Effect of Duration of Pain Neuroscience Education on Pain Catastrophizing and Kinesiophobia in Patients with Chronic Low Back Pain: A Systematic Review of the Literature

Year 2024, , 937 - 954, 25.07.2024

Ali İken , Samia Karkouri , İsmail Zeroual , Houda El Moudane

https://doi.org/10.33438/ijdshs.1478011

Abstract

Objective: This study aims to examine the available evidence regarding the effect of the total duration in minutes of Pain Neuroscience Education (PNE) on pain catastrophizing and kinesiophobia in patients with chronic low back pain (CLBP). Methods: A systematic literature search was conducted on PubMed/MEDLINE, Web of Science, Scopus, and PeDro databases covering the last 5 years up to February 2024. No meta-analysis was performed, and qualitative analysis was conducted in narrative and tabular form. Results: Six randomized controlled trials were included in this systematic review. All studies included patients with chronic low back pain aged over 18. PNE was provided either as a standalone intervention or in combination with other therapies such as exercise, with total duration ranging from 100 to 240 minutes. Primary outcome measures focused on pain catastrophizing and kinesiophobia, while secondary outcomes included pain and functional disability. Conclusions: No significant correlation was established between the total duration of PNE and improvement in primary outcome measures. However, findings suggest that combining PNE with exercise in the treatment of chronic low back pain leads to greater improvements in kinesiophobia and pain catastrophizing compared to exercise alone.

Keywords

Pain Neuroscience Education, Kinesiophobia, Pain Catastrophizing, Chronic Low Back Pain, Systematic Review

Ethical Statement

The present systematic review was conducted in accordance with the ethical principles outlined in the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) Statement. No specific ethical approval was required as this review was conducted using publicly available data and existing secondary analyses in the literature. All data were handled anonymously, and no information allowing the identification of participants was disclosed. No conflicts of interest were identified.

Supporting Institution

Not applicable

Project Number

PROSPERO Protocol (CRD42024500793)

Thanks

I wanted to express my sincere gratitude for the opportunity you have given me to submit my article to your journal. It is an honor for me to be able to contribute to your journal. Thank you again for your consideration. Best regards Ali IKEN

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