Article

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.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS