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The clinical application of teaching people about pain

LOUW A; ZIMNEY K; O'HOTTO C; HILTON S
PHYSIOTHER THEORY PRACT , 2016, vol. 32, n° 5, p. 385-395
Doc n°: 179382
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1080/09593985.2016.1194652
Descripteurs : AD8 - DOULEUR

Teaching people about the neurobiology and neurophysiology of their pain
experience has a therapeutic effect and has been referred to as pain neuroscience
education (PNE). Various high-quality randomized controlled trials and systematic
reviews have shown increasing efficacy of PNE decreasing pain, disability, pain
catastrophization, movement restrictions, and healthcare utilization. Research
studies, however, by virtue of their design, are very controlled environments
and, therefore, in contrast to the ever-increasing evidence for PNE, little is
known about the clinical application of this emerging therapy. In contrast, case
studies, case series, and expert opinion and perspectives by authorities in the
world of pain science provide clinicians with a glimpse into potential "real"
clinical application of PNE in the face of the ever-increasing chronic pain
epidemic. By taking the material from the randomized controlled trials,
systematic reviews, case series, case studies, and expert opinion, this article
aims to provide a proposed layout of the clinical application of PNE. The article
systematically discusses key elements of PNE including examination, educational
content, and delivery methods, merging of PNE with movement, goal setting, and
progression. This perspectives article concludes with a call for research into
the clinical application of PNE.

Langue : ANGLAIS

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