Eficácia da educação em neurociência da dor para o manejo da dor crônica cervical inespecífica/ Effectiveness of pain neuroscience education for the management of chronic cervical pain inespecific

Ially Fraga Batista Andrade, José Fontes Júnior, Ingrid Nascimento Santana, Josineide Andrade Santana, Thaynara Lima Alves, Jessica Paloma Rosa Silva, Leonardo Yung dos Santos Maciel, Marcela Ralin de Carvalho Deda Costa

Abstract


Realizar uma revisão de literatura a respeito da eficácia da educação em neurociência da dor na dor crônica cervical inespecífica. Métodos: A pesquisa foi realizada nas bases de dados, Pubmed, Embase, CINHAL, PEDro e Chochrane Liberary. Foram incluídos apenas ensaios clínicos aleatórios que avaliaram a eficácia da educação em dor para o manejo da dor e  incapacidade, de forma isolada ou associada a outras intervenções, em pacientes com dores crônicas na coluna cervical. Foram excluídos estudos com outros tipos de dores musculoesqueléticas, ou que estavam em fases agudas e subagudas.  Não houve restrição de datas e idiomas. Resultados/discussão: Foram encontrados 213 estudos, destes apenas quatro atenderam os critérios de inclusão. Os estudos incluídos totalizaram um N de 167 participantes. Apenas um comparou a educação em neurociência da dor de forma isolada com outras intervenções, os demais associaram a mesma com exercícios de fortalecimento cervical, exercícios aeróbicos e terapias manuais. Os estudos mostraram que educação em dor quando associada a outras intervenções parece ser eficaz para redução da dor e da incapacidade, como também apresenta resultados positivos para redução da cinesiofobia, catastrofização  e crenças negativas sobre a dor, além de melhorar a  ansiedade e a  autopercepção da dor. Conclusão: Sendo assim, com base nos resultados dos estudos, a educação em dor quando parte de um tratamento multimodal parece ser eficaz para redução da dor, incapacidade em pacientes com dores crônicas cervicais. Novos estudos são necessários. 

Keywords


Neck pain, Pain neuroscience education, Education in, Chronic cervical pain, Physiotherapy.

References


ANDRADE I. F. B, et al. Eficácia da Educação Em Neurociência da Dor para o manejo da Dor Crônica Cervical Inespecífica. Health Review, Lagarto, 2021

LEE A. P. H. Neck Pain and Lower Back Pain . Med Clin N Am, 2019.

ALACREU H. B. et al. Education, and Therapeutic Exercise, an Effective Multimodal Treatment of Nonspecific Chronic Neck Pain. American Journal of Physical Medicine & Rehabilitation, v. 94, n. 10, Madri, October, 2015.

BRAGE K. et al. Pain education combined with neck- and aerobic training is more effective at relieving chronic neck pain than pain education alone - A preliminary randomized controlled trial. Manual Therapy, 2015.

CASTRILLO. P. V. et al. Effects of pain neuroscience education and dry needling for the management of patients with chronic myofascial neck pain: a randomized clinical trial. Acupuncture in Medicine, Madri, March, 2020.

CHRISTENSEN J.O., KNARDAHL S. Time-course of occupational psychological and social factors as predictors of new-onset and persistent neck pain: a three-wave prospective study over 4 years. Pain, v.155, p. 1262–71, 2014

COHEN S. P., HOOTEN W.M. Advances in the diagnosis and management of neck pain. BMJ, 2017.

CORP N. et al. Evidence-based treatment recommendations for neck and low back pain across Europe: a systematic review of guidelines. European Journal of Pain, 2020.

HALDEMAN S. et al. The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders: executive summary. Spine, 2008.

HOY D. et al. The global burden of neck pain: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014.

Louw A, Puentedura E. Therapeutic Neuroscience Education,. OPTP, Minneapolis, v. 1, 2013

LOUW A. et al. The effect of neuroscience education on pain, disability, anxiety, and stress in chronic musculoskeletal pain. Archives of Physical Medicine and Rehabilitation v. 92, p. 2041–2056, 2011.

LOUW A. P. T et al. The efficacy of pain neuroscience education on musculoskeletal pain: A systematic review of the literature. Physiotherapy Theory and Practice, v. 21, n. 58, 2016.

MARRIS D.P.T. et al . 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, Faaomptphysiotherapy theory and practice, jun, 2019.

MAY S. et al. Predictor variables for a positive long-term functional outcome in patients with acute and chronic neck and back pain treated with a McKenzie approach: a secondary analysis. J Man Manip Ther v. 16, p. 155–60, 2008.

PARIKH P, et al. Comparison of CPG’s for the diagnosis, prognosis and management of non-specific neck pain: a systematic review. BMC Musculoskelet Disord, v. 26, p. 20-81, 2019.

PETERSON C., BOLTON J., HUMPHREYS B. K. Predictors of outcome in neck pain patients undergoing chiropractic care: comparison of acute and chronic patients. Chiropr Man Ther. v. 20, n. 27. 2012.

SAFIRI S, et al. Global, regional, and national burden of neck pain in the general population, 1990- 2017: systematic analysis of the Global Burden of Disease Study 2017. BMJ, 2020.

SPITZER W.O. Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders: Redefining ‘whiplash’ and its management. Spine. v. 20, p. 1–73, 1995

VILLANUEVA I. L. U. et al. Pain management using a multimodal physiotherapy program including a biobehavioral approach for chronic nonspecific neck pain: a randomized controlled trial. Physiotherapy Theory and Practice, 2018.

WATSON J. A. Pain neuroscience education for adults with chronic musculoskeletal pain: a mixed-methods systematic review and meta-analysis, Journal of Pain, 2019.




DOI: https://doi.org/10.34119/bjhrv4n2-115

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