Pain Neuroscience Education (PNE) for Low Back Pain: Difference between revisions
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</ref><ref>Rabiei, P., Sheikhi, B. and Letafatkar, A. (2020). Comparing pain neuroscience education followed by motor control exercises with group‐based exercises for chronic low back pain: a randomized controlled trial. ''Pain Practice''. doi:10.1111/papr.12963. | </ref><ref>Rabiei, P., Sheikhi, B. and Letafatkar, A. (2020). Comparing pain neuroscience education followed by motor control exercises with group‐based exercises for chronic low back pain: a randomized controlled trial. ''Pain Practice''. doi:10.1111/papr.12963. | ||
</ref> | </ref> . MES has also shown better results compared to core stability exercise <ref>Gorji, S.M., Mohammadi Nia Samakosh, H., Watt, P., Henrique Marchetti, P. and Oliveira, R. (2022). Pain Neuroscience Education and Motor Control Exercises versus Core Stability Exercises on Pain, Disability, and Balance in Women with Chronic Low Back Pain. ''International Journal of Environmental Research and Public Health'', 19(5), p.2694. doi:10.3390/ijerph19052694. | ||
</ref> | </ref>. Although this result was exclusive to women due to the population studied thus limiting its ecological validity. | ||
New growing-body of research warrants the need for systematic reviews to be updated or made to evaluate the effect of PNE has with physiotherapy interventions such as MES | New growing-body of research warrants the need for systematic reviews to be updated or made to evaluate the effect of PNE has with physiotherapy interventions such as MES | ||
Revision as of 13:46, 20 May 2022
Pain Neuroscience Education[edit | edit source]
Introduction[edit | edit source]
PNE[edit | edit source]
LBP[edit | edit source]
Applying to practice[edit | edit source]
Evidence[edit | edit source]
Clinician perspective
A clinician’s perspective to a treatment would concern assessing the relevant outcome measure to determine the effectiveness from that treatment / intervention. In the context of PNE and LBP, the consensus amongst research is that pain, and disability are dominant outcome measures used and can be applied through different questionnaires to evaluate these outcomes. Other outcome measures used in research include psychosocial elements to them such as quality of life, self-efficacy and kinesiophobia.
Outcome measure to evaluate PNE & LBP[edit | edit source]
QOL - EQ-5D
Kinesiophobia – Tampa scale
PNE[edit | edit source]
PNE as a stand-alone intervention has low evidence supporting its effectiveness for pain relief and low-moderate evidence for improving disability in the short term (6 weeks>)[1][2]. PNE as a stand-alone intervention can improve other elements that can improve function with evidence signifying it can improve kinesiophobia and illness perceptions [3].
PNE and Physiotherapy[edit | edit source]
Clinicians will often incorporate the application of PNE in alignment with usual physiotherapy care (manual therapy/exercise prescription) as to utilise a multi-modal approach when treating chronic back pain [4]
On the other hand, there is moderate evidence to support that PNE along with physiotherapy interventions can have short term improvements on pain and disability [1][2]. Long term effects of PNE on pain and disability in low back pain is unclear due to a lack of evidence to support strong conclusions.
Emerging research has found propitious evidence to support PNE alongside motor control exercises (MES) as its suggested to deliver more effective results in improving pain and disability compared to current best-evidence physiotherapy care (education and general back exercise) [5][6] . MES has also shown better results compared to core stability exercise [7]. Although this result was exclusive to women due to the population studied thus limiting its ecological validity.
New growing-body of research warrants the need for systematic reviews to be updated or made to evaluate the effect of PNE has with physiotherapy interventions such as MES
Other interventions[edit | edit source]
acupuncture
dry needling
electrotherapy
Patient perspective[edit | edit source]
- ↑ 1.0 1.1 Wood, L. and Hendrick, P.A. (2018). A systematic review and meta-analysis of pain neuroscience education for chronic low back pain: Short-and long-term outcomes of pain and disability. European Journal of Pain, 23(2), pp.234–249. doi:10.1002/ejp.1314.
- ↑ 2.0 2.1 Puentedura, E.J. and Flynn, T. (2016). Combining manual therapy with pain neuroscience education in the treatment of chronic low back pain: A narrative review of the literature. Physiotherapy Theory and Practice, 32(5), pp.408–414. doi:10.1080/09593985.2016.1194663.
- ↑ Malfliet, A., Kregel, J., Meeus, M., Roussel, N., Danneels, L., Cagnie, B., Dolphens, M. and Nijs, J. (2017). Blended-Learning Pain Neuroscience Education for People With Chronic Spinal Pain: Randomized Controlled Multicenter Trial. Physical Therapy, 98(5), pp.357–368. doi:10.1093/ptj/pzx092.
- ↑ Saracoglu, I., Arik, M.I., Afsar, E. and Gokpinar, H.H. (2020). The effectiveness of pain neuroscience education combined with manual therapy and home exercise for chronic low back pain: A single-blind randomized controlled trial. Physiotherapy Theory and Practice, pp.1–11. doi:10.1080/09593985.2020.1809046.
- ↑ Malfliet, A., Kregel, J., Coppieters, I., De Pauw, R., Meeus, M., Roussel, N., Cagnie, B., Danneels, L. and Nijs, J. (2018). Effect of Pain Neuroscience Education Combined With Cognition-Targeted Motor Control Training on Chronic Spinal Pain. JAMA Neurology, 75(7), p.808. doi:10.1001/jamaneurol.2018.0492.
- ↑ Rabiei, P., Sheikhi, B. and Letafatkar, A. (2020). Comparing pain neuroscience education followed by motor control exercises with group‐based exercises for chronic low back pain: a randomized controlled trial. Pain Practice. doi:10.1111/papr.12963.
- ↑ Gorji, S.M., Mohammadi Nia Samakosh, H., Watt, P., Henrique Marchetti, P. and Oliveira, R. (2022). Pain Neuroscience Education and Motor Control Exercises versus Core Stability Exercises on Pain, Disability, and Balance in Women with Chronic Low Back Pain. International Journal of Environmental Research and Public Health, 19(5), p.2694. doi:10.3390/ijerph19052694.
