The effects of pain neuroscience education and exercise on pain, muscle endurance, catastrophizing and anxiety in adolescents with chronic idiopathic neck pain: A school-based pilot, randomized and controlled study

Andias, Rosa; Neto, Maritza; Silva, Anabela G.

doi:10.1080/09593985.2018.1423590

Cited by 99Musculoskeletal pain and rehabilitationMyofascial pain diagnosis and treatmentPain Management and Treatment

The effects of pain neuroscience education and exercise on pain, muscle endurance, catastrophizing and anxiety in adolescents with chronic idiopathic neck pain: A school-based pilot, randomized and controlled study

Andias, Rosa, Neto, Maritza, Silva, Anabela G.·2018·Physiotherapy Theory and Practice

DOI 10.1080/09593985.2018.1423590

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Abstract

PURPOSE: To compare the effectiveness of pain neuroscience education (PNE) and neck/shoulder exercises with no intervention in adolescents with chronic idiopathic neck pain (CINP). METHODS: Forty-three adolescents with CINP were randomly allocated to receive PNE and shoulder/neck exercises (n = 21) or no intervention (n = 22). Data on pain intensity, neck flexor and extensor muscles endurance, scapular stabilizers endurance, pain catastrophizing, anxiety, and knowledge of pain neurophysiology were collected. Measurements were taken before and after the intervention. RESULTS: All participants completed the study. Analysis using ANCOVA revealed a significant increase in the neck extensors endurance capacity (adjusted mean ± SE change = + 47.5 ± 13.5 s versus +14.2 ± 13.1 s) and knowledge of pain neurophysiology (adjusted mean ± SE change = + 9.8 ± 3.2 versus -0.6 ± 0.6) in the group receiving the intervention. A higher mean decrease in pain intensity, pain catastrophizing and anxiety and a higher mean increase in the scapular stabilizers endurance capacity were also found in the intervention group, but differences did not reach statistical significance. CONCLUSIONS: Results suggest a potential benefit of PNE and exercise for adolescents with CINP. Further studies with larger sample sizes are needed.

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The Andias et al. study had methodological shortcomings, including a small sample size (n = 43) and a control group that received no treatment or attention from therapists.
“Yet, some methodological shortcomings were present in this study, such as the rather small sample size (n = 43) and the control group who did not receive any treatment (nor attention from the therapists).”
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Authors: Andias, R., Neto, M., & Silva, A. G.
Affiliations: University of Aveiro (PT)
Primary Healthcare Center, Ílhavo, Portugal
Centre for Health Technology and Services Research (PT)
Corresponding author: Silva, Anabela G.
ORCID: Andias, Rosa
Silva, Anabela G.
Venue: Physiotherapy Theory and Practice
Publisher: Informa UK Limited
Published: 2018-01-10
Volume: 34
Issue: 9
Pages: 682-691
ISSN: 0959-3985 (ISSN-L)
1532-5040
DOI: 10.1080/09593985.2018.1423590
OpenAlex: W2784222969
Cited by: 99
References: 34
Citations by year: 2026: 8 · 2025: 12 · 2024: 13 · 2023: 20 · 2022: 19 · 2021: 11 · 2020: 7 · 2019: 7 · 2018: 2
FWCI: 4.38
Type: journal article
Language: en
Open access: closed
Locations: Physiotherapy Theory and Practice (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords: pain neuroscience education, adolescents, muscular endurance, pain catastrophizing, anxiety, pain intensity, scapular stabilizers, school-based intervention
MeSH terms: Adolescent, Adolescent Behavior, Anxiety, Combined Modality Therapy, Exercise Therapy, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Neck Muscles, Neurosciences, Patient Education as Topic, Physical Endurance, Portugal, School Health Services, Time Factors, Treatment Outcome, Exercise Tolerance, Neck Pain, Muscle Strength, Catastrophization, Chronic Pain

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The effects of pain neuroscience education and exercise on pain, muscle endurance, catastrophizing and anxiety in adolescents with chronic idiopathic neck pain: A school-based pilot, randomized and controlled study

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