| Abstract [eng] |
SUMMARY Vilnius University Faculty of Medicine Institute of Health Sciences Department of Rehabilitation, Physical and Sports Medicine Master’s Degree of Rehabilitation THE IMPACT OF PHYSIOTHERAPY AND PAIN NEUROSCIENCE EDUCATION IN CHRONIC PAIN MANAGEMENT: A SYSTEMATIC LITERATURE REVIEW Rehabilitation Master's Thesis The Author: Karolis Daubaris, 2nd year student of the Rehabilitation, Physical and Sports Medicine Department, Institute of Health Sciences, Faculty of Medicine, Vilnius University Academic supervisor: Doc. Aurelija Šidlauskienė, Department of Rehabilitation, Physical and Sports Medicine, Institute of Health Sciences, Faculty of Medicine, Vilnius University. Keywords: physiotherapy, pain neuroscience education, PNE, chronic pain. The aim of research work: To highlight the effectiveness of physiotherapy combined with neuroscience education in chronic pain management. Tasks of work: 1. To evaluate the effectiveness of physiotherapy combined with neuroscience education on patients' pain intensity and functional disability. 2. To analyze the effectiveness of physiotherapy combined with neuroscience education on the magnitude of patients' kinesiophobia, pain catastrophizing and quality of life. 3. Identify the most effective methods of physiotherapy combined with neuroscience education for chronic pain management. Materials and methods: The systematic literature review was written in accordance with the PRISMA (Preferred Reporting Item for Systematic Reviews and Meta-Analyses) requirements for the preparation of systematic literature reviews. The Web of science and PubMed databases were searched for research articles by a single researcher using a search strategy tailored to each database. The search for scientific articles was performed by selecting articles from 2017 to 2024 , publication dates. The number of publications selected based on the keyword combinations was 987, of which 6 were included in the systematic review after screening according to the inclusion and exclusion criteria. Results and conclusions: 1. Physiotherapy combined with pain neuroscience education resulted in a statistically significant reduction in pain intensity and functional disability in patients with chronic low back pain. 2. The reduction in kinesiophobia in the management of chronic pain was statistically significant when neuroscience education applied in combination with physiotherapy lasted longer than 3 months. Combined sessions of neuroscience education and physiotherapy also significantly reduced pain catastrophizing and improved quality of life 6 months after the intervention. 3. Physical exercise with playfulness and dual-tasking and socialization components, used in combination with neuroscience education, had the highest efficacy in chronic pain management. |
