Effectiveness of Interventions Based on Pain Neuroscience Education on Pain and Psychosocial Variables for Osteoarthritis: A Systematic Review

Leidy Tatiana Ordoñez-Mora, Marco Antonio Morales-Osorio and Ilem D. Rosero
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Leidy Tatiana Ordoñez-Mora: Health and Movement Research Group, Physiotherapy Program, Faculty of Health, Universidad Santiago de Cali, Santiago de Cali 760033, Colombia
Marco Antonio Morales-Osorio: Grupo Internacional de Investigación Neuro-Conductual (GIINCO), Universidad de la Costa, Barranquilla 080002, Colombia
Ilem D. Rosero: Health and Movement Research Group, Physiotherapy Program, Faculty of Health, Universidad Santiago de Cali, Santiago de Cali 760033, Colombia

IJERPH, 2022, vol. 19, issue 5, 1-13

Abstract: Osteoarthritis (OA) is the most common joint condition. It affects more than 300 million people worldwide, who suffer from pain and physical disability. Objective: To determine the results of cognitive educational interventions for pain management and psychosocial variables in adults with OA. Method: A systematic review was conducted based on searches in MEDLINE, OVID, LILACS, Scopus, PEDro, OTseeker, The Cochrane Library, EBSCO, and Google Scholar. The search strategy included the main terms neuroscience education and osteoarthritis, without any re-strictions with regard to dates or study type (PROSPERO register CRD42021222763). Results: We included four articles that implemented the intervention in 1–6 sessions, addressing concepts related to goal orientation and providing strategies for understanding pain. The results suggest that there is an improvement between the groups (PNE) when compared, but this cannot necessarily be attributed to pain neuroscience education (PNE), as small effect sizes for variables such as pain catastrophizing and kinesiophobia were observed. The response in the modulation of acute pain following the surgical procedure may produce a variation in the responses and this may be mediated by medications. Conclusion: The study revealed an improvement in favor of the groups managed with PNE, although more studies documenting the topic are warranted.

Keywords: osteoarthritis; chronic pain; physical therapy; neurology; education; catastrophizing (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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