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Culture-sensitive and standard pain neuroscience education improves pain, disability, and pain cognitions in first-generation Turkish migrants with chronic low back pain : a pilot randomized controlled trial

Ceren Orhan (UGent) , Dorine Lenoir (UGent) , An Favoreel, Eveline Van Looveren (UGent) , Vesile Yildiz Kabak, Naziru Bashir Mukhtar (UGent) , Barbara Cagnie (UGent) and Mira Meeus (UGent)
(2021) PHYSIOTHERAPY THEORY AND PRACTICE. 37(5). p.633-645
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Abstract
Purpose: To compare the effectiveness of culture-sensitive and standard pain neuroscience education (PNE) on pain knowledge, pain intensity, disability, and pain cognitions in first-generation Turkish migrants with chronic low back pain (CLBP). Methods: Twenty-nine Turkish first-generation migrants with CLBP were randomly assigned to the culture-sensitive (n = 15) or standard PNE (n = 14) groups. Primary (pain knowledge, pain intensity, and disability) and secondary outcomes (pain beliefs, catastrophization, and fear of movement) were evaluated at baseline, immediately after the second session of PNE (week 1), and after 4 weeks. Results: There was a significant main effect of time in pain knowledge (p < .001), pain intensity (p = .03), disability (p = .002), organic and psychological pain beliefs (p = .002, p = .01), catastrophization (p = .002), and fear of movement (p = .02). However, no significant difference was found between groups in terms of all outcome measures (p > .05). Conclusions: Both PNE programs resulted in improvements in knowledge of pain, pain intensity, perceived disability, and pain cognitions. Nevertheless, the superiority of the culture-sensitive PNE approach could not be proved. Therefore, maybe migrants who are living in the host country for longer length of time do not need culturally adapted therapies due to cultural integration, while these adaptations might be essential for the recent migrants or the autochthonous population in Turkey. Further research is required to investigate the effects of culture-sensitive PNE alone or in combination with physiotherapy interventions in recent migrants or Turkish natives with CLBP.
Keywords
Physical Therapy, Sports Therapy and Rehabilitation, Low back pain, education, neurophysiology, migrants, culture, CHRONIC MUSCULOSKELETAL PAIN, TAMPA SCALE, NEUROPHYSIOLOGY EDUCATION, LUMBAR RADICULOPATHY, RASCH ANALYSIS, DOUBLE-BLIND, BELIEFS, QUESTIONNAIRE, MANAGEMENT, KINESIOPHOBIA

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MLA
Orhan, Ceren, et al. “Culture-Sensitive and Standard Pain Neuroscience Education Improves Pain, Disability, and Pain Cognitions in First-Generation Turkish Migrants with Chronic Low Back Pain : A Pilot Randomized Controlled Trial.” PHYSIOTHERAPY THEORY AND PRACTICE, vol. 37, no. 5, 2021, pp. 633–45, doi:10.1080/09593985.2019.1639231.
APA
Orhan, C., Lenoir, D., Favoreel, A., Van Looveren, E., Yildiz Kabak, V., Mukhtar, N. B., … Meeus, M. (2021). Culture-sensitive and standard pain neuroscience education improves pain, disability, and pain cognitions in first-generation Turkish migrants with chronic low back pain : a pilot randomized controlled trial. PHYSIOTHERAPY THEORY AND PRACTICE, 37(5), 633–645. https://doi.org/10.1080/09593985.2019.1639231
Chicago author-date
Orhan, Ceren, Dorine Lenoir, An Favoreel, Eveline Van Looveren, Vesile Yildiz Kabak, Naziru Bashir Mukhtar, Barbara Cagnie, and Mira Meeus. 2021. “Culture-Sensitive and Standard Pain Neuroscience Education Improves Pain, Disability, and Pain Cognitions in First-Generation Turkish Migrants with Chronic Low Back Pain : A Pilot Randomized Controlled Trial.” PHYSIOTHERAPY THEORY AND PRACTICE 37 (5): 633–45. https://doi.org/10.1080/09593985.2019.1639231.
Chicago author-date (all authors)
Orhan, Ceren, Dorine Lenoir, An Favoreel, Eveline Van Looveren, Vesile Yildiz Kabak, Naziru Bashir Mukhtar, Barbara Cagnie, and Mira Meeus. 2021. “Culture-Sensitive and Standard Pain Neuroscience Education Improves Pain, Disability, and Pain Cognitions in First-Generation Turkish Migrants with Chronic Low Back Pain : A Pilot Randomized Controlled Trial.” PHYSIOTHERAPY THEORY AND PRACTICE 37 (5): 633–645. doi:10.1080/09593985.2019.1639231.
Vancouver
1.
Orhan C, Lenoir D, Favoreel A, Van Looveren E, Yildiz Kabak V, Mukhtar NB, et al. Culture-sensitive and standard pain neuroscience education improves pain, disability, and pain cognitions in first-generation Turkish migrants with chronic low back pain : a pilot randomized controlled trial. PHYSIOTHERAPY THEORY AND PRACTICE. 2021;37(5):633–45.
IEEE
[1]
C. Orhan et al., “Culture-sensitive and standard pain neuroscience education improves pain, disability, and pain cognitions in first-generation Turkish migrants with chronic low back pain : a pilot randomized controlled trial,” PHYSIOTHERAPY THEORY AND PRACTICE, vol. 37, no. 5, pp. 633–645, 2021.
@article{8697275,
  abstract     = {{Purpose: To compare the effectiveness of culture-sensitive and standard pain neuroscience education (PNE) on pain knowledge, pain intensity, disability, and pain cognitions in first-generation Turkish migrants with chronic low back pain (CLBP). Methods: Twenty-nine Turkish first-generation migrants with CLBP were randomly assigned to the culture-sensitive (n = 15) or standard PNE (n = 14) groups. Primary (pain knowledge, pain intensity, and disability) and secondary outcomes (pain beliefs, catastrophization, and fear of movement) were evaluated at baseline, immediately after the second session of PNE (week 1), and after 4 weeks. Results: There was a significant main effect of time in pain knowledge (p < .001), pain intensity (p = .03), disability (p = .002), organic and psychological pain beliefs (p = .002, p = .01), catastrophization (p = .002), and fear of movement (p = .02). However, no significant difference was found between groups in terms of all outcome measures (p > .05). Conclusions: Both PNE programs resulted in improvements in knowledge of pain, pain intensity, perceived disability, and pain cognitions. Nevertheless, the superiority of the culture-sensitive PNE approach could not be proved. Therefore, maybe migrants who are living in the host country for longer length of time do not need culturally adapted therapies due to cultural integration, while these adaptations might be essential for the recent migrants or the autochthonous population in Turkey. Further research is required to investigate the effects of culture-sensitive PNE alone or in combination with physiotherapy interventions in recent migrants or Turkish natives with CLBP.}},
  author       = {{Orhan, Ceren and Lenoir, Dorine and Favoreel, An and Van Looveren, Eveline and Yildiz Kabak, Vesile and Mukhtar, Naziru Bashir and Cagnie, Barbara and Meeus, Mira}},
  issn         = {{0959-3985}},
  journal      = {{PHYSIOTHERAPY THEORY AND PRACTICE}},
  keywords     = {{Physical Therapy,Sports Therapy and Rehabilitation,Low back pain,education,neurophysiology,migrants,culture,CHRONIC MUSCULOSKELETAL PAIN,TAMPA SCALE,NEUROPHYSIOLOGY EDUCATION,LUMBAR RADICULOPATHY,RASCH ANALYSIS,DOUBLE-BLIND,BELIEFS,QUESTIONNAIRE,MANAGEMENT,KINESIOPHOBIA}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{633--645}},
  title        = {{Culture-sensitive and standard pain neuroscience education improves pain, disability, and pain cognitions in first-generation Turkish migrants with chronic low back pain : a pilot randomized controlled trial}},
  url          = {{http://dx.doi.org/10.1080/09593985.2019.1639231}},
  volume       = {{37}},
  year         = {{2021}},
}
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