Empowering beyond Pain: Pain Neuroscience Education Interventions in Breast Cancer Survivorship Care
Abstract
:Simple Summary
Abstract
1. Introduction
2. Materials and Methods
3. PNE Interventions in BCS Patients
3.1. Study Designs
3.2. Strategies of Intervention
3.3. Assessment Methods
3.4. Populations Analyzed
3.5. PNE Efficacy: Main Results
3.6. Study Limitations
3.7. Unpublished Studies
4. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Interventions | EduCan | Manfuku et al. [15] | PaiNEd |
---|---|---|---|
Physical therapy | Intensive phase: Up to 4 months post-op 1–2 sessions per week (30 min) | Up to 3 months post-op 1 session (40 min) every 1–2 weeks | 2 months post-op 1 session every 2 weeks (60 min exercise + 30 min manual therapy) |
Maintenance phase: 3 sessions at 6, 8, and 12 months post-op (30 min) | |||
PNE | Intensive phase: Up to 4 months post-op 3 sessions (30 min) | Pre-Operative: 1 week before 1 session (40 min) | 2 weeks post-op 7 lessons on PaiNEd App (20 min) |
Maintenance phase: 3 sessions At 6, 8, and 12 months post-op (30 min) | Post-Operative: Up to 3 months post-op 1 session (40 min) every 1–2 weeks | ||
BME | Intensive phase: Up to 4 months post-op 3 sessions (30 min) | Pre-Operative: 1 week before 1 session (40 min) | Leaflet was handed out post-op |
Maintenance phase: 3 sessions At 6, 8, and 12 months post-op (30 min) | Post-Operative: up to 3 months post-op 1 session (40 min) every 1–2 weeks |
EduCan | Manfuku et al. [15] | PaiNEd |
---|---|---|
Pain disability index * [25] | Brief pain inventory * [28] | Visual analogue scale * [29] |
Central sensitization inventory [30] | Central sensitization inventory * [30] | Pain catastrophizing scale [9] |
Quantitative sensory testing [31] | Pain catastrophizing scale * [9] | Central sensitization inventory [30] |
Range of motion | Kinesiophobia [32] | |
Handgrip | Quality of life [33] | |
Lymphedema | Quality of life [34] | |
Active range of motion | ||
6 min walking test [35] | ||
Deep neck flexor endurance [36] | ||
Bioelectrical impedance analysis [37] | ||
Salivary cortisol and IL-6 |
Study Name | Intervention Arm | Control Arm |
---|---|---|
Investigation of the Efficiency of Pain Neuroscience Education in Patients with Chronic Pain After Breast Cancer Surgery [16] | - 4 PNE sessions - Standard physiotherapy with soft tissue mobilization, twice a week for 6 weeks - Upper extremity exercise, twice a week for 6 weeks | - 4 BME sessions - Same standard physiotherapy - Same upper extremity exercise |
The Effect of Pain Neuroscience Education and Behavioural Graded Activity on Chronic Pain in Breast Cancer Survivors (BCS-PAIN) [20] | - 6 PNE sessions over 12 weeks - Behavioral graded activity | - Usual care - Informational leaflet |
PI-targeted PNE + MI Compared to BIOMEDICAL Education in BCS (BCS-PI) [17] | - 1 PNE session online - 3 PNE + MI sessions over 4 weeks (45 min, one-on-one) - Leaflet PI | - 1 biomedically focused education online session - 3 biomedically focused education sessions (45 min, one-on-one) |
Pain Neuroscience Education and Graded Exposure to Movement in Breast Cancer Survivors [19] | - 1 month of PNE - 2 months of gradual exposure to movement (small groups) - Informative booklet | - Usual care - Informational booklet |
Pain Neuroscience Education and Therapeutic Exercise as a Treatment for Breast Cancer Survivors Living with Sequelae [39] | - 9 weeks, comprising - 3 PNE sessions - 24 therapeutic exercise sessions (16 live, 8 online) | - None |
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Share and Cite
Balordi, M.; Tiberio, P.; Castaldo, M.; Viganò, A.; Jacobs, F.; Zambelli, A.; Santoro, A.; De Sanctis, R. Empowering beyond Pain: Pain Neuroscience Education Interventions in Breast Cancer Survivorship Care. Cancers 2024, 16, 2806. https://doi.org/10.3390/cancers16162806
Balordi M, Tiberio P, Castaldo M, Viganò A, Jacobs F, Zambelli A, Santoro A, De Sanctis R. Empowering beyond Pain: Pain Neuroscience Education Interventions in Breast Cancer Survivorship Care. Cancers. 2024; 16(16):2806. https://doi.org/10.3390/cancers16162806
Chicago/Turabian StyleBalordi, Marco, Paola Tiberio, Matteo Castaldo, Alessandro Viganò, Flavia Jacobs, Alberto Zambelli, Armando Santoro, and Rita De Sanctis. 2024. "Empowering beyond Pain: Pain Neuroscience Education Interventions in Breast Cancer Survivorship Care" Cancers 16, no. 16: 2806. https://doi.org/10.3390/cancers16162806
APA StyleBalordi, M., Tiberio, P., Castaldo, M., Viganò, A., Jacobs, F., Zambelli, A., Santoro, A., & De Sanctis, R. (2024). Empowering beyond Pain: Pain Neuroscience Education Interventions in Breast Cancer Survivorship Care. Cancers, 16(16), 2806. https://doi.org/10.3390/cancers16162806