Efectividad del ejercicio y la educación terapéutica en pacientes con dolor crónicouna revisión bibliográfica

  1. Muñoz-Alarcos, Vicente 1
  2. Ivars-Crespo, María del Mar
  3. Suso-Martí, Luis 2
  4. Herranz-Gómez, Aida 3
  5. Alba-Quesada, Patricio 1
  6. Cuenca-Martínez, Ferran 3
  7. Such-Sanz, Arturo 1
  1. 1 1. Departamento de Fisioterapia y Enfermería, Universidad CEU Cardenal Herrera, CEU Universities, Valencia, España.
  2. 2 1. Departamento de Fisioterapia y Enfermería, Universidad CEU Cardenal Herrera, CEU Universities, Valencia, España. 3. Motion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV). Centro Superior de Estudios Universitarios La Salle. Universidad Autónoma de Madrid. 28023 Madrid (España).
  3. 3 3. Motion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV). Centro Superior de Estudios Universitarios La Salle. Universidad Autónoma de Madrid. 28023 Madrid (España).
Revista:
Journal of Move & Therapeutic Science

ISSN: 2695-6330

Año de publicación: 2021

Título del ejemplar: Junio

Volumen: 3

Número: 1

Páginas: 299-308

Tipo: Artículo

DOI: 10.37382/JOMTS.V3I1.470 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: Journal of Move & Therapeutic Science

Resumen

Objetivo: El objetivo de esta revisión bibliográfica fue evaluar el efecto de la educación neurofisiológica en dolor en combinación con ejercicio terapéutico sobre la intensidad del dolor y los factores psicosociales en pacientes con dolor crónico. Métodos: Se realizó una búsqueda en las bases de datos PubMed, Web of Science, CINAHL y SCOPUS. Se emplearon diferentes términos médicos como estrategia para encontrar estudios que aborden la educación neurocientífica y el ejercicio. La escala PEDro se utilizó para evaluar la calidad metodológica de los estudios. Resultados: Se obtuvieron un total de seis estudios. Los resultados muestran diferencias significativas entre el tratamiento control y el tratamiento experimental a favor de este último, tanto en la intensidad de dolor como en las variables psicosociales analizadas, especialmente en la kinesiofobia. Conclusiones: La terapia conjunta de educación en neurofisiología del dolor y el ejercicio terapéutico produce una mejora en las variables de ámbito psicosocial y la intensidad de dolor en pacientes con dolor crónico.

Referencias bibliográficas

  • Adams LM, Turk DC. Central sensitization and the biopsychosocial approach to understanding pain. J Appl Biobehav Res. John Wiley & Sons, Ltd; 2018;23(2):e12125
  • Andias R, Neto M, Silva AG. The effects of pain neuroscience education and exercise on pain, muscle endurance, catastrophizing and anxiety in adolescents with chronic idiopathic neck pain: a school-based pilot, randomized and controlled study. Physiother Theory Pract. Physiother Theory Pract; 2018;34(9):682–91
  • Bodes Pardo G, Lluch Girbés E, Roussel N, Gallego Izquierdo T, Jiménez Penick V, Martín Pecos D. Pain Neurophysiology Education and Therapeutic Exercise for Patients With Chronic Low Back Pain: A Single-Blind Randomized Controlled Trial. Arch Phys Med Rehabil. Arch Phys Med Rehabil; 2018;99(2):338–47
  • Booth J, Moseley G, Schiltenwolf M, Cashin A, Davies M, Hübscher M. Exercise for chronic musculoskeletal pain: A biopsychosocial approach. Musculoskeletal Care. Musculoskeletal Care; 2017;15(4):413–21
  • Ceballos-Laita L, Mingo-Gómez MT, Navas-Cámara F, Estébanez-de-Miguel E, Caudevilla-Polo S, Verde-Rello Z, Fernández-Araque A, Jiménez-del-Barrio S. Therapeutic Exercise and Pain Neurophysiology Education in Female Patients with Fibromyalgia Syndrome: A Feasibility Study. J Clin Med. MDPI AG; 2020;9(11):3564
  • Cuenca-Martínez F, Cortés-Amador S, Espí-López G. Effectiveness of classic physical therapy proposals for chronic non-specific low back pain: a literature review. Phys Ther Res. Phys Ther Res; 2018;21(1):16–22
  • Galan-Martin M, Montero-Cuadrado F, Lluch-Girbes E, Coca-López M, Mayo-Iscar A, Cuesta-Vargas A. Pain Neuroscience Education and Physical Therapeutic Exercise for Patients with Chronic Spinal Pain in Spanish Physiotherapy Primary Care: A Pragmatic Randomized Controlled Trial. J Clin Med. J Clin Med; 2020;9(4):1201
  • Grande-Alonso M, Suso-Martí S, Cuenca-Martínez F, Pardo-Montero J, Gil-Martínez A, La Touche R. Physiotherapy Based on a Biobehavioral Approach with or Without Orthopedic Manual Physical Therapy in the Treatment of Nonspecific Chronic Low Back Pain: A Randomized Controlled Trial. Pain Med. Pain Med; 2019;20(12):2571–87
  • Koltyn, Brellenthin AG, Cook DB, Sehgal N, Hillard C. Mechanisms of Exercise-Induced Hypoalgesia. J Pain. 2014;15(12):1294–304
  • Langley PC. The prevalence, correlates and treatment of pain in the European Union. Curr Med Res Opin. Curr Med Res Opin; 2011;27(2):463–80
  • Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, Clarke M, Devereaux PJ, Kleijnen J, Moher D. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Ann Intern Med. 2009;151(4):W65-94.
  • Louw A, Diener I, Butler DS, Puentedura EJ. The effect of neuroscience education on pain, disability, anxiety, and stress in chronic musculoskeletal pain. Arch Phys Med Rehabil. United States; 2011;92(12):2041–56
  • Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M. Reliability of the PEDro Scale for Rating Quality of Randomized Controlled Trials. Phys Ther. Oxford Academic; 2003;83(8):713–21
  • Malfliet A, Kregel J, Coppieters I, De Pauw R, Meeus M, Roussel N, Cagnie B, Danneels L, Nijs J. Effect of Pain Neuroscience Education Combined With Cognition-Targeted Motor Control Training on Chronic Spinal Pain: A Randomized Clinical Trial. JAMA Neurol. JAMA Neurol; 2018a;75(7):808–17
  • Malfliet A, Kregel J, Meeus M, Danneels L, Cagnie B, Roussel N, Nijs J. Patients With Chronic Spinal Pain Benefit From Pain Neuroscience Education Regardless the Self-Reported Signs of Central Sensitization: Secondary Analysis of a Randomized Controlled Multicenter Trial. PM&R. John Wiley & Sons, Ltd; 2018b;10(12):1330-1343.e1
  • Meulders A. Fear in the context of pain: Lessons learned from 100 years of fear conditioning research. Behav Res Ther. Elsevier Ltd; 2020;131:103635 DOI: http://dx.doi.org/10.1016/j.brat.2020.103635.
  • Moseley GL, Flor H. Targeting Cortical Representations in the Treatment of Chronic Pain: A Review. Neurorehabil Neural Repair. 2012;26(6):646–52
  • Nijs J, Goubert D, Ickmans I. Recognition and Treatment of Central Sensitization in Chronic Pain Patients: Not Limited to Specialized Care. J Orthop Sports Phys Ther. J Orthop Sports Phys Ther; 2016;46(12):1024–8
  • Pergolizzi J, Ahlbeck K, Aldington D, Alon E, Coluzzi F, Dahan A, Huygen F, Kocot-Kępska M, Mangas AC, Mavrocordatos P, Morlion B, Müller-Schwefe G, Nicolaou A, Pérez Hernández C, Sichère P, Schäfer M, Varrassi G. The development of chronic pain: physiological CHANGE necessitates a multidisciplinary approach to treatment. Curr Med Res Opin. Taylor & Francis; 2013;29(9):1127–35
  • Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, Keefe FJ, Mogil JS, Ringkamp M, Sluka KA, Song X-J, Stevens B, Sullivan MD, Tutelman PR, Ushida T, Vader K. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain. Ovid Technologies (Wolters Kluwer Health); 2020;161(9):1976–82
  • Rice D, Nijs J, Kosek E, Wideman T, Hasenbring MI, Koltyn K, Graven-Nielsen T, Polli A. Exercise-Induced Hypoalgesia in Pain-Free and Chronic Pain Populations: State of the Art and Future Directions. J Pain. United States; 2019;20(11):1249–66
  • Roussel NA, Nijs J, Meeus M, Mylius V, Fayt C, Oostendorp R. Central Sensitization and Altered Central Pain Processing in Chronic Low Back Pain. Clin J Pain. 2013;29(7):625–38
  • Stone PW. Popping the (PICO) question in research and evidence-based practice. Appl Nurs Res. 2002;15(3):197–8
  • Turk DC, Fillingim RB, Ohrbach R, Patel K V. Assessment of Psychosocial and Functional Impact of Chronic Pain. J Pain. Churchill Livingstone Inc.; 2016;17(9):T21–49
  • Vaegter HB, Jones MD. Exercise-induced hypoalgesia after acute and regular exercise: experimental and clinical manifestations and possible mechanisms in individuals with and without pain. PAIN Reports. Ovid Technologies (Wolters Kluwer Health); 2020;5(5):e823
  • Valiente-Castrillo P, Martín-Pintado-Zugasti A, Calvo-Lobo C, Beltran-Alacreu H, Fernández-Carnero J. Effects of pain neuroscience education and dry needling for the management of patients with chronic myofascial neck pain: a randomized clinical trial. Acupunct Med. Acupunct Med; 2021;39(2):91–105
  • Verhagen AP, Vet HCW de, Bie RA de, Kessels AGH, Boers M, Bouter LM, Knipschild PG. The Delphi List: A Criteria List for Quality Assessment of Randomized Clinical Trials for Conducting Systematic Reviews Developed by Delphi Consensus. J Clin Epidemiol. Elsevier; 1998;51(12):1235–41
  • Vlaeyen JWS, De Jong J, Geilen M, Heuts PHTG, Van Breukelen G. The treatment of fear of movement/(re)injury in chronic low back pain: Further evidence on the effectiveness of exposure in vivo. Clin J Pain. Clin J Pain; 2002;18(4):251–61