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The effect of neuroscience education on pain, disability, anxiety, and stress in chronic musculoskeletal pain.
Arch Phys Med Rehabil. 2011 Dec; 92(12):2041-56.AP

Abstract

OBJECTIVE

To evaluate the evidence for the effectiveness of neuroscience education (NE) for pain, disability, anxiety, and stress in chronic musculoskeletal (MSK) pain.

DATA SOURCES

Systematic searches were conducted on Biomed Central, BMJ.com, CINAHL, the Cochrane Library, NLM Central Gateway, OVID, ProQuest (Digital Dissertations), PsycInfo, PubMed/Medline, ScienceDirect, and Web of Science. Secondary searching (PEARLing) was undertaken, whereby reference lists of the selected articles were reviewed for additional references not identified in the primary search.

STUDY SELECTION

All experimental studies including randomized controlled trials (RCTs), nonrandomized clinical trials, and case series evaluating the effect of NE on pain, disability, anxiety, and stress for chronic MSK pain were considered for inclusion. Additional limitations: studies published in English, published within the last 10 years, and patients older than 18 years. No limitations were set on specific outcome measures of pain, disability, anxiety, and stress.

DATA EXTRACTION

Data were extracted using the participants, interventions, comparison, and outcomes (PICO) approach.

DATA SYNTHESIS

Methodological quality was assessed by 2 reviewers using the Critical Review Form-Quantitative Studies. This review includes 8 studies comprising 6 high-quality RCTs, 1 pseudo-RCT, and 1 comparative study involving 401 subjects. Most articles were of good quality, with no studies rated as poor or fair. Heterogeneity across the studies with respect to participants, interventions evaluated, and outcome measures used prevented meta-analyses. Narrative synthesis of results, based on effect size, established compelling evidence that NE may be effective in reducing pain ratings, increasing function, addressing catastrophization, and improving movement in chronic MSK pain.

CONCLUSIONS

For chronic MSK pain disorders, there is compelling evidence that an educational strategy addressing neurophysiology and neurobiology of pain can have a positive effect on pain, disability, catastrophization, and physical performance.

Authors+Show Affiliations

International Spine Pain Institute, Story City, IA, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22133255

Citation

Louw, Adriaan, et al. "The Effect of Neuroscience Education On Pain, Disability, Anxiety, and Stress in Chronic Musculoskeletal Pain." Archives of Physical Medicine and Rehabilitation, vol. 92, no. 12, 2011, pp. 2041-56.
Louw A, Diener I, Butler DS, et al. The effect of neuroscience education on pain, disability, anxiety, and stress in chronic musculoskeletal pain. Arch Phys Med Rehabil. 2011;92(12):2041-56.
Louw, A., Diener, I., Butler, D. S., & Puentedura, E. J. (2011). The effect of neuroscience education on pain, disability, anxiety, and stress in chronic musculoskeletal pain. Archives of Physical Medicine and Rehabilitation, 92(12), 2041-56. https://doi.org/10.1016/j.apmr.2011.07.198
Louw A, et al. The Effect of Neuroscience Education On Pain, Disability, Anxiety, and Stress in Chronic Musculoskeletal Pain. Arch Phys Med Rehabil. 2011;92(12):2041-56. PubMed PMID: 22133255.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of neuroscience education on pain, disability, anxiety, and stress in chronic musculoskeletal pain. AU - Louw,Adriaan, AU - Diener,Ina, AU - Butler,David S, AU - Puentedura,Emilio J, PY - 2011/04/26/received PY - 2011/07/18/revised PY - 2011/07/19/accepted PY - 2011/12/3/entrez PY - 2011/12/3/pubmed PY - 2012/1/27/medline SP - 2041 EP - 56 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 92 IS - 12 N2 - OBJECTIVE: To evaluate the evidence for the effectiveness of neuroscience education (NE) for pain, disability, anxiety, and stress in chronic musculoskeletal (MSK) pain. DATA SOURCES: Systematic searches were conducted on Biomed Central, BMJ.com, CINAHL, the Cochrane Library, NLM Central Gateway, OVID, ProQuest (Digital Dissertations), PsycInfo, PubMed/Medline, ScienceDirect, and Web of Science. Secondary searching (PEARLing) was undertaken, whereby reference lists of the selected articles were reviewed for additional references not identified in the primary search. STUDY SELECTION: All experimental studies including randomized controlled trials (RCTs), nonrandomized clinical trials, and case series evaluating the effect of NE on pain, disability, anxiety, and stress for chronic MSK pain were considered for inclusion. Additional limitations: studies published in English, published within the last 10 years, and patients older than 18 years. No limitations were set on specific outcome measures of pain, disability, anxiety, and stress. DATA EXTRACTION: Data were extracted using the participants, interventions, comparison, and outcomes (PICO) approach. DATA SYNTHESIS: Methodological quality was assessed by 2 reviewers using the Critical Review Form-Quantitative Studies. This review includes 8 studies comprising 6 high-quality RCTs, 1 pseudo-RCT, and 1 comparative study involving 401 subjects. Most articles were of good quality, with no studies rated as poor or fair. Heterogeneity across the studies with respect to participants, interventions evaluated, and outcome measures used prevented meta-analyses. Narrative synthesis of results, based on effect size, established compelling evidence that NE may be effective in reducing pain ratings, increasing function, addressing catastrophization, and improving movement in chronic MSK pain. CONCLUSIONS: For chronic MSK pain disorders, there is compelling evidence that an educational strategy addressing neurophysiology and neurobiology of pain can have a positive effect on pain, disability, catastrophization, and physical performance. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/22133255/The_effect_of_neuroscience_education_on_pain_disability_anxiety_and_stress_in_chronic_musculoskeletal_pain_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(11)00670-8 DB - PRIME DP - Unbound Medicine ER -