Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago 8380286, Chile; Physiotherapy in Motion Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, Valencia 46010, Spain.
Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Talca 3460000, Chile.
Neurosci Biobehav Rev. 2024 Aug;163:105740. doi: 10.1016/j.neubiorev.2024.105740. Epub 2024 Jun 8.
The aim of this study was to assess the moderator effect of the target concepts covered in the Pain science education (PSE) sessions, including both the total amount of target concepts and each individual target concept, on changes in pain intensity and disability in patients with chronic spinal pain (CSP). A systematic search of PubMed, Scopus, Embase, Web of Science and CENTRAL was conducted from inception to March 10, 2024. A random effects model was used for meta-regression analysis. A total of 11 studies were included. The total amount of target concepts of PSE showed a significant correlation with changes in pain intensity (k=11; F=4.45; p=0.04; R=26.07 %). In terms of each target content, only a significant effect on pain intensity was obtained for 'transfer knowledge about pain to an adaptive behavioural change' (z=-2.35, P =0.019, 95 %CI -3.42 to -0.31) and 'reconceptualization of pain' (z=-2.43, P =0.015, 95 %CI -3.70 to -0.39). No significant effect on disability was found. These results may be useful for optimising the effectiveness of PSE programmes.
本研究旨在评估疼痛科学教育（PSE）课程中涵盖的目标概念的调节作用，包括目标概念的总量和每个单独的目标概念，对慢性脊柱疼痛（CSP）患者的疼痛强度和残疾变化的影响。从开始到 2024 年 3 月 10 日，对 PubMed、Scopus、Embase、Web of Science 和 CENTRAL 进行了系统搜索。采用随机效应模型进行元回归分析。共纳入 11 项研究。PSE 的目标概念总量与疼痛强度的变化呈显著相关性（k=11；F=4.45；p=0.04；R=26.07%）。就每个目标内容而言，仅在“将关于疼痛的知识转移到适应性行为改变”（z=-2.35，P=0.019，95%CI-3.42 至-0.31）和“重新概念化疼痛”（z=-2.43，P=0.015，95%CI-3.70 至-0.39）方面对疼痛强度有显著影响。对残疾没有显著影响。这些结果可能有助于优化 PSE 计划的有效性。
