Pain neuroscience education is not superior to spinal physiology and ergonomics education within a short multidisciplinary rehabilitation program: A randomized controlled trial

IF 2.2 3区 医学 Q1 REHABILITATION
Nicolas Adenis , Valérie Wieczorek , Sophie Corbinau , Léa Mortain , André Thevenon
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引用次数: 0

Abstract

Introduction

There is little evidence to suggest that one educational intervention is superior to another when associated with a rehabilitation program in the management of persistent low back pain. The objective of the present study was to compare pain neuroscience education with spine physiology and ergonomics education as part of a one-week multidisciplinary rehabilitation program.

Method

We conducted a randomized, controlled trial among patients having experienced persistent low back pain for at least 1 year. The patients participated in a one-week multidisciplinary rehabilitation program with an educational component. The members of the experimental and control groups received pain neuroscience education and spine physiology and ergonomics education, respectively. Outcomes were assessed before the program (day 0), immediately afterwards (day 5), and on day 90 after the start of the program. The primary outcome measure was functional disability on day 90.

Results

A total of 88 patients were randomized. On day 90, a statistically significant mean [95% confidence interval] decrease in the level of disability was observed in the experimental (PNE) group (−3.4 [-5.0 to −1.8]). The mean [95%CI] difference versus the control group (−1.7 [-4.0 to 0.5]) was not statistically significant (p = 0.12). There were no statistically significant intergroup differences in the secondary outcome measures.

Conclusion

There appears to be no advantage in replacing a conventional, non-neuroscientific educational program (based on spinal physiology and ergonomics) with a pain neuroscience education program as part of a one-week multidisciplinary rehabilitation program. Further research is needed to identify patients who will respond better to a pain neuroscience education module as part of a personalized care program.

在短期多学科康复计划中,疼痛神经科学教育并不优于脊柱生理学和人体工程学教育:随机对照试验
引言在治疗顽固性腰背痛的康复计划中,几乎没有证据表明一种教育干预措施优于另一种。本研究的目的是比较疼痛神经科学教育与脊柱生理学和人体工程学教育,作为为期一周的多学科康复计划的一部分。这些患者参加了为期一周的多学科康复计划,其中包含教育内容。实验组和对照组的成员分别接受了疼痛神经科学教育、脊柱生理学和人体工程学教育。结果分别在项目开始前(第0天)、项目结束后(第5天)和项目开始后第90天进行评估。主要结果是第 90 天的功能障碍。在第 90 天,实验组(PNE)的残疾程度平均[95% 置信区间]显著下降(-3.4 [-5.0 至-1.8])。与对照组(-1.7 [-4.0 to 0.5])相比,平均[95%置信区间]差异无统计学意义(P = 0.12)。结论在为期一周的多学科康复计划中,用疼痛神经科学教育计划取代传统的非神经科学教育计划(基于脊柱生理学和人体工程学)似乎没有优势。还需要进一步研究,以确定哪些患者对作为个性化护理计划一部分的疼痛神经科学教育模块反应更好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Musculoskeletal Science and Practice
Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
4.10
自引率
8.70%
发文量
152
审稿时长
48 days
期刊介绍: Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.
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