Effectiveness of two educational models on pain neuroscience for physical therapy undergraduate students
DOI:
https://doi.org/10.1590/Keywords:
Health Education, Chronic Pain, Musculoskeletal PainAbstract
The adaptation of health professionals to new
concepts of pain has become essential as new evidence is
found on the subject. Previous studies analyzed the insertion
of a single pedagogical strategy without a control group
or observed student’s knowledge based on the existing
academic curriculum. This study aims to compare the
effectiveness of two educational models on pain neuroscience
for undergraduate students of a physical therapy course,
contributing to the promotion of knowledge and attitudes
related to pain. An experimental prospective longitudinal study
was conducted, with simple randomization of participants
into two groups: classes group and text group. Knowledge was assessed using the Neurophysiology of Pain Questionnaire
(NPQ). Quantitative variables were described as mean and standard
deviation. Qualitative variables were described by absolute number
and frequency (%). Student’s t-test was applied for stratified
univariate analyses with a 5% significance level. The classes group
participated in expository classes and the text group received
informative materials for guided study. The programs lasted five
weeks, with follow-up after 30 days of exposure. Comparing the
groups in the pre- and post-intervention periods (classes group:
mean=4.5, SD±1.94; text group: mean=3.34, SD±1.46), a significant
difference favorable to the classes group was found (p<0.001).
No significant difference was observed for the times before and
30 days after intervention between groups (p<0.082). The two
educational models on pain neuroscience improve the knowledge
of undergraduate students of a physical therapy course, and the
classes program was more effective than the guided study program
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References
Engel GL. The need for a new medical model: a challenge
for biomedicine. Science. 1977;196(4286):129-36. doi: 10.1126/
science.847460.
Richmond H, Hall AM, Copsey B, Hansen Z, Williamson E, Hoxey-
Thomas N, et al. The effectiveness of cognitive behavioural
treatment for non-specific low back pain: a systematic review
and meta-analysis. PLoS One. 2015;10(8):e0134192. doi: 10.1371/
journal.pone.0134192.
Apkarian AV, Baliki MN, Geha PY. Towards a theory of
chronic pain. Prog Neurobiol. 2009;87(2):81-97. doi: 10.1016/j.
pneurobio.2008.09.018.
DeSantana JM, Perissinotti DMN, Oliveira Junior JO,
Correia LMF, Oliveira CM, Fonseca PRB. Revised definition
of pain after four decades. BrJP. 2020;3(3):197-8.
doi: 10.5935/2595-0118.20200191.
Watson CPN. The phenomenon of pain. Pain Res Manag.
;19(1):49-50. doi: 10.1155/2014/913707
Bottomley A. The cancer patient and quality of life. Oncologist.
;7(2):120-5. doi: 10.1634/theoncologist.7-2-120.
Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R,
et al. Chronic pain as a symptom or a disease: the IASP
Classification of Chronic Pain for the International Classification
of Diseases (ICD-11). Pain. 2019;160(1):19-27. doi: 10.1097/j.
pain.0000000000001384.
DeSantana JM, Souza JB, Reis FJJ, Gosling AP, Paranhos
E, Barboza HFG, et al. Pain curriculum for graduation
in Physiotherapy in Brazil. Rev Dor. 2017;18(1):72-8.
doi: 10.5935/1806-0013.20170015.
Reis FJJ, Monteiro MGM. Education in physiotherapy: is it
time to review the practice? Fisioter Pesqui. 2015;22:340-1.
doi: 10.590/1809-2950/1279022042015.
Marques ES, Xarles T, Antunes TM, Silva KKD, Reis FJJ,
Oliveira LAS, et al. Avaliação do conhecimento fisiológico da
dor de estudantes de fisioterapia. Rev Dor. 2016;17(1):29-33.
doi: 10.5935/1806-0013.20160008.
Schulz KF, Altman DG, Moher D. CONSORT 2010 Statement:
updated guidelines for reporting parallel group randomized
trials. BMC Med. 2010:8:18. doi: 10.1186/1741-7015-8-18.
Grace PM, Hutchinson MR, Maier SF, Watkins LR. Pathological
pain and the neuroimmune interface. Nat Rev Immunol.
;14(4):217-31. doi: 10.1038/nri3621.
Kuner R, Flor H. Structural plasticity and reorganization in
chronic pain. Nat Rev Neurosci. 2016;18(1):20-30. doi: 10.1038/
nrn.2016.162. Erratum in: Nat Rev Neurosci. 2017;18(2):158.
Erratum in: Nat Rev Neurosci. 2017;18(2):113.
Tatu K, Costa T, Nani A, Diano M, Quarta DG, Duca S, et al.
How do morphological alterations caused by chronic pain
distribute across the brain? a meta-analytic co-alteration study.
Neuroimage Clin. 2017;18:15-30. doi: 10.1016/j.nicl.2017.12.029.
Thompson K, Milligan J, Johnson MI, Briggs M. Pain education
in pre-registration professional health courses: a protocol for
a scoping review. BMJ Open. 2016;6:e012001. doi: 10.1136/
bmjopen-2016-012001.
Nogueira LAC, Chaves AO, Oliveira N, Almeida RS, Reis
FJJ, Andrade FG, et al. Cross-cultural adaptation of the
revised neurophysiology of pain questionnaire into brazilian
portuguese language. J Bras Psiquiatr. 2018;67(4):273-7.
doi: 10.1590/0047-2085000000215.
Catley MJ, O’Connell NE, Moseley GL. How good is the
neurophysiology of pain questionnaire? A rasch analysis of
psychometric properties. J Pain. 2013;14(8):818-27. doi: 10.1016/j.
jpain.2013.02.008.
Alves RC, Tavares JP, Funes RAC, Gasparetto GAR, Silva KCC,
Ueda TK. Análise do conhecimento sobre dor pelos acadêmicos
do curso de Fisioterapia em centro universitário. Rev Dor.
;14(4):272-9. doi: 10.1590/S1806-00132013000400008.
Kim TK. T test as a parametric statistic. Korean J Anesthesiol.
;68(6):540-6. doi: 10.4097/kjae.2015.68.6.540.
Camillo CM. Neuroscience and learning in science teaching.
Res Soc Develop. 2021;10(6):e20510615721. doi: 10.33448/
rsd-v10i6.15721.
Mankelow J, Ryan C, Taylor P, Atkinson G, Martin D. A systematic
review and meta-analysis of the effects of biopsychosocial pain
education upon health care professional pain attitudes, knowledge,
behavior, and patient outcomes. J Pain. 2022;23(1):1-24.
doi: 10.1016/j.jpain.2021.06.010.
Jesus-Moraleida, FR, Barreto MCA, Lima JKC, Meziat-Filho N,
Nunes ACL. The challenging scenario of beliefs and attitudes
toward chronic low back pain among final year undergraduate
students: A cross-sectional investigation. Musculoskelet Sci
Practice. 2021;53:102375. doi: 10.1016/j.msksp.2021.102375
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