Contents and delivery methods of pain neuroscience education in pediatrics: A scoping review

IF 2.2 3区 医学 Q1 REHABILITATION
Juliana Rezende , Louise Acalantis , Leandro Calazans Nogueira , Ney Meziat-Filho , Kelly Ickmans , Felipe J.J. Reis
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引用次数: 0

Abstract

Background

Pain is prevalent among children and adolescents. The development and implementation of Pain Neuroscience Education (PNE) strategies tailored to this population remains overlooked in contrast to the adult population.

Objective

This study sought to identify the content, delivery methods, and dosage of PNE for children and adolescents available in the literature.

Method

We systematically searched PubMed, EMBASE, Physiotherapy Evidence Database, Scopus, Web of Science, Cochrane Library, PsycINFO, and clinical trial registration databases. Inclusion criteria consisted of studies that involved children submitted to a PNE program in community, school, clinics, hospitals or child development centers. We considered studies that included children with and without pain who received PNE strategies associated or not with self-motivational interventions. Studies focusing on psychological interventions were excluded. We extracted data on authors, publication year, country, sample characteristics, health condition, PNE content, study design, context, outcomes, duration, follow-up, main results, dropout, and adverse effects. Data extracted were qualitatively organized.

Results

A total of 805 studies were initially reviewed. The final sample comprised 17 studies. Common PNE topics included pain neurophysiology, biopsychosocial influences, pain concepts, self-management, and coping strategies. Delivery methods ranged from slideshows and videos to booklets, with sessions lasting 8–60 min. Schools were the most common setting for these interventions.

Conclusion

Our review demonstrates the diversity in PNE content, delivery methods, and intervention dosages among the included studies. Most studies occurred in school settings, potentially limiting its generalizability for clinical contexts.

儿科疼痛神经科学教育的内容和授课方法:范围综述
背景疼痛在儿童和青少年中普遍存在。本研究旨在确定文献中针对儿童和青少年的疼痛神经科学教育(PNE)的内容、实施方法和剂量。方法我们系统地检索了 PubMed、EMBASE、物理治疗证据数据库、Scopus、Web of Science、Cochrane Library、PsycINFO 和临床试验注册数据库。纳入标准包括涉及在社区、学校、诊所、医院或儿童发展中心接受新生儿及儿童营养教育项目的儿童的研究。我们考虑的研究包括有疼痛和无疼痛的儿童,他们接受了与自我激励干预相关或不相关的 PNE 策略。以心理干预为主的研究除外。我们提取了有关作者、发表年份、国家、样本特征、健康状况、PNE 内容、研究设计、背景、结果、持续时间、随访、主要结果、辍学和不良反应的数据。对提取的数据进行了定性整理。最终样本包括 17 项研究。常见的 PNE 主题包括疼痛神经生理学、生物心理社会影响、疼痛概念、自我管理和应对策略。授课方式从幻灯片、视频到小册子不等,授课时间为 8-60 分钟。结论我们的综述表明,纳入研究的 PNE 内容、授课方法和干预剂量多种多样。大多数研究都是在学校环境中进行的,这可能会限制其在临床环境中的推广性。
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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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