Use the Back button in your browser to see the other results of your search or to select another record.
Carryover Effects of Pain Neuroscience Education on Patients with Chronic Lower Back Pain: A Systematic Review and Meta-Analysis |
Shin S, Kim H |
Medicina (Kaunas) 2023 Jul;59(7):1268 |
systematic review |
BACKGROUND AND OBJECTIVES: Because most individuals with chronic back pain (CLBP) have no specific cause, it is usually described as central sensitization. Pain neuroscience education (PNE) in top-down pain control may be effective against carryover effects; however, this remains unclear. In this study, the carryover effect was qualitatively and quantitatively synthesized and analyzed. MATERIALS AND METHODS: Randomized controlled trials (RCTs) on PNE in individuals with CLBP were conducted using international databases until January 2023. Using RevMan5.4 provided by Cochrane, qualitative and quantitative analyses were performed with a risk of bias and meta-analysis, respectively. RESULTS: Nine RCTs involving 1038 individuals with CLBP were included in the analysis. Four main results were identified: First, PNE had a short-term carryover effect on pain intensity (SMD -1.55, 95% confidence interval (CI) -2.59 to -0.50), second, PNE had a short-term carryover effect on pain catastrophizing (SMD -2.47, 95% CI -3.44 to -1.50), third, PNE had short- and long-term carryover effects on kinesiophobia (SMD -3.51, 95% CI -4.83 to -2.19), fourth, the appropriate therapeutic intensity of PNE for the pain intensity of individuals (SMD -0.83, 95% CI -1.60 to -0.07). CONCLUSIONS: PNE has a short-term carryover effect on pain intensity and pain cognition in individuals with CLBP and a long-term carryover effect on kinesiophobia.
|