Patients With Chronic Spinal Pain Benefit From Pain Neuroscience Education Regardless the Self-Reported Signs of Central Sensitization: Secondary Analysis of a Randomized Controlled Multicenter Trial

PM & R : the Journal of Injury, Function, and Rehabilitation
Anneleen MalflietJo Nijs

Abstract

Pain neuroscience education is effective in chronic pain management. Central sensitization (ie, generalized hypersensitivity) is often explained as the underlying mechanism for chronic pain, because of its clinical relevance and influence on pain severity, prognosis, and treatment outcome. To examine whether patients with more or fewer symptoms of central sensitization respond differently to pain neuroscience education. A secondary analysis of a multicenter, triple-blind randomized controlled trial. University Hospital Ghent and University Hospital Brussels, Belgium. 120 persons with chronic spinal pain with high or low self-reported symptoms of central sensitization. Pain neuroscience education or neck/back school. Both interventions were delivered in 3 sessions: 1 group session, 1 online session, and 1 individual session. disability (primary), pain catastrophizing, kinesiophobia, illness perceptions, and hypervigilance. Pain disability did not change in any group (P = .242). Regarding secondary outcomes: significant interaction effects were found for pain catastrophizing (P-values: P = .02 to P = .05), kinesiophobia (P = .02), and several aspects of illness perceptions (chronicity: P = .002; negative consequences: P = .02; pe...Continue Reading

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Dec 18, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Christine MiaskowskiChristine Ritchie
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