Cited by 113Musculoskeletal pain and rehabilitationPain Management and TreatmentMedical Practices and Rehabilitation

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The impact of combining pain education strategies with physical therapy interventions for patients with chronic pain: A systematic review and meta-analysis of randomized controlled trials

Marris, Danielle, Theophanous, Kyriakos, Cabezon, Pablo, Dunlap, Zachary, Donaldson, Megan·2021·Physiotherapy Theory and Practice

DOI 10.1080/09593985.2019.1633714

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Abstract

Study Design: Systematic Review with meta-analysis.Background: Rehabilitation providers have begun to incorporate pain education into their treatment protocols to influence the patient’s experience and knowledge to improve their condition. The purpose of this systematic review is to determine if the addition of pain education strategies to physical therapy treatments is beneficial in reducing pain intensity and disability for those with chronic musculoskeletal pain.Methods: A systematic database search was conducted for randomized control trials that investigated the concurrent use of pain education and physical therapy. Standardized methods for article identification, inclusion, and quality appraisal was utilized. Where possible, studies were pooled for meta-analysis, with pain and disability as the primary outcomes.Results: Fourteen articles were included in this review, of which all fourteen were rated as high quality using the PEDro scale of quality assessment. Meta-analyses were conducted on pain and disability constructs at short term (< 12 weeks) and long-term (≥ 12 weeks) for the studies that allowed for quantitative pooling of effect sizes. Thirteen out of the fourteen included studies demonstrated a decrease in pain and disability with the use of combined interventions. There was a large effect on short-term pain (SMD 0.837), long-term pain (SMD 0.964), and long-term disability (SMD 1.374). A moderate effect on with short-term disability (SMD 0.791).Conclusion: The results of this systematic review support the conclusion that utilizing pain education strategies in conjunction with interventions provided by physical therapists demonstrates a moderate to large effect sizes on pain and disability constructs but lack pooled statistical significance.

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do Nascimento, R. M., Maia, J. B. D. S., de Medeiros, S. A., Silva, H. J. D. A., Lins, C. A. D. A., & de Souza, M. C. (2020) · Brazilian Journal Of Pain · doi:10.5935/2595-0118.20200026 · Cited by 2
Self-Management and Low Back Pain
Diener, I. (2021) · Springer eBooks · doi:10.1007/978-3-030-69736-5_6 · Cited by 2
Opening the black box of psychological treatments for chronic pain: A clinical perspective for medical providers
Edwards, K. A., Reed, D. E., Anderson, D. R., Harding, K. A., Turner, A. P., Soares, B., Suri, P., & Williams, R. M. (2023) · PM&R · doi:10.1002/pmrj.12912 · Cited by 2
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Gervais-Hupé, J., Filleul, A., Perreault, K., Gaboury, I., Wideman, T. H., Charbonneau, C., Loukili, F., Gagnon, M., & Hudon, A. (2023) · PLoS ONE · doi:10.1371/journal.pone.0274730 · Cited by 3
“Among the healthcare services offered to people living with chronic pain, physiotherapy is effective in reducing pain, improving quality of life and function, and decreasing opioids intake [20, 21].”
Background
Measurement of physical activity and prevention of physical inactivity/sedentary behaviors in patients with septic knee arthritis before and after hospital discharge: A case report
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“Several guidelines and systematic reviews recommend TE based on neurophysiological pain education (NPE) as an effective part of the complex therapy in chronic LBP management [3], [10], [11], [12].”
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“These interventions usually yield positive results in the short and medium term, reducing pain intensity and functional disability while improving the quality of life for individuals with chronic pain, compared to conventional physiotherapy interventions [48,52-55].”
Background
Perspectives of Pain Specialists, Patients, and Family Members on Long-Term Opioid use for Chronic Non- Cancer Pain: A Qualitative StudyPreprint
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Neta, M. A. L. P., da Nóbrega, D. L. S., Silva, E. C. L., Miranda, L. V. L. M., Dalbom, V. C., Silva, M. C. O. D., Santos, R. T. A., Carvalho, V. S., Carvalho, R. F. V., & Santos, G. S. B. (2024) · Editora Pascal LTDA eBooks · doi:10.29327/5365952.1-4
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Authors: Marris, D., Theophanous, K., Cabezon, P., Dunlap, Z., & Donaldson, M.
Affiliations: Walsh University (US)
Tufts University (US)
Corresponding author: Donaldson, Megan
ORCID: Donaldson, Megan
Venue: Physiotherapy Theory and Practice
Publisher: Informa UK Limited
Published: 2019-06-28
Volume: 37
Issue: 4
Pages: 461-472
ISSN: 0959-3985 (ISSN-L)
1532-5040
DOI: 10.1080/09593985.2019.1633714
OpenAlex: W2953819207
Cited by: 113
References: 33
Citations by year: 2026: 11 · 2025: 16 · 2024: 31 · 2023: 18 · 2022: 13 · 2021: 15 · 2020: 8 · 2019: 1
FWCI: 1.19
Type: journal article
Language: en
Open access: closed
Locations: Physiotherapy Theory and Practice (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords: pain education, physiotherapy, chronic musculoskeletal pain, pain intensity, disability, combined intervention, patient education, rehabilitation
MeSH terms: Combined Modality Therapy, Disability Evaluation, Humans, Pain Measurement, Patient Education as Topic, Randomized Controlled Trials as Topic, Physical Therapy Modalities, Chronic Pain, Musculoskeletal Pain

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The impact of combining pain education strategies with physical therapy interventions for patients with chronic pain: A systematic review and meta-analysis of randomized controlled trials

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