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Gómez J1, Mena Iturriaga MJ1, Sizer PS2, Mauri-Stecca MV1,3
1Facultad de Medicina, Clínica Alemana - Universidad del Desarrollo, School of Physical Therapy, Santiago, Chile, 2Texas Tech University Health Sciences Center, Center for Rehabilitation Research, School of Health Professions, Lubbock, United States, 3Advanced Physical Therapy, Physical Therapy, Anchorage, United States
Background: Pain Neuroscience Education (PNE) emerges as an alternative to traditional education approaches aimed for patients with chronic pain. By explaining biological and physiological processes involved in pain experience, this approach seeks to blur attention to the belief that the persistence of initial injury in an anatomical structure is the only cause of pain continuity. Currently, despite the large number of studies on PNE, there is no consensus on the methodology to be used for its implementation in the clinic.
Purpose: To identify PNE implementation strategies reported in articles including patients with chronic musculoskeletal pain. Recognition of common used methodologies will assist physiotherapist while performing this type of education approach in clinical setting.
Methods: A scoping review of the scientific and grey literature was carried out. Specific search strategy was used. MEDLINE/PubMed, Tripdata Base, SUMsearch2 and Google Schoolar databases were searched between December 18, 2017 and January 18, 2018, with no publication date limitation. Studies published in English and Spanish were included. Bibliometric and specific methodology data including number and frequency of educational sessions, material and time allocated, number of participants, professional who performed the educational session, complementary treatment were extracted using a charting table, which was developed to record key information from sources relevant to the review question. The findings were descriptively presented, with tables and figures to support the data when appropriate. Research team included 2 clinical and 1 senior experimented researches. Quality control of article identification and selection was carried out by an independent researcher.
Results: 2,506 records were obtained from the search. Seventeen relevant articles (randomized clinical trials) from these records met the inclusion criteria and were selected for further analysis. 1,045 participants in total; 52.6% in experimental groups and 47.4% in control groups. According to sex, 71.8% were women, age ranged between 36 ± 5 and 61 ± 5.54 for both groups. The most frequent diagnosis (52.8%) was the chronic low back pain syndrome (SDLC) . 76, 5% of the studies were published between 2010 and 2016, and 23.5% were performed in Australia. PNE was individually performed in 52.9% (9-articles), and taught by physiotherapist in 35.3% (6-articles). This educational estrategy was supplemented with conservative physical therapy in 52.9% (9-articles), performed during less than one hour (52.9%) within 1-4 sessions (52.9%;9-articles), and a frequency of 1 day per week in 58.8% (10-articles).
Conclusion(s): There is no single established methodology to follow for the implemenation of education in pain neuroscience. Future research should evaluate the quality of these methodological components, in order to generate consensus on the best way to administer this type of education strategy in clinical practice.
Implications: This study contributes to the understanding of PNE methodologies used by health-related professionals who seek to apply in the clinic.
Keywords: Chronic pain, scoping review, pain neuroscience education
Funding acknowledgements: No funding was granted for this project
Purpose: To identify PNE implementation strategies reported in articles including patients with chronic musculoskeletal pain. Recognition of common used methodologies will assist physiotherapist while performing this type of education approach in clinical setting.
Methods: A scoping review of the scientific and grey literature was carried out. Specific search strategy was used. MEDLINE/PubMed, Tripdata Base, SUMsearch2 and Google Schoolar databases were searched between December 18, 2017 and January 18, 2018, with no publication date limitation. Studies published in English and Spanish were included. Bibliometric and specific methodology data including number and frequency of educational sessions, material and time allocated, number of participants, professional who performed the educational session, complementary treatment were extracted using a charting table, which was developed to record key information from sources relevant to the review question. The findings were descriptively presented, with tables and figures to support the data when appropriate. Research team included 2 clinical and 1 senior experimented researches. Quality control of article identification and selection was carried out by an independent researcher.
Results: 2,506 records were obtained from the search. Seventeen relevant articles (randomized clinical trials) from these records met the inclusion criteria and were selected for further analysis. 1,045 participants in total; 52.6% in experimental groups and 47.4% in control groups. According to sex, 71.8% were women, age ranged between 36 ± 5 and 61 ± 5.54 for both groups. The most frequent diagnosis (52.8%) was the chronic low back pain syndrome (SDLC) . 76, 5% of the studies were published between 2010 and 2016, and 23.5% were performed in Australia. PNE was individually performed in 52.9% (9-articles), and taught by physiotherapist in 35.3% (6-articles). This educational estrategy was supplemented with conservative physical therapy in 52.9% (9-articles), performed during less than one hour (52.9%) within 1-4 sessions (52.9%;9-articles), and a frequency of 1 day per week in 58.8% (10-articles).
Conclusion(s): There is no single established methodology to follow for the implemenation of education in pain neuroscience. Future research should evaluate the quality of these methodological components, in order to generate consensus on the best way to administer this type of education strategy in clinical practice.
Implications: This study contributes to the understanding of PNE methodologies used by health-related professionals who seek to apply in the clinic.
Keywords: Chronic pain, scoping review, pain neuroscience education
Funding acknowledgements: No funding was granted for this project
Topic: Pain & pain management; Professional practice: other; Education: methods of teaching & learning
Ethics approval required: No
Institution: Universidad del Desarrollo - Facultad de Medicina CAS-UDD
Ethics committee: Comité Ético Científico
Reason not required: Exploratory - Scoping review of scientific and grey literature
All authors, affiliations and abstracts have been published as submitted.
