{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T23:04:38Z","timestamp":1777158278446,"version":"3.51.4"},"reference-count":47,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T00:00:00Z","timestamp":1721174400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Biopsychosocial approach in patients suffering chronic low back pain (CLBP) promotes pain self\u2010management strategies. Current evidence recommends high dose of Pain Neuroscience Education (PNE) for clinically significant differences. However, the workload and time constraints experienced by healthcare providers impede the application of the recommended treatment regimen. In fact, Back School with a biomechanical model is the main approach to manage CLBP in public systems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study is to explore the effect of a 60\u2009min single session of PNE as an adjunct to back school on pain intensity and psychological variables patients with CLBP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A double\u2010blind, two\u2010arm randomized controlled clinical trial was conducted in patients with CLBP who attended back school sessions held in a Spanish public hospital. A total of 121 patients were randomized into control group, who received the Back School program during 5\u2009weeks, and intervention group, who additionally received a single session of PNE. Patient\u2010reported outcomes were the Numerical Pain Rating Scale, Central Sensitization Inventory, Pain Catastrophizing Scale, and Tampa Scale of Kinesiophobia, with a 12\u2010week follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 113 patients were analysed. Intervention and control group presented similar effects on pain and kinesiophobia. At follow\u2010up, intervention group exhibited reduced sensitization and catastrophism scores compared with control, including the subscales. Additionally, PNE reduced the percentage of participants classified as having central sensitization compared with control.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Adding a single PNE session in the back school program did not reduce pain but improved psychological factors as central sensitization and pain catastrophizing at medium\u2010term. This study highlights the potential of PNE to optimize treatment strategies for CLBP, especially in public health centres where time resources are scarce.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance Statement<\/jats:title><jats:p>Adding a single PNE session in the back school program did not reduce pain but improved psychological factors as central sensitization and pain catastrophism at medium\u2010term.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.4700","type":"journal-article","created":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T14:15:18Z","timestamp":1721225718000},"page":"1841-1854","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Short\u2010 and medium\u2010term effects of a single session of pain neuroscience education on pain and psychological factors in patients with chronic low back pain. A single\u2010blind randomized clinical trial"],"prefix":"10.1002","volume":"28","author":[{"given":"M\u00aa. Isabel","family":"Tom\u00e1s\u2010Rodr\u00edguez","sequence":"first","affiliation":[{"name":"Department of Pathology and Surgery, Center for Translational Research in Physiotherapy Miguel Hern\u00e1ndez University  San Juan de Alicante, Alicante Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Del Rosario","family":"Asensio\u2010Garc\u00eda","sequence":"additional","affiliation":[{"name":"Rehabilitation Service University Hospital of San Juan de Alicante  San Juan de Alicante, Alicante Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rauf Nouni","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Miguel Hern\u00e1ndez University  San Juan de Alicante, Alicante Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel","family":"Delicado\u2010Miralles","sequence":"additional","affiliation":[{"name":"Department of Pathology and Surgery, Center for Translational Research in Physiotherapy Miguel Hern\u00e1ndez University  San Juan de Alicante, Alicante Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio Hern\u00e1ndez","family":"S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Department of Pathology and Surgery, Center for Translational Research in Physiotherapy Miguel Hern\u00e1ndez University  San Juan de Alicante, Alicante Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose Vicente","family":"Segura\u2010Heras","sequence":"additional","affiliation":[{"name":"Instituto Centro de Investigaci\u00f3n Operativa, Miguel Hern\u00e1ndez University  San Juan de Alicante, Alicante Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnz069"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrn3516"},{"key":"e_1_2_8_4_1","volume-title":"Explain pain","author":"Butler D. 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