Group pain neuroscience education combined with supervised exercises reduces pain and improves function of Brazilian women with central sensitisation and a low level of education: a single-subject study

References

• Breivik H, Collett B, Ventafridda V, et al. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10:287–333.
   PubMed Web of Science ®Google Scholar
• Fayaz A, Croft P, Langford RM, et al. Prevalence of chronic pain in the UK: a systematic review and meta-analysis of population studies. BMJ Open. 2016;6:e010364.
   PubMed Web of Science ®Google Scholar
• Sa KN, Baptista AF, Matos MA, et al. Chronic pain and gender in Salvador population, Brazil. Pain. 2008;139:498–506.
   PubMed Web of Science ®Google Scholar
• Nijs J, Meeus M, Cagnie B, et al. A modern neuroscience approach to chronic spinal pain: combining pain neuroscience education with cognition-targeted motor control training. Phys Ther. 2014;94:730–738.
   PubMed Web of Science ®Google Scholar
• Nogueira LAC, Chaves ADO, Wendt ADS, et al. Central sensitization patients present different characteristics compared with other musculoskeletal patients: a case–control study. Eur J Physiother. 2016;18:147–153. doi:10.3109/21679169.2016.1150509
   PubMed Web of Science ®Google Scholar
• Smart KM, Blake C, Staines A, et al. The discriminative validity of “nociceptive,” “peripheral neuropathic,” and “central sensitization” as mechanisms-based classifications of musculoskeletal pain. Clin J Pain. 2011;27:655–663.
   PubMed Web of Science ®Google Scholar
• Moseley GL, Butler DS. Fifteen years of explaining pain: the past, present, and future. J Pain. 2015;16:807–813.
   PubMed Web of Science ®Google Scholar
• Ainpradub K, Sitthipornvorakul E, Janwantanakul P, et al. Effect of education on non-specific neck and low back pain: a meta-analysis of randomized controlled trials. Man Ther. 2016;22:31–41.
   PubMed Web of Science ®Google Scholar
• Yu H, Cote P, Southerst D, et al. Does structured patient education improve the recovery and clinical outcomes of patients with neck pain? A systematic review from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Spine J. 2016;16:1524–1540.
   PubMed Web of Science ®Google Scholar
• Hurley J, O'Keeffe M, O'Sullivan P, et al. Effect of education on non-specific neck and low back pain: a meta-analysis of randomized controlled trials. Man Ther. 2016;23:e1–e2.
   PubMedGoogle Scholar
• Louw A, Diener I, Butler DS, et al. The effect of neuroscience education on pain, disability, anxiety, and stress in chronic musculoskeletal pain. Arch Phys Med Rehabil. 2011;92:2041–2056.
   PubMed Web of Science ®Google Scholar
• Geneen LJ, Martin DJ, Adams N, et al. Effects of education to facilitate knowledge about chronic pain for adults: a systematic review with meta-analysis. Syst Rev. 2015;4:1–21
   PubMed Web of Science ®Google Scholar
• Clarke CL, Ryan CG, Martin DJ. Pain neurophysiology education for the management of individuals with chronic low back pain: systematic review and meta-analysis. Man Ther. 2011;16:544–549.
   PubMed Web of Science ®Google Scholar
• Nijs J, Lluch Girbes E, Lundberg M, et al. Exercise therapy for chronic musculoskeletal pain: innovation by altering pain memories. Man Ther. 2015;20:216–220.
   PubMed Web of Science ®Google Scholar
• Henschke N, Ostelo RW, van Tulder MW, et al. Behavioural treatment for chronic low-back pain. Cochrane Database Syst Rev. 2010;7:CD002014. 10.1002/14651858.CD002014.pub3(7):CD002014.
   PubMed Web of Science ®Google Scholar
• Booth J, Moseley GL, Schiltenwolf M, et al. Exercise for chronic musculoskeletal pain: a biopsychosocial approach. Musculoskeletal Care. 2017;15:413–421.
   PubMed Web of Science ®Google Scholar
• Patti A, Bianco A, Paoli A, et al. Effects of pilates exercise programs in people with chronic low back pain: a systematic review. Medicine 2015;94:e383.
   PubMed Web of Science ®Google Scholar
• van Koulil S, Effting M, Kraaimaat FW, et al. Cognitive-behavioural therapies and exercise programmes for patients with fibromyalgia: state of the art and future directions. Ann Rheum Dis. 2007;66:571–581.
   PubMed Web of Science ®Google Scholar
• Daenen L, Varkey E, Kellmann M, et al. Exercise, not to exercise, or how to exercise in patients with chronic pain? Applying science to practice. Clin J Pain. 2015;31:108–114.
   PubMed Web of Science ®Google Scholar
• Moseley L. Unraveling the barriers to reconceptualization of the problem in chronic pain: the actual and perceived ability of patients and health professionals to understand the neurophysiology. J Pain. 2003;4:184–189.
   PubMed Web of Science ®Google Scholar
• Moseley GL. Joining forces – combining cognition-targeted motor control training with group or individual pain physiology education: a successful treatment for chronic low back pain. J Man Manip Ther. 2003;11:88–94.
   Google Scholar
• Pires D, Cruz EB, Caeiro C. Aquatic exercise and pain neurophysiology education versus aquatic exercise alone for patients with chronic low back pain: a randomized controlled trial. Clin Rehabil. 2015;29:538–547.
   PubMed Web of Science ®Google Scholar
• Arendt-Nielsen L, Morlion B, Perrot S, et al. Assessment and manifestation of central sensitisation across different chronic pain conditions. Eur J Pain. 2018;22:216–241.
   PubMed Web of Science ®Google Scholar
• Lewis GN, Rice DA, McNair PJ. Conditioned pain modulation in populations with chronic pain: a systematic review and meta-analysis. J Pain. 2012;13:936–944.
   PubMed Web of Science ®Google Scholar
• Schliessbach J, Siegenthaler A, Streitberger K, et al. The prevalence of widespread central hypersensitivity in chronic pain patients. Eur J Pain. 2013;17:1502–1510.
   PubMed Web of Science ®Google Scholar
• Alonso Monteiro Bezerra M, Hellwig N, da Rocha Castelar Pinheiro G, et al. Prevalence of chronic musculoskeletal conditions and associated factors in Brazilian adults – National Health Survey. BMC Public Health. 2018;18:287.
   PubMed Web of Science ®Google Scholar
• Mundal I, Grawe RW, Bjorngaard JH, et al. Prevalence and long-term predictors of persistent chronic widespread pain in the general population in an 11-year prospective study: the HUNT study. BMC Musculoskeletal Disord. 2014;15:1–12.
   PubMed Web of Science ®Google Scholar
• Santos JG, Brito JO, de Andrade DC, et al. Translation to Portuguese and validation of the Douleur Neuropathique 4 questionnaire. J Pain. 2010;11:484–490.
   PubMed Web of Science ®Google Scholar
• Breivik H, Borchgrevink PC, Allen SM, et al. Assessment of pain. Br J Anaesth. 2008;101:17–24.
   PubMed Web of Science ®Google Scholar
• Jones KR, Vojir CP, Hutt E, et al. Determining mild, moderate, and severe pain equivalency across pain-intensity tools in nursing home residents. J Rehabil Res Dev. 2007;44:305–314.
   PubMed Web of Science ®Google Scholar
• Jensen MP, Turner JA, Romano JM, et al. Comparative reliability and validity of chronic pain intensity measures. Pain. 1999;83:157–162.
   PubMed Web of Science ®Google Scholar
• Stratford P, Gill C, Westaway M, et al. Assessing disability and change on individual patients: a report of a patient specific measure. Physiotherapy Canada. 1995;47:258–263.
   Google Scholar
• Costa LO, Maher CG, Latimer J, et al. Clinimetric testing of three self-report outcome measures for low back pain patients in Brazil: which one is the best? Spine (Phila Pa 1976). 2008;33:2459–2463.
   PubMed Web of Science ®Google Scholar
• Sehn F, Chachamovich E, Vidor LP, et al. Cross-cultural adaptation and validation of the Brazilian Portuguese version of the pain catastrophizing scale. Pain Med. 2012;13:1425–1435.
   PubMed Web of Science ®Google Scholar
• Sullivan MJL, Bishop SR, Pivik J. The pain catastrophizing scale: development and validation. Psychol Assess. 1995;7:542–32.
   Web of Science ®Google Scholar
• Siqueira FB, Teixeira-Salmela LF, Magalhães LC. Analysis of psychometric properties of the Brazilian version of the Tampa Scale for Kinesiophobia. Acta Ortop Bras. 2007;15:19–24.
   Google Scholar
• Silveira MF, Almeida JC, Freire RS, et al. [Psychometric properties of the quality of life assessment instrument: 12-item health survey (SF-12)]. Ciênc Saúde Coletiva. 2013;18:1923–1931.
   PubMed Web of Science ®Google Scholar
• SF-12 Health Survey Scoring Demonstration. Medical Outcomes Trust; 2015. Available from: http://www.sf.36.org/demos/SF.12.html. Last cited date as “18/09/2015”.
   Google Scholar
• Catley MJ, O'Connell NE, Moseley GL. How good is the neurophysiology of pain questionnaire? A Rasch analysis of psychometric properties. J Pain. 2013;14:818–827.
   PubMed Web of Science ®Google Scholar
• Nogueira LAC, Chaves AO, Oliveira N, et al. Cross-cultural adaptation of the revised neurophysiology of pain questionnaire into Brazilian Portuguese language. Braz J Psychiatry. 2018; In Press.
   Google Scholar
• Dworkin RH, Turk DC, Farrar JT, et al. Core outcome measures for chronic pain clinical trials: IMMPACT recommendations. Pain. 2005;113:9–19.
   PubMed Web of Science ®Google Scholar
• Kamper SJ, Maher CG, Mackay G. Global rating of change scales: a review of strengths and weaknesses and considerations for design. J Man Manip Ther. 2009;17:163–170.
   PubMedGoogle Scholar
• Butler DS, Moseley GL. Explain pain. Adelaide, Australia: Noigroup Publications; 2003. p. 130.
   Google Scholar
• Guyatt GH, Osoba D, Wu AW, et al. Methods to explain the clinical significance of health status measures. Mayo Clin Proc. 2002;77:371–383.
   PubMed Web of Science ®Google Scholar
• Geneen LJ, Martin DJ, Adams N, et al. Effects of education to facilitate knowledge about chronic pain for adults: a systematic review with meta-analysis. Syst Rev. 2015;4:132.
   PubMed Web of Science ®Google Scholar
• Cuesta-Vargas AI, González-Sánchez M, Casuso-Holgado MJ. Effect on health-related quality of life of a multimodal physiotherapy program in patients with chronic musculoskeletal disorders. Health Qual Life Outcomes. 2013;11:19.
   PubMed Web of Science ®Google Scholar
• van Middelkoop M, Rubinstein SM, Verhagen AP, et al. Exercise therapy for chronic nonspecific low-back pain. Best Pract Res Clin Rheumatol. 2010;24:193–204.
   PubMed Web of Science ®Google Scholar
• Brosseau L, Wells GA, Tugwell P, et al. Ottawa Panel evidence-based clinical practice guidelines for aerobic fitness exercises in the management of fibromyalgia: part 1. Phys Ther. 2008;88:857–871.
   PubMed Web of Science ®Google Scholar
• Geneen LJ, Moore RA, Clarke C, et al. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 2017;4:CD011279.
   PubMedGoogle Scholar
• Lima LV, Abner TSS, Sluka KA. Does exercise increase or decrease pain? Central mechanisms underlying these two phenomena. J Physiol (Lond). 2017;595:4141–4150.
   Google Scholar
• Nijs J, Kosek E, Van Oosterwijck J, et al. Dysfunctional endogenous analgesia during exercise in patients with chronic pain: to exercise or not to exercise? Pain Phys. 2012;15:ES205–ES213.
   PubMed Web of Science ®Google Scholar
• Van Oosterwijck J, Nijs J, Meeus M, et al. Lack of endogenous pain inhibition during exercise in people with chronic whiplash associated disorders: an experimental study. J Pain. 2012;13:242–254.
   PubMed Web of Science ®Google Scholar
• Meeus M, Roussel NA, Truijen S, et al. Reduced pressure pain thresholds in response to exercise in chronic fatigue syndrome but not in chronic low back pain: an experimental study. J Rehabil Med. 2010;42:884–890.
   PubMed Web of Science ®Google Scholar
• Kroll HR. Exercise therapy for chronic pain. Phys Med Rehabil Clin N Am. 2015;26:263–281.
   PubMed Web of Science ®Google Scholar
• Moseley L. Combined physiotherapy and education is efficacious for chronic low back pain. Aust J Physiother. 2002;48:297–302.
   PubMed Web of Science ®Google Scholar
• Moseley GL, Nicholas MK, Hodges PW. A randomized controlled trial of intensive neurophysiology education in chronic low back pain. Clin J Pain. 2004;20:324–330.
   PubMed Web of Science ®Google Scholar
• Moseley GL. Evidence for a direct relationship between cognitive and physical change during an education intervention in people with chronic low back pain. Eur J Pain. 2004;8:39–45.
   PubMed Web of Science ®Google Scholar
• van Ittersum MW, van Wilgen CP, van der Schans CP, et al. Written pain neuroscience education in fibromyalgia: a multicenter randomized controlled trial. Pain Pract. 2014;14:689–700.
   PubMed Web of Science ®Google Scholar
• Van Oosterwijck J, Meeus M, Paul L, et al. Pain physiology education improves health status and endogenous pain inhibition in fibromyalgia: a double-blind randomized controlled trial. Clin J Pain. 2013;29:873–882.
   PubMed Web of Science ®Google Scholar
• Meeus M, Nijs J, Van Oosterwijck J, et al. Pain physiology education improves pain beliefs in patients with chronic fatigue syndrome compared with pacing and self-management education: a double-blind randomized controlled trial. Arch Phys Med Rehabil. 2010;91:1153–1159.
   PubMed Web of Science ®Google Scholar
• Ryan CG, Gray HG, Newton M, et al. Pain biology education and exercise classes compared to pain biology education alone for individuals with chronic low back pain: a pilot randomised controlled trial. Man Ther. 2010;15:382–387.
   PubMed Web of Science ®Google Scholar
• Van Oosterwijck J, Nijs J, Meeus M, et al. Pain neurophysiology education improves cognitions, pain thresholds, and movement performance in people with chronic whiplash: a pilot study. J Rehabil Res Dev. 2011;48:43–58.
   PubMed Web of Science ®Google Scholar
• Gallagher L, McAuley J, Moseley GL. A randomized-controlled trial of using a book of metaphors to reconceptualize pain and decrease catastrophizing in people with chronic pain. Clin J Pain. 2013;29:20–25.
   PubMed Web of Science ®Google Scholar
• Dolphens M, Nijs J, Cagnie B, et al. Efficacy of a modern neuroscience approach versus usual care evidence-based physiotherapy on pain, disability and brain characteristics in chronic spinal pain patients: protocol of a randomized clinical trial. BMC Musculoskelet Disord. 2014;15 :1–13.
   PubMed Web of Science ®Google Scholar
• Carthery-Goulart MT, Anghinah R, Areza-Fegyveres R, et al. Performance of a Brazilian population on the test of functional health literacy in adults. Rev Saúde Pública. 2009;43:631–638.
   PubMed Web of Science ®Google Scholar
• Robinson V, King R, Ryan CG, et al. A qualitative exploration of people's experiences of pain neurophysiological education for chronic pain: the importance of relevance for the individual. Man Ther. 2016;22:56–61.
   PubMed Web of Science ®Google Scholar
• King R, Robinson V, Ryan CG, et al. An exploration of the extent and nature of reconceptualisation of pain following pain neurophysiology education: a qualitative study of experiences of people with chronic musculoskeletal pain. Patient Educ Couns. 2016;99:1389–1393.
   PubMed Web of Science ®Google Scholar