Pain neurophysiology education for the management of individuals with chronic low back pain: A systematic review and meta-analysis

Clare Louise Clarke, Cormac Ryan, Denis J. Martin

Research output: Contribution to journalReview article

59 Citations (Scopus)

Abstract

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 5. mm (0, 10.0. mm) [mean difference (95%CI)] on the 100. mm 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.

Original languageEnglish
Pages (from-to)544-549
Number of pages6
JournalManual Therapy
Volume16
Issue number6
DOIs
Publication statusPublished - 1 Dec 2011

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