Pain Neuroscience Education Versus Biomedical Pain Education with Exercise in Primary Dysmenorrhea: A Randomized Controlled Trial
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| Xuất bản năm: | Healthcare vol. 13, no. 16 (2025), p. 1954-1971 |
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| Tác giả chính: | |
| Tác giả khác: | , , |
| Được phát hành: |
MDPI AG
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| Những chủ đề: | |
| Truy cập trực tuyến: | Citation/Abstract Full Text + Graphics Full Text - PDF |
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| 001 | 3244038435 | ||
| 003 | UK-CbPIL | ||
| 022 | |a 2227-9032 | ||
| 024 | 7 | |a 10.3390/healthcare13161954 |2 doi | |
| 035 | |a 3244038435 | ||
| 045 | 2 | |b d20250815 |b d20250831 | |
| 084 | |a 231469 |2 nlm | ||
| 100 | 1 | |a Erol Büşra Nur |u PhD Program of Physical Therapy and Rehabilitation, Graduate School of Health Sciences, Hacettepe University, Ankara 06100, Türkiye | |
| 245 | 1 | |a Pain Neuroscience Education Versus Biomedical Pain Education with Exercise in Primary Dysmenorrhea: A Randomized Controlled Trial | |
| 260 | |b MDPI AG |c 2025 | ||
| 513 | |a Journal Article | ||
| 520 | 3 | |a Background/Objectives: Although pain education is a very important component of chronic pain management, its effects on primary dysmenorrhea (PD) have not been investigated. The aim of this study was to compare the effects of pain neuroscience education (PNE) or biomedical pain education (BPE) combined with exercise training (ET) in PD. Methods: Individuals with PD were randomly assigned to PNE or BPE combined with ET (stretching and relaxation exercises) for two menstrual cycles. The PNE focused on pain neurobiology, central sensitization, and brain pain-modulation mechanisms, while the BPE included anatomical and biomechanical explanations of pain. Assessments were conducted at the start of the study, after the intervention period, and at the one-month follow-up after the intervention. The primary outcome measure was menstrual pain (mean and maximum pain) intensity, while the secondary outcome measures included menstrual stress, central sensitization symptoms, and pain catastrophizing. Results: All the individuals assigned to the PNE+ET (n = 19) and BPE+ET (n = 19; control) groups were included in the analysis. PNE or BPE with ET led to improvements in all outcome measures (p < 0.05). Furthermore, PNE was found to reduce menstrual pain, central sensitization symptoms, and pain catastrophizing more after the intervention and at follow-up compared to BPE (p < 0.05, Cohen’s d = 0.683–1.174). However, menstrual stress decreased at similar levels in both groups (p > 0.05). Conclusions: The combination of PNE or BPE with ET was demonstrated to be an effective approach for the management of menstrual pain and stress in PD. Furthermore, PNE appears to be more efficacious in addressing menstrual pain, symptoms of central sensitization, and pain cognition compared with BPE. Further studies could investigate the combination of PNE with different education parameters and physiotherapy methods to manage PD. | |
| 653 | |a Clinical trials | ||
| 653 | |a Exercise | ||
| 653 | |a Neurosciences | ||
| 653 | |a Pain management | ||
| 653 | |a Nervous system | ||
| 653 | |a Abdomen | ||
| 653 | |a Spinal cord | ||
| 653 | |a Menstruation | ||
| 653 | |a Brain research | ||
| 653 | |a Education | ||
| 653 | |a Intervention | ||
| 653 | |a Cytokines | ||
| 653 | |a Chronic pain | ||
| 700 | 1 | |a Gürşen Ceren |u Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara 06100, Türkiye; ceren.gursen@hacettepe.edu.tr (C.G.); serap.kaya@hacettepe.edu.tr (S.Ö.) | |
| 700 | 1 | |a Sezcan, Mümüşoğlu |u Department of Obstetrics and Gynecology, Faculty of Medicine, Hacettepe University, Ankara 06230, Türkiye; sezcanmumusoglu@gmail.com | |
| 700 | 1 | |a Özgül Serap |u Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara 06100, Türkiye; ceren.gursen@hacettepe.edu.tr (C.G.); serap.kaya@hacettepe.edu.tr (S.Ö.) | |
| 773 | 0 | |t Healthcare |g vol. 13, no. 16 (2025), p. 1954-1971 | |
| 786 | 0 | |d ProQuest |t Nursing & Allied Health Database | |
| 856 | 4 | 1 | |3 Citation/Abstract |u https://www.proquest.com/docview/3244038435/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text + Graphics |u https://www.proquest.com/docview/3244038435/fulltextwithgraphics/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text - PDF |u https://www.proquest.com/docview/3244038435/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch |