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For Patients with Chronic Musculoskeletal Pain, Does Therapeutic Neuroscience Education (TNE) Complement Exercise and/or Manual Treatment in Decreasing the Perception of Pain?
Author(s) -
Gamper Jacob,
Bryant Alexandria,
McCallum Josh,
Wilson Storm,
Lehman David
Publication year - 2017
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.31.1_supplement.869.5
Subject(s) - chronic pain , physical therapy , cognition , musculoskeletal pain , physical medicine and rehabilitation , medicine , perception , manual therapy , psychology , alternative medicine , neuroscience , psychiatry , pathology
Chronic pain treatment contains a cognitive and a musculoskeletal component, the musculoskeletal component more often addressed by a physical therapist with exercise and/or manual therapy. Meanwhile, the cognitive aspect of treatment is neglected or considered less of a significance in the physical therapy treatment. This evidence based review aims to determine whether Therapeutic Neuroscience Education (TNE), a cognitive approach, could be an effective adjunct with manual treatment and/or exercise (musculoskeletal approaches) in treating chronic musculoskeletal pain. According to the review of pain science and pain treatment literature, TNE can be equally or more effective as manual therapy and/or exercise in treating chronic musculoskeletal pain. Understanding the neurophysiology of pain can decrease the severity of how one perceives pain. Through multiple fMRI studies, TNE has also been shown to decrease activity in various sections of the brain associated with pain perception. As a goal of physical therapy is to address all variables of pain, a cognitive component in addition to a musculoskeletal component must be implemented to effectively decrease the perception of chronic pain.