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Sleep disturbances in chronic pain : neurobiology, assessment and treatment in physical therapy practice

(2018) PHYSICAL THERAPY. 98(5). p.325-335
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Abstract
Among people with chronic pain, insomnia is highly prevalent, closely related to the mechanism of central sensitization, characterized by low-grade neuroinflammation, and commonly associated with stress or anxiety; in addition, it often does not respond effectively to drug treatments. This review article applies the current understanding of insomnia to clinical practice, including assessment and conservative treatment of insomnia in people with chronic pain. Cognitive-behavioral therapy for insomnia can be efficacious for improvements in sleep initiation, sleep maintenance, perceived sleep quality, and pain interference with daily functioning in people with chronic pain. A recent systematic review concluded that with additional training, physical therapist-led cognitive-behavioral interventions are efficacious for low back pain, allowing their implementation within the field. Cognitive-behavioral therapy for insomnia, as provided to people with chronic pain, typically includes education, sleep restriction measures, stimulus control instructions, sleep hygiene, and cognitive therapy.
Keywords
COGNITIVE-BEHAVIORAL THERAPY, INSOMNIA SEVERITY INDEX, LOW-BACK-PAIN, CENTRAL SENSITIZATION, TREATMENT RESPONSE, LONG-TERM, HYPERSENSITIVITY, INTERVENTIONS, METAANALYSIS, DEPRIVATION

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Citation

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Chicago
Nijs, Jo, Olivier Mairesse, Laurence Leysen, Lieven Danneels, Barbara Cagnie, Mira Meeus, Maarten Moens, Kelly Ickmans, and Dorien Goubert. 2018. “Sleep Disturbances in Chronic Pain : Neurobiology, Assessment and Treatment in Physical Therapy Practice.” Physical Therapy 98 (5): 325–335.
APA
Nijs, Jo, Mairesse, O., Leysen, L., Danneels, L., Cagnie, B., Meeus, M., Moens, M., et al. (2018). Sleep disturbances in chronic pain : neurobiology, assessment and treatment in physical therapy practice. PHYSICAL THERAPY, 98(5), 325–335.
Vancouver
1.
Nijs J, Mairesse O, Leysen L, Danneels L, Cagnie B, Meeus M, et al. Sleep disturbances in chronic pain : neurobiology, assessment and treatment in physical therapy practice. PHYSICAL THERAPY. 2018;98(5):325–35.
MLA
Nijs, Jo, Olivier Mairesse, Laurence Leysen, et al. “Sleep Disturbances in Chronic Pain : Neurobiology, Assessment and Treatment in Physical Therapy Practice.” PHYSICAL THERAPY 98.5 (2018): 325–335. Print.
@article{8545729,
  abstract     = {Among people with chronic pain, insomnia is highly prevalent, closely related to the mechanism of central sensitization, characterized by low-grade neuroinflammation, and commonly associated with stress or anxiety; in addition, it often does not respond effectively to drug treatments. This review article applies the current understanding of insomnia to clinical practice, including assessment and conservative treatment of insomnia in people with chronic pain. Cognitive-behavioral therapy for insomnia can be efficacious for improvements in sleep initiation, sleep maintenance, perceived sleep quality, and pain interference with daily functioning in people with chronic pain. A recent systematic review concluded that with additional training, physical therapist-led cognitive-behavioral interventions are efficacious for low back pain, allowing their implementation within the field. Cognitive-behavioral therapy for insomnia, as provided to people with chronic pain, typically includes education, sleep restriction measures, stimulus control instructions, sleep hygiene, and cognitive therapy.},
  author       = {Nijs, Jo and Mairesse, Olivier and Leysen, Laurence and Danneels, Lieven and Cagnie, Barbara and Meeus, Mira and Moens, Maarten and Ickmans, Kelly and Goubert, Dorien},
  issn         = {0031-9023},
  journal      = {PHYSICAL THERAPY},
  language     = {eng},
  number       = {5},
  pages        = {325--335},
  title        = {Sleep disturbances in chronic pain : neurobiology, assessment and treatment in physical therapy practice},
  url          = {http://dx.doi.org/10.1093/ptj/pzy020},
  volume       = {98},
  year         = {2018},
}

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