

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“…Additionally, PNE4Kids, a pain science curriculum for children (6–12 years old), has recently been developed [27] and is freely available for clinicians at . Although there is meta-analytic evidence for adults suggesting that pain science education improves outcomes [71], evidence in pediatric chronic pain is scarce but promising with Andias et al [72] providing support of a combined approach (pain science education + exercise therapy) in adolescents with chronic idiopathic neck pain, with data showing that this type of intervention is feasible and beneficial in pediatric patients with chronic pain. Yet, some methodological shortcomings were present in this study, such as the rather small sample size ( n = 43) and the control group who did not receive any treatment (nor attention from the therapists).…”

Section: State Of the Art Of Rehabilitation For Pediatric Chronic mentioning

confidence: 99%

Best-Evidence for the Rehabilitation of Chronic Pain Part 1: Pediatric Pain

Harrison

Pate

Richardson

et al. 2019

JCM

112

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Chronic pain is a prevalent and persistent problem in middle childhood and adolescence. The biopsychosocial model of pain, which accounts for the complex interplay of the biological, psychological, social, and environmental factors that contribute to and maintain pain symptoms and related disability has guided our understanding and treatment of pediatric pain. Consequently, many interventions for chronic pain are within the realm of rehabilitation, based on the premise that behavior has a broad and central role in pain management. These treatments are typically delivered by one or more providers in medicine, nursing, psychology, physical therapy, and/or occupational therapy. Current data suggest that multidisciplinary treatment is important, with intensive interdisciplinary pain rehabilitation (IIPT) being effective at reducing disability for patients with high levels of functional disability. The following review describes the current state of the art of rehabilitation approaches to treat persistent pain in children and adolescents. Several emerging areas of interventions are also highlighted to guide future research and clinical practice.

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The effects of pain neuroscience education and exercise on pain, muscle endurance, catastrophizing and anxiety in adolescents with chronic idiopathic neck pain: a school-based pilot, randomized and controlled study

Abstract: Results suggest a potential benefit of PNE and exercise for adolescents with CINP. Further studies with larger sample sizes are needed.

Cited by 70 publications

References 28 publications

Youth and parent perceptions on participating in specialized multidisciplinary pain rehabilitation options: A qualitative timeline effect analysis

Youth and parent perceptions on participating in specialized multidisciplinary pain rehabilitation options: A qualitative timeline effect analysis

Cross‐Cultural Adaptation and Psychometric Properties of the European Portuguese Version of the Central Sensitization Inventory in Adolescents With Musculoskeletal Chronic Pain

Best-Evidence for the Rehabilitation of Chronic Pain Part 1: Pediatric Pain

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