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Pain neurophysiology education improves cognitions, pain thresholds and movement performance in people with chronic whiplash: a pilot study

Jessica Van Oosterwijck UGent, Jo Nijs, Mira Meeus UGent, Steven Truijen, Julie Craps, Nick Van den Keybus and Lorna Paul (2011) JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT. 48(1). p.43-58
abstract
Chronic whiplash is a debilitating condition characterized by increased sensitivity to painful stimuli, maladaptive illness beliefs, inappropriate attitudes, and movement dysfunctions. Previous work in people with chronic low back pain and chronic fatigue syndrome indicates that pain neurophysiology education is able to improve illness beliefs and attitudes as well as movement performance. This single-case study (A-B-C design) with six patients with chronic whiplash associated disorders (WAD) was aimed at examining whether education about the neurophysiology of pain is accompanied by changes in symptoms, daily functioning, pain beliefs, and behavior. Periods A and C represented assessment periods, while period B consisted of the intervention (pain neurophysiology education). Results showed a significant decrease in kinesiophobia (Tampa Scale for Kinesiophobia), the passive coping strategy of resting (Pain Coping Inventory), self-rated disability (Neck Disability Index), and photophobia (WAD Symptom List). At the same time, significantly increased pain pressure thresholds and improved pain-free movement performance (visual analog scale on Neck Extension Test and Brachial Plexus Provocation Test) were established. Although the current results need to be verified in a randomized, controlled trial, they suggest that education about the physiology of pain is able to increase pain thresholds and improve pain behavior and pain-free movement performance in patients with chronic WAD.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
cognitions, education, chronic whiplash, chronic pain, movement performance, pain behavior, pain neurophysiology, pain thresholds, rehabilitation, whiplash associated disorders
journal title
JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT
J. Rehabil. Res. Dev.
volume
48
issue
1
pages
43 - 58
Web of Science type
Article
Web of Science id
000287228700005
JCR category
REHABILITATION
JCR impact factor
1.779 (2011)
JCR rank
13/64 (2011)
JCR quartile
1 (2011)
ISSN
0748-7711
DOI
10.1682/JRRD.2009.12.0206
language
English
UGent publication?
no
classification
A1
copyright statement
I have retained and own the full copyright for this publication
id
2014529
handle
http://hdl.handle.net/1854/LU-2014529
date created
2012-02-01 11:52:13
date last changed
2012-02-10 14:05:48
@article{2014529,
  abstract     = {Chronic whiplash is a debilitating condition characterized by increased sensitivity to painful stimuli, maladaptive illness beliefs, inappropriate attitudes, and movement dysfunctions. Previous work in people with chronic low back pain and chronic fatigue syndrome indicates that pain neurophysiology education is able to improve illness beliefs and attitudes as well as movement performance. This single-case study (A-B-C design) with six patients with chronic whiplash associated disorders (WAD) was aimed at examining whether education about the neurophysiology of pain is accompanied by changes in symptoms, daily functioning, pain beliefs, and behavior. Periods A and C represented assessment periods, while period B consisted of the intervention (pain neurophysiology education). Results showed a significant decrease in kinesiophobia (Tampa Scale for Kinesiophobia), the passive coping strategy of resting (Pain Coping Inventory), self-rated disability (Neck Disability Index), and photophobia (WAD Symptom List). At the same time, significantly increased pain pressure thresholds and improved pain-free movement performance (visual analog scale on Neck Extension Test and Brachial Plexus Provocation Test) were established. Although the current results need to be verified in a randomized, controlled trial, they suggest that education about the physiology of pain is able to increase pain thresholds and improve pain behavior and pain-free movement performance in patients with chronic WAD.},
  author       = {Van Oosterwijck, Jessica and Nijs, Jo and Meeus, Mira and Truijen, Steven and Craps, Julie and Van den Keybus, Nick and Paul, Lorna},
  issn         = {0748-7711},
  journal      = {JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT},
  keyword      = {cognitions,education,chronic whiplash,chronic pain,movement performance,pain behavior,pain neurophysiology,pain thresholds,rehabilitation,whiplash associated disorders},
  language     = {eng},
  number       = {1},
  pages        = {43--58},
  title        = {Pain neurophysiology education improves cognitions, pain thresholds and movement performance in people with chronic whiplash: a pilot study},
  url          = {http://dx.doi.org/10.1682/JRRD.2009.12.0206},
  volume       = {48},
  year         = {2011},
}

Chicago
Van Oosterwijck, Jessica, Jo Nijs, Mira Meeus, Steven Truijen, Julie Craps, Nick Van den Keybus, and Lorna Paul. 2011. “Pain Neurophysiology Education Improves Cognitions, Pain Thresholds and Movement Performance in People with Chronic Whiplash: a Pilot Study.” Journal of Rehabilitation Research and Development 48 (1): 43–58.
APA
Van Oosterwijck, J., Nijs, J., Meeus, M., Truijen, S., Craps, J., Van den Keybus, N., & Paul, L. (2011). Pain neurophysiology education improves cognitions, pain thresholds and movement performance in people with chronic whiplash: a pilot study. JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT, 48(1), 43–58.
Vancouver
1.
Van Oosterwijck J, Nijs J, Meeus M, Truijen S, Craps J, Van den Keybus N, et al. Pain neurophysiology education improves cognitions, pain thresholds and movement performance in people with chronic whiplash: a pilot study. JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT. 2011;48(1):43–58.
MLA
Van Oosterwijck, Jessica, Jo Nijs, Mira Meeus, et al. “Pain Neurophysiology Education Improves Cognitions, Pain Thresholds and Movement Performance in People with Chronic Whiplash: a Pilot Study.” JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT 48.1 (2011): 43–58. Print.