Psychosocial lnterventions in the Treatment of Chronic Non-Specific Neck Pain: A Literature Review
Item
- Title
- Psychosocial lnterventions in the Treatment of Chronic Non-Specific Neck Pain: A Literature Review
- Author(s)
- Dunbar, A
- Abstract
- Background: Chronic non-specific neck pain affects a significant percentage of working age adults throughout Europe. After low back pain, neck pain is the most common reason people visit osteopaths in the United Kingdom. Recent advances in understanding the underlying neurophysiology of chronic patn and paln behaviour in patients with chronic musculoskeletal pain have led to a shift in how the clinical community approaches treatment. By adopting a biopsychosocial model, patients' subjective experience of the pain state is given consideration. By considering the potential contributions of other healthcare providers, osteopaths become better informed and potentially able to improve the quality of care offered to CNSNP patients (Osteopathic Practice Standards D1). Objective: To conduct a review of randomized controlled trials that investigate the effectiveness of combining psychosocial interventions with manual therapy andlor exercise forming a multidisciplinary approach to the treatment of chronic non-specific neck pain. Design: Structured literature review . Method: A search of Science Direct, MEDLINE, CINAHL, CENTRAL and Google Scholar databases was conducted with keyword search concepts identified from the background literature and Boolean logic. lnclusion/exclusion criteria were applied and randomized controlled trials were selected for review. Each study setected was scored for methodological quality using both PEDro and JADAD scales. The following data was extracted: participant numbers, inclusion/exclusion criteria for participant selection, interventions, duration of interventions, follow-up period, psychosocial intervention, outcome measures and a summary of significant findings. Results: Of the 6,715 articles retrieved in the database search, a total of 6 studies were considered suitable for inclusion in this review. The 6 studies included a total of 585 participants of which 463 were female. All were of a working age (18-70). Trials reviewed here were considered to be of moderate to high quality on the PEDro scale and moderate on the JADAD scale. Follow-up was conducted in 5 studies over periods ranging from 10 weeks to 12 months. Psychosocial interventions included cognitive-behavioural therapy and therapeutic education alongside manual therapy techniques and exercises. Outcome measures focused on cervical range of motion, neck disability, function and paln ln addition to psychosocial factors such as self-efficacy, pain catastrophising, kinesiophobia, pain related fears. Discussion: There was positive evidence for the treatment of psychosocial factors in a multidisciplinary approach to chronic non-specific neck pain and patients may experience a decrease in pain intensity as a result of participation in therapeutic education events. However, compansons between studies was limited by the heterogeneity of outcome measures; furthermore, in some studies the high rate of attrition increased the potential for bias in the results. The present study was limited in its generalizability by the low number of studies reviewed. In addition, because a single author/researcher was responsible for the database search, data extraction and the scoring of methodological quality, the possibility of errors and bias in the results cannot be ignored. Conclusion: A multidisciplinary approach integrating psychosocial interventions with manual therapy and/or exercise may be effective in treating patients with chronic non-specific neck pain. Additional high quality studies are required in this area to further develop a patient-centred approach to treatment that both accommodates individual differences and effectively considers a biopsychosocial perspective in addressing chronic pain in a clinical context.
- presented at
- European School of Osteopathy
- Date Accepted
- 2017
- Date Submitted
- 4.12.2017 17:06:20
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16031
- Inst-Identifier
- 1229
- Keywords
- chronic non-specific neck patn; multidisciplinary treatment; psychosocial interventions; systematic review
- Recommended
- 0
- Item sets
- Thesis
Dunbar, A, “Psychosocial lnterventions in the Treatment of Chronic Non-Specific Neck Pain: A Literature Review”, Osteopathic Research Web, accessed May 4, 2025, https://www.osteopathicresearch.com/s/orw/item/242