The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.
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
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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“In the same light, physical therapies can significantly reduce pain-related distress, especially when applied along with educational interventions [129].”
Citations
Cites
The Measurement of Observer Agreement for Categorical Data
Landis, J. R., & Koch, G. G. (1977) · Biometrics · doi:10.2307/2529310 · Cited by 81,148
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859
A Coefficient of Agreement for Nominal Scales
Cohen, J. (1960) · Educational and Psychological Measurement · doi:10.1177/001316446002000104 · Cited by 42,398
Quantifying heterogeneity in a meta‐analysis
Higgins, J. P. T., & Thompson, S. G. (2002) · Statistics in Medicine · doi:10.1002/sim.1186 · Cited by 36,763
Reliability of the PEDro Scale for Rating Quality of Randomized Controlled Trials
Maher, C. G., Sherrington, C., Herbert, R. D., Moseley, A. M., & Elkins, M. (2003) · Physical Therapy · doi:10.1093/ptj/83.8.713 · Cited by 4,808
Cochrane Database of Systematic Reviews
Lyons, R. (2006) · Progress in Neurology and Psychiatry · doi:10.1002/pnp.208 · Cited by 1,907
A review of chronic pain impact on patients, their social environment and the health care system
Duenas, M., Ojeda, B., Salazar, A., Mico, J. A., & Failde, I. (2016) · Journal of Pain Research · doi:10.2147/jpr.s105892 · Cited by 985
Louw, A., Zimney, K. J., Puentedura, E. J., & Diener, I. (2016) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2016.1194646 · Cited by 738
van Middelkoop, M., Rubinstein, S. M., Kuijpers, T., Verhagen, A. P., Ostelo, R., Koes, B. W., & van Tulder, M. W. (2010) · European Spine Journal · doi:10.1007/s00586-010-1518-3 · Cited by 728
Louw, A., Diener, I., Butler, D. S., & Puentedura, E. J. (2011) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2011.07.198 · Cited by 686
Research works printed but not linked: 5
- Becker LA, 2000, Effect size calculators
- Canadian Agency for Drugs and Technologies in Health 2016 Physical therapy treatments for chronic non-cancer pain: A review of guidelines. Rapid Response Reports. Ottawa (ON). https://www.ncbi.nlm.nih.gov/books/NBK409574/.
- Malfliet A, 2018, Journal of American Medical Association Neurology, 75, 808
- Moher D, 2009, Public Library of Science Medicine, 6, e1000097
- Neuroscience Research Australia and The University of Sydney, 2018, Pysiotherapy Evidence Database
Cited by
Sorted by citations
Siddall, B., Ram, A., Jones, M. D., Booth, J., Perriman, D., & Summers, S. J. (2022) · Pain · doi:10.1097/j.pain.0000000000002308 · Cited by 174
Galán-Martín, M. Á., Montero-Cuadrado, F., Lluch‐Girbés, E., Coca-López, M. C., Mayo-Íscar, A., & Vargas, A. I. C. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9041201 · Cited by 105
An update on non-pharmacological interventions for pain relief
Wang, Y., Aaron, R. V., Attal, N., & Colloca, L. (2025) · Cell Reports Medicine · doi:10.1016/j.xcrm.2025.101940 · Cited by 109
Javdaneh, N., Saeterbakken, A. H., Shams, A., & Barati, A. H. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18168848 · Cited by 71
“According to previous studies, a combined treatment consisting of pain neuroscience education and physical exercise may be the best treatment [21,42].”
Rigoard, P., Ounajim, A., Goudman, L., Louis, P., Slaoui, Y., Manuel Roulaud, B., Naïditch, N., Bouche, B., Page, P., Lorgeoux, B., et al. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10214910 · Cited by 43
“Taken together, these conclusions support the multidisciplinary approach provided by the biopsychosocial model [41,42].”
Result
Metadata
- 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
- 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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