Announcement

Collapse
No announcement yet.

Effect of pain neurophysiology education on physiotherapy students’ understanding of chronic pain, clinical recommendations and attitudes towards people with chronic pain

Collapse
X
  • Filter
  • Time
  • Show
Clear All
new posts

  • Ref Effect of pain neurophysiology education on physiotherapy students’ understanding of chronic pain, clinical recommendations and attitudes towards people with chronic pain

    http://www.physiotherapyjournal.com/...024-X/fulltext

    Abstract

    Objective


    To investigate the effect of pain neurophysiology education (PNE) on student physiotherapists’: (1) knowledge of chronic pain; (2) attitudes towards patients with chronic pain; and (3) clinical recommendations for patients with chronic pain.

    Design


    Multicentre single-blind randomised controlled trial.

    Setting


    One UK and one Irish university.

    Participants


    Seventy-two student physiotherapists.

    Intervention


    Participants received either PNE (intervention) or a control education. Both were delivered in a 70-minute group lecture.

    Main outcome measures


    (1) The Revised Pain Neurophysiology Quiz to assess knowledge; (2) the Health Care Pain Attitudes and Impairment Relationship Scale (HC-PAIRS) to assess attitudes; and (3) a case vignette to assess the appropriateness of clinical recommendations.

    Results


    Post education, the PNE group had a greater increase in pain neurophysiology knowledge [mean difference 4.0 (95% confidence interval 3.2 to 4.7), P < 0.01] and more improved attitudes [−17.5 (95% confidence interval −22.1 to −12.9), P < 0.01] compared with the control group. Post education, students in the PNE group were more likely to make appropriate recommendations regarding work (94% vs 56%), exercise (92% vs 56%), activity (94% vs 67%) and bed rest (69% vs 33%) compared with those in the control group (P < 0.05).

    Conclusion


    The improvements in knowledge, attitudes and recommendations for pain management show that PNE is a potentially valuable part of the education of physiotherapy students, and could be used on a more widespread basis. There is a need to investigate whether these findings can be replicated in other healthcare professions, and how well these reported changes lead to changes in actual clinical behaviour and the clinical outcomes of patients.

    Keywords:

    Pain education, Undergraduate, Physiotherapy, Pain curriculum, Randomised controlled trial
    Last edited by Jo Bowyer; 05-12-2017, 10:12 PM.
    Jo Bowyer
    Chartered Physiotherapist Registered Osteopath.
    "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi
Working...
X