Article

Pain neurophysiology education (PNE) is a form of education for patients with
chronic low back pain (CLBP). The purpose of this systematic review was to
investigate the evidence for PNE in the management of pateints with CLBP. A literature search of MEDLINE, CINAHL and AMED was performed from
1996(01)-2010(09). RCT appraisal and synthesis was assessed using the Cochrane
Back Review Group (CBRG) guidelines. The main outcome measures were pain,
physical-function, psychological-function, and social-function.
Two moderate
quality RCTs (n=122) were included in the final review. According to the CBRG
criteria there was very low quality evidence that PNE is beneficial for pain,
physical-function, psychological-function, and social-function. Meta-analysis
found PNE produced statistically significant but clinically small improvements in
short-term pain of 5mm (0, 10.0mm) [mean difference (95%CI)] on the 100mm VAS.
This review was limited by the small number of studies (n=2) that met the
inclusion criteria and by the fact that both studies were produced by the same
group that published the PNE manual. These factors contributed to the relatively
low grading of the evidence. There is a need for more studies investigating PNE by different research groups to support early promising findings. Until then firm
clinical recommendations cannot be made.
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Langue : ANGLAIS