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Therapeutic neuroscience education via e-mail: a case report
1International Spine and Pain Institute , Story City, IA , USA.
Physiotherapy Theory and Practice
|May 1, 2014
Summary
Therapeutic neuroscience education (TNE) delivered via email improved chronic pain outcomes. This approach expands access to TNE for remote patients and those with constraints.
Area of Science:
- Neuroscience
- Pain Management
- Digital Health
Background:
- Therapeutic Neuroscience Education (TNE) effectively modifies pain beliefs.
- Traditional TNE relies on in-person, one-on-one sessions, limiting accessibility.
- Chronic pain conditions like chronic low back pain (CLBP) significantly impact quality of life.
Observation:
- A patient with CLBP and a history of thoracic outlet syndrome (TOS) received TNE via email.
- The intervention involved 5 email sessions over 4 months, combined with pacing and graded exposure.
- Standardized outcome measures including pain scales (NRS), disability indices (ODI, DASH), and fear-avoidance questionnaires (FABQ) were used.
Findings:
- Significant improvements were observed across all outcome measures post-TNE.
- Numeric Rating Scale (NRS) for arm pain decreased from 7/10 to 2/10.
- Disability of Arm, Shoulder and Hand (DASH) scores improved from 36.7% to 16.7%, and Fear-Avoidance Beliefs Questionnaire (FABQ) scores reduced substantially.
Implications:
- Email-based TNE offers a scalable solution for delivering pain education to underserved populations.
- This digital health approach can overcome geographical barriers and reduce treatment costs.
- Expanded access to TNE via email may improve outcomes for individuals facing time or financial limitations.
