Pain neuroscience education in patients with chronic musculoskeletal pain: an umbrella review

IntroductionIn recent years, pain neuroscience education (PNE) has been the focus of extensive research in the scientific literature in the field of physical therapy, but the results obtained are controversial and its clinical application remains unclear. The main aim of this umbrella review was to...
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Gespeichert in:

Autor*in:	Ferran Cuenca-Martínez [verfasserIn] Luis Suso-Martí [verfasserIn] Joaquín Calatayud [verfasserIn] Francisco José Ferrer-Sargues [verfasserIn] Vicente Muñoz-Alarcos [verfasserIn] Patricio Alba-Quesada [verfasserIn] Gemma Biviá-Roig [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	chronic musculoskeletal pain pain education pain neuroscience education musculoskeletal pain umbrella review

Übergeordnetes Werk:	In: Frontiers in Neuroscience - Frontiers Media S.A., 2008, 17(2023)
Übergeordnetes Werk:	volume:17 ; year:2023

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3389/fnins.2023.1272068

Katalog-ID:	DOAJ101483260

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520			\|a IntroductionIn recent years, pain neuroscience education (PNE) has been the focus of extensive research in the scientific literature in the field of physical therapy, but the results obtained are controversial and its clinical application remains unclear. The main aim of this umbrella review was to assess the effectiveness of PNE in patients with chronic musculoskeletal pain (CMP).MethodsWe searched systematically in PubMed (Medline), PEDro, EMBASE, CINAHL and PsycINFO. Methodological quality was analyzed using AMSTAR-2 scale and overlapping analysis using GROOVE tool.Results16 systematic reviews were included. A qualitative synthesis was performed for the following sets of patients with CMP: overall CMP, chronic spinal pain, patients with fibromyalgia and patients with osteoarthritis. In general terms, it seems that the addition of the PNE-based intervention to other treatments, mostly exercise-based interventions although we might refer to it in terms of a multimodal approach, leads to greater clinical improvements than the multimodal approach alone. We have found this especially in the reduction of the influence of psychosocial variables. However, it seems that studies testing the effectiveness of PNE in isolation, systematic reviews with or without meta-analysis did not show statistically significant improvements overall in terms of pain intensity, disability levels or psychosocial variables.DiscussionThere is a great heterogeneity in the results obtained and the PNE protocols used, a critically low quality in the reviews included and a very high overlap, so there is a need to improve the studies in this field before clinical application.Systematic review registrationPROSPERO (CRD42022355634).
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spelling	10.3389/fnins.2023.1272068 doi (DE-627)DOAJ101483260 (DE-599)DOAJ7bbb30fcb7fe40fa92ccfc78b0497a52 DE-627 ger DE-627 rakwb eng RC321-571 Ferran Cuenca-Martínez verfasserin aut Pain neuroscience education in patients with chronic musculoskeletal pain: an umbrella review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionIn recent years, pain neuroscience education (PNE) has been the focus of extensive research in the scientific literature in the field of physical therapy, but the results obtained are controversial and its clinical application remains unclear. The main aim of this umbrella review was to assess the effectiveness of PNE in patients with chronic musculoskeletal pain (CMP).MethodsWe searched systematically in PubMed (Medline), PEDro, EMBASE, CINAHL and PsycINFO. Methodological quality was analyzed using AMSTAR-2 scale and overlapping analysis using GROOVE tool.Results16 systematic reviews were included. A qualitative synthesis was performed for the following sets of patients with CMP: overall CMP, chronic spinal pain, patients with fibromyalgia and patients with osteoarthritis. In general terms, it seems that the addition of the PNE-based intervention to other treatments, mostly exercise-based interventions although we might refer to it in terms of a multimodal approach, leads to greater clinical improvements than the multimodal approach alone. We have found this especially in the reduction of the influence of psychosocial variables. However, it seems that studies testing the effectiveness of PNE in isolation, systematic reviews with or without meta-analysis did not show statistically significant improvements overall in terms of pain intensity, disability levels or psychosocial variables.DiscussionThere is a great heterogeneity in the results obtained and the PNE protocols used, a critically low quality in the reviews included and a very high overlap, so there is a need to improve the studies in this field before clinical application.Systematic review registrationPROSPERO (CRD42022355634). chronic musculoskeletal pain pain education pain neuroscience education musculoskeletal pain umbrella review Neurosciences. Biological psychiatry. Neuropsychiatry Luis Suso-Martí verfasserin aut Joaquín Calatayud verfasserin aut Francisco José Ferrer-Sargues verfasserin aut Vicente Muñoz-Alarcos verfasserin aut Patricio Alba-Quesada verfasserin aut Gemma Biviá-Roig verfasserin aut In Frontiers in Neuroscience Frontiers Media S.A., 2008 17(2023) (DE-627)55908109X (DE-600)2411902-7 1662453X nnns volume:17 year:2023 https://doi.org/10.3389/fnins.2023.1272068 kostenfrei https://doaj.org/article/7bbb30fcb7fe40fa92ccfc78b0497a52 kostenfrei https://www.frontiersin.org/articles/10.3389/fnins.2023.1272068/full kostenfrei https://doaj.org/toc/1662-453X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2023
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allfieldsGer	10.3389/fnins.2023.1272068 doi (DE-627)DOAJ101483260 (DE-599)DOAJ7bbb30fcb7fe40fa92ccfc78b0497a52 DE-627 ger DE-627 rakwb eng RC321-571 Ferran Cuenca-Martínez verfasserin aut Pain neuroscience education in patients with chronic musculoskeletal pain: an umbrella review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionIn recent years, pain neuroscience education (PNE) has been the focus of extensive research in the scientific literature in the field of physical therapy, but the results obtained are controversial and its clinical application remains unclear. The main aim of this umbrella review was to assess the effectiveness of PNE in patients with chronic musculoskeletal pain (CMP).MethodsWe searched systematically in PubMed (Medline), PEDro, EMBASE, CINAHL and PsycINFO. Methodological quality was analyzed using AMSTAR-2 scale and overlapping analysis using GROOVE tool.Results16 systematic reviews were included. A qualitative synthesis was performed for the following sets of patients with CMP: overall CMP, chronic spinal pain, patients with fibromyalgia and patients with osteoarthritis. In general terms, it seems that the addition of the PNE-based intervention to other treatments, mostly exercise-based interventions although we might refer to it in terms of a multimodal approach, leads to greater clinical improvements than the multimodal approach alone. We have found this especially in the reduction of the influence of psychosocial variables. However, it seems that studies testing the effectiveness of PNE in isolation, systematic reviews with or without meta-analysis did not show statistically significant improvements overall in terms of pain intensity, disability levels or psychosocial variables.DiscussionThere is a great heterogeneity in the results obtained and the PNE protocols used, a critically low quality in the reviews included and a very high overlap, so there is a need to improve the studies in this field before clinical application.Systematic review registrationPROSPERO (CRD42022355634). chronic musculoskeletal pain pain education pain neuroscience education musculoskeletal pain umbrella review Neurosciences. Biological psychiatry. Neuropsychiatry Luis Suso-Martí verfasserin aut Joaquín Calatayud verfasserin aut Francisco José Ferrer-Sargues verfasserin aut Vicente Muñoz-Alarcos verfasserin aut Patricio Alba-Quesada verfasserin aut Gemma Biviá-Roig verfasserin aut In Frontiers in Neuroscience Frontiers Media S.A., 2008 17(2023) (DE-627)55908109X (DE-600)2411902-7 1662453X nnns volume:17 year:2023 https://doi.org/10.3389/fnins.2023.1272068 kostenfrei https://doaj.org/article/7bbb30fcb7fe40fa92ccfc78b0497a52 kostenfrei https://www.frontiersin.org/articles/10.3389/fnins.2023.1272068/full kostenfrei https://doaj.org/toc/1662-453X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2023
allfieldsSound	10.3389/fnins.2023.1272068 doi (DE-627)DOAJ101483260 (DE-599)DOAJ7bbb30fcb7fe40fa92ccfc78b0497a52 DE-627 ger DE-627 rakwb eng RC321-571 Ferran Cuenca-Martínez verfasserin aut Pain neuroscience education in patients with chronic musculoskeletal pain: an umbrella review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionIn recent years, pain neuroscience education (PNE) has been the focus of extensive research in the scientific literature in the field of physical therapy, but the results obtained are controversial and its clinical application remains unclear. The main aim of this umbrella review was to assess the effectiveness of PNE in patients with chronic musculoskeletal pain (CMP).MethodsWe searched systematically in PubMed (Medline), PEDro, EMBASE, CINAHL and PsycINFO. Methodological quality was analyzed using AMSTAR-2 scale and overlapping analysis using GROOVE tool.Results16 systematic reviews were included. A qualitative synthesis was performed for the following sets of patients with CMP: overall CMP, chronic spinal pain, patients with fibromyalgia and patients with osteoarthritis. In general terms, it seems that the addition of the PNE-based intervention to other treatments, mostly exercise-based interventions although we might refer to it in terms of a multimodal approach, leads to greater clinical improvements than the multimodal approach alone. We have found this especially in the reduction of the influence of psychosocial variables. However, it seems that studies testing the effectiveness of PNE in isolation, systematic reviews with or without meta-analysis did not show statistically significant improvements overall in terms of pain intensity, disability levels or psychosocial variables.DiscussionThere is a great heterogeneity in the results obtained and the PNE protocols used, a critically low quality in the reviews included and a very high overlap, so there is a need to improve the studies in this field before clinical application.Systematic review registrationPROSPERO (CRD42022355634). chronic musculoskeletal pain pain education pain neuroscience education musculoskeletal pain umbrella review Neurosciences. Biological psychiatry. Neuropsychiatry Luis Suso-Martí verfasserin aut Joaquín Calatayud verfasserin aut Francisco José Ferrer-Sargues verfasserin aut Vicente Muñoz-Alarcos verfasserin aut Patricio Alba-Quesada verfasserin aut Gemma Biviá-Roig verfasserin aut In Frontiers in Neuroscience Frontiers Media S.A., 2008 17(2023) (DE-627)55908109X (DE-600)2411902-7 1662453X nnns volume:17 year:2023 https://doi.org/10.3389/fnins.2023.1272068 kostenfrei https://doaj.org/article/7bbb30fcb7fe40fa92ccfc78b0497a52 kostenfrei https://www.frontiersin.org/articles/10.3389/fnins.2023.1272068/full kostenfrei https://doaj.org/toc/1662-453X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2023
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However, it seems that studies testing the effectiveness of PNE in isolation, systematic reviews with or without meta-analysis did not show statistically significant improvements overall in terms of pain intensity, disability levels or psychosocial variables.DiscussionThere is a great heterogeneity in the results obtained and the PNE protocols used, a critically low quality in the reviews included and a very high overlap, so there is a need to improve the studies in this field before clinical application.Systematic review registrationPROSPERO (CRD42022355634).</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">chronic musculoskeletal pain</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">pain education</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">pain neuroscience education</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">musculoskeletal pain</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">umbrella review</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Neurosciences. 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author	Ferran Cuenca-Martínez
spellingShingle	Ferran Cuenca-Martínez misc RC321-571 misc chronic musculoskeletal pain misc pain education misc pain neuroscience education misc musculoskeletal pain misc umbrella review misc Neurosciences. Biological psychiatry. Neuropsychiatry Pain neuroscience education in patients with chronic musculoskeletal pain: an umbrella review
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topic_title	RC321-571 Pain neuroscience education in patients with chronic musculoskeletal pain: an umbrella review chronic musculoskeletal pain pain education pain neuroscience education musculoskeletal pain umbrella review
topic	misc RC321-571 misc chronic musculoskeletal pain misc pain education misc pain neuroscience education misc musculoskeletal pain misc umbrella review misc Neurosciences. Biological psychiatry. Neuropsychiatry
topic_unstemmed	misc RC321-571 misc chronic musculoskeletal pain misc pain education misc pain neuroscience education misc musculoskeletal pain misc umbrella review misc Neurosciences. Biological psychiatry. Neuropsychiatry
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title	Pain neuroscience education in patients with chronic musculoskeletal pain: an umbrella review
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title_sort	pain neuroscience education in patients with chronic musculoskeletal pain: an umbrella review
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title_auth	Pain neuroscience education in patients with chronic musculoskeletal pain: an umbrella review
abstract	IntroductionIn recent years, pain neuroscience education (PNE) has been the focus of extensive research in the scientific literature in the field of physical therapy, but the results obtained are controversial and its clinical application remains unclear. The main aim of this umbrella review was to assess the effectiveness of PNE in patients with chronic musculoskeletal pain (CMP).MethodsWe searched systematically in PubMed (Medline), PEDro, EMBASE, CINAHL and PsycINFO. Methodological quality was analyzed using AMSTAR-2 scale and overlapping analysis using GROOVE tool.Results16 systematic reviews were included. A qualitative synthesis was performed for the following sets of patients with CMP: overall CMP, chronic spinal pain, patients with fibromyalgia and patients with osteoarthritis. In general terms, it seems that the addition of the PNE-based intervention to other treatments, mostly exercise-based interventions although we might refer to it in terms of a multimodal approach, leads to greater clinical improvements than the multimodal approach alone. We have found this especially in the reduction of the influence of psychosocial variables. However, it seems that studies testing the effectiveness of PNE in isolation, systematic reviews with or without meta-analysis did not show statistically significant improvements overall in terms of pain intensity, disability levels or psychosocial variables.DiscussionThere is a great heterogeneity in the results obtained and the PNE protocols used, a critically low quality in the reviews included and a very high overlap, so there is a need to improve the studies in this field before clinical application.Systematic review registrationPROSPERO (CRD42022355634).
abstractGer	IntroductionIn recent years, pain neuroscience education (PNE) has been the focus of extensive research in the scientific literature in the field of physical therapy, but the results obtained are controversial and its clinical application remains unclear. The main aim of this umbrella review was to assess the effectiveness of PNE in patients with chronic musculoskeletal pain (CMP).MethodsWe searched systematically in PubMed (Medline), PEDro, EMBASE, CINAHL and PsycINFO. Methodological quality was analyzed using AMSTAR-2 scale and overlapping analysis using GROOVE tool.Results16 systematic reviews were included. A qualitative synthesis was performed for the following sets of patients with CMP: overall CMP, chronic spinal pain, patients with fibromyalgia and patients with osteoarthritis. In general terms, it seems that the addition of the PNE-based intervention to other treatments, mostly exercise-based interventions although we might refer to it in terms of a multimodal approach, leads to greater clinical improvements than the multimodal approach alone. We have found this especially in the reduction of the influence of psychosocial variables. However, it seems that studies testing the effectiveness of PNE in isolation, systematic reviews with or without meta-analysis did not show statistically significant improvements overall in terms of pain intensity, disability levels or psychosocial variables.DiscussionThere is a great heterogeneity in the results obtained and the PNE protocols used, a critically low quality in the reviews included and a very high overlap, so there is a need to improve the studies in this field before clinical application.Systematic review registrationPROSPERO (CRD42022355634).
abstract_unstemmed	IntroductionIn recent years, pain neuroscience education (PNE) has been the focus of extensive research in the scientific literature in the field of physical therapy, but the results obtained are controversial and its clinical application remains unclear. The main aim of this umbrella review was to assess the effectiveness of PNE in patients with chronic musculoskeletal pain (CMP).MethodsWe searched systematically in PubMed (Medline), PEDro, EMBASE, CINAHL and PsycINFO. Methodological quality was analyzed using AMSTAR-2 scale and overlapping analysis using GROOVE tool.Results16 systematic reviews were included. A qualitative synthesis was performed for the following sets of patients with CMP: overall CMP, chronic spinal pain, patients with fibromyalgia and patients with osteoarthritis. In general terms, it seems that the addition of the PNE-based intervention to other treatments, mostly exercise-based interventions although we might refer to it in terms of a multimodal approach, leads to greater clinical improvements than the multimodal approach alone. We have found this especially in the reduction of the influence of psychosocial variables. However, it seems that studies testing the effectiveness of PNE in isolation, systematic reviews with or without meta-analysis did not show statistically significant improvements overall in terms of pain intensity, disability levels or psychosocial variables.DiscussionThere is a great heterogeneity in the results obtained and the PNE protocols used, a critically low quality in the reviews included and a very high overlap, so there is a need to improve the studies in this field before clinical application.Systematic review registrationPROSPERO (CRD42022355634).
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title_short	Pain neuroscience education in patients with chronic musculoskeletal pain: an umbrella review
url	https://doi.org/10.3389/fnins.2023.1272068 https://doaj.org/article/7bbb30fcb7fe40fa92ccfc78b0497a52 https://www.frontiersin.org/articles/10.3389/fnins.2023.1272068/full https://doaj.org/toc/1662-453X
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author2	Luis Suso-Martí Joaquín Calatayud Francisco José Ferrer-Sargues Vicente Muñoz-Alarcos Patricio Alba-Quesada Gemma Biviá-Roig
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Pain neuroscience education in patients with chronic musculoskeletal pain: an umbrella review

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