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Effectiveness of Pain Neuroscience Education in Patients with Chronic Musculoskeletal Pain and Central Sensitization: A Systematic Review

Author

Listed:
  • Beatrice Lepri

    (Independent Researcher, 47921 Rimini, Italy)

  • Daniele Romani

    (Department of Biomedical and Neuromotor Science, Bologna Campus, University of Bologna, 40138 Bologna, Italy
    AUSL della Romagna, Ospedale Infermi di Rimini, Viale Luigi Settembrini, 2, 47923 Rimini, Italy)

  • Lorenzo Storari

    (Department of Human Neurosciences, University of Roma “La Sapienza”, 00185 Rome, Italy)

  • Valerio Barbari

    (Department of Human Neurosciences, University of Roma “La Sapienza”, 00185 Rome, Italy)

Abstract

Objective: To collect the available evidence about the effectiveness of pain neuroscience education (PNE) on pain, disability, and psychosocial factors in patients with chronic musculoskeletal (MSK) pain and central sensitization (CS). Methods: A systematic review was conducted. Searches were performed on Pubmed, PEDro, and CINAHL, and only randomized controlled trials (RCTs) enrolling patients ≥18 years of age with chronic MSK pain due to CS were included. No meta-analysis was conducted, and qualitative analysis was realized. Results: 15 RCTs were included. Findings were divided for diagnostic criteria (fibromyalgia—FM, chronic fatigue syndrome—CFS, low back pain—LBP, chronic spinal pain—CSP). PNE has been proposed as a single intervention or associated with other approaches, and different measures were used for the main outcomes considered. Conclusions, practice implication: PNE is effective in improving pain, disability, and psychosocial factors in patients with fibromyalgia, chronic low back pain (CLBP)—especially if associated with other therapeutic approaches—and also in patients with CFS and CSP. Overall, PNE seems to be more effective when proposed in one-to-one oral sessions and associated with reinforcement elements. However, specific eligibility criteria for chronic MSK pain due to CS are still lacking in most RCTs; therefore, for future research, it is mandatory to specify such criteria in primary studies.

Suggested Citation

  • Beatrice Lepri & Daniele Romani & Lorenzo Storari & Valerio Barbari, 2023. "Effectiveness of Pain Neuroscience Education in Patients with Chronic Musculoskeletal Pain and Central Sensitization: A Systematic Review," IJERPH, MDPI, vol. 20(5), pages 1-48, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:4098-:d:1079794
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    References listed on IDEAS

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    1. Jake Netherway & Brett Smith & Javier Monforte, 2021. "Training Healthcare Professionals on How to Promote Physical Activity in the UK: A Scoping Review of Current Trends and Future Opportunities," IJERPH, MDPI, vol. 18(13), pages 1-16, June.
    2. Federico Andreoletti & Filippo Maselli & Lorenzo Storari & Andrea Vongher & Monica Erbesato & Marco Testa & Andrea Turolla, 2022. "Screening for Referral of Serious Pathology by Physical Examination Tests in Patients with Back or Chest Pain: A Systematic Review," IJERPH, MDPI, vol. 19(24), pages 1-17, December.
    3. Chloé Quentin & Reza Bagheri & Ukadike C. Ugbolue & Emmanuel Coudeyre & Carole Pélissier & Alexis Descatha & Thibault Menini & Jean-Baptiste Bouillon-Minois & Frédéric Dutheil, 2021. "Effect of Home Exercise Training in Patients with Nonspecific Low-Back Pain: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(16), pages 1-24, August.
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