Group pain neuroscience education combined with supervised exercises reduces pain and improves function of Brazilian women with central sensitisation and a low level of education: a single-subject study.

Purpose: The purpose of this single-subject experimental study was to describe the patient's outcome following pain neuroscience education in combination with therapeutic exercise for Brazilian women with central sensitisation and a low level of education. Methods: Eight Brazilian women with central...

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Publicado en:European Journal of Physiotherapy Vol. 21; no. 4; pp. 224 - 233
Autores principales: Marques, Elen Soares, Meziat Filho, Ney Armando de Mello, Ferreira, Paula dos Santos, Andrade, Fernanda Guimarães de, Ramsay, Elisabeth Marshall, Amaral Corrêa, Leticia, Nogueira, Leandro Alberto Calazans
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Dec2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2019
      vid: 21
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/21679169.2018.1531922
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        atl: Group pain neuroscience education combined with supervised exercises reduces pain and improves function of Brazilian women with central sensitisation and a low level of education: a single-subject study.
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        au:
          Marques, Elen Soares
          Meziat Filho, Ney Armando de Mello
          Ferreira, Paula dos Santos
          Andrade, Fernanda Guimarães de
          Ramsay, Elisabeth Marshall
          Amaral Corrêa, Leticia
          Nogueira, Leandro Alberto Calazans
        affil: Rehabilitation Science Postgraduate Program at Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil
      sug:
        subj:
          Neurosciences Education
          Pain Management
          Therapeutic Exercise
          Clinical Supervision
          Women's Health Brazil
          Educational Status
          Outcomes (Health Care)
          Human
          Experimental Studies
          Brazil
          Female
          Outpatients
          Quality of Life
          Descriptive Statistics
          Data Analysis Software
          Middle Age
          Aged
          Wilcoxon Signed Rank Test
          Funding Source
          Questionnaires
          Scales
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab: Purpose: The purpose of this single-subject experimental study was to describe the patient's outcome following pain neuroscience education in combination with therapeutic exercise for Brazilian women with central sensitisation and a low level of education. Methods: Eight Brazilian women with central sensitisation and a low level of education were screened from a total of 57 patients with musculoskeletal disorders in an outpatient physiotherapy department. Twelve sessions were performed, once a week, including group pain education and supervised exercises. The outcome measures of pain intensity, functionality, catastrophizing, kinesiophobia, quality of life, knowledge of pain physiology and global improvement rating were collected pre- and post-intervention. Results: There was an improvement in pain (before median = 8.5, after median = 5.0; Z = −2.032, p =.042) and functionality (before median = 2.5, after median = 5.6; Z = −2.366, p =.018) at post-intervention evaluation measured by the Wilcoxon signed-rank test. A meaningful improvement was observed in global perceived effect. There were no statistically significant differences for other outcomes. Conclusion: Following a combination of pain neuroscience education with therapeutic exercise, Brazilian women with central sensitisation and a low level of education showed pain relief and improved function. Nonetheless, psychosocial factors, knowledge of pain and quality of life did not improve with the intervention.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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