慢性疼痛儿童的疼痛神经科学教育方案的制定和可行性测试：治疗方案。
Development and feasibility testing of a Pain Neuroscience Education program for children with chronic pain: treatment protocol.
机构信息
Pain in Motion International Research Group(d); Vrije Universiteit Brussel (VUB), Faculty of Physical Education & Physiotherapy, Department of Physiotherapy, Human Physiology and Anatomy (KIMA), Brussels, Belgium.
Pain in Motion International Research Group(d); University of Antwerp (UA), Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences and Physiotherapy, Wilrijk, Belgium.
出版信息
Braz J Phys Ther. 2018 May-Jun;22(3):248-253. doi: 10.1016/j.bjpt.2018.02.004. Epub 2018 Mar 4.
BACKGROUND
Current treatment for adults with chronic pain often includes Pain Neuroscience Education (PNE) to make people understand the nature underlying their pain and thus provides a clear rational for a biopsychosocial approach. Despite recommendations to use Pain Neuroscience Education as well in children with chronic pain, a specific program, tailored to children aged 6-12 years is lacking.
OBJECTIVES
The aim of this study was to develop a Pain Neuroscience Education program for children with chronic pain and test its feasibility.
METHODS
First the internet and scientific literature was searched for sources (e.g., books, videos, etc.) that might be supportive in teaching children about the neurophysiology of pain. Based on this content, we developed a Pain Neuroscience Education program for children, 'PNE4Kids', which was tested for feasibility in three groups of healthy children (n=18; 9 girls and 9 boys) aged between 6 and 12 years old.
RESULTS AND CONCLUSIONS
This paper provides both scientists and clinicians with a specific program to explain the neurophysiology of pain to children with chronic pain, since it is past high time to use a modern neuroscience approach in this vulnerable population. Further research should examine the effectiveness of this developed PNE4Kids program on pain-related outcomes in children with chronic pain. Registration number: NCT02880332 (https://clinicaltrials.gov/ct2/show/NCT02880332).
背景
目前，成人慢性疼痛的治疗常包括疼痛神经科学教育（PNE），以使人们了解其疼痛的潜在本质，从而为生物心理社会方法提供明确的依据。尽管建议在患有慢性疼痛的儿童中也使用疼痛神经科学教育，但缺乏针对 6-12 岁儿童的特定方案。
目的
本研究旨在为患有慢性疼痛的儿童开发疼痛神经科学教育方案，并测试其可行性。
方法
首先，在互联网和科学文献中搜索可能有助于向儿童讲授疼痛神经生理学的来源（例如书籍、视频等）。在此内容的基础上，我们为儿童开发了一个疼痛神经科学教育方案，即“PNE4Kids”，并在三组健康儿童（n=18；9 名女孩和 9 名男孩）中测试其可行性，这些儿童年龄在 6 至 12 岁之间。
结果和结论
本文为科学家和临床医生提供了一个具体的方案，以便向患有慢性疼痛的儿童解释疼痛的神经生理学，因为现在是时候在这个弱势群体中采用现代神经科学方法了。进一步的研究应该检验这个开发的 PNE4Kids 方案在患有慢性疼痛的儿童的疼痛相关结果上的有效性。注册号：NCT02880332（https://clinicaltrials.gov/ct2/show/NCT02880332）。
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