Use of Therapeutic Neuroscience Education to address psychosocial factors associated with acute low back pain: a case report

Physiother Theory Pract. 2014 Apr;30(3):202-9. doi: 10.3109/09593985.2013.856508. Epub 2013 Nov 19.


Acute low back pain (LBP) from injuries is prevalent in the work place. It has been shown that patients with psychosocial factors often progress with persistent pain and lead to significant workers compensation costs. Therapeutic Neuroscience Education (TNE) has been shown to be beneficial in changing a patient's cognition regarding their pain state, which may result in decrease fear, anxiety and catastrophization. A 19-year-old female who developed LBP from a work injury was the patient for this case report. A physical examination, Numeric Pain Rating Scale (NRPS), Oswestry Disability Index (ODI), Fear-Avoidance Beliefs Questionnaire (FABQ), Keele STarT Back Screening Tool (Keele SBST) and Acute Low Back Pain Screening (ALBPS) Questionnaires were assessed during initial physical therapy visit and discharge. Treatment consisted of use of TNE, manual therapy and exercises. She attended five total visits over a 2-week period prior to full discharge. During the initial visit the patient reported NRPS = 3/10, ODI = 36%, FABQ-PA = 23, FABQ-W = 30, Keele SBST = 4/9, ALBPS = 101. At discharge the patient reported a 0 on all outcome questionnaires with ability to return to full work and no pain complaints.

Publication types

  • Case Reports

MeSH terms

  • Acute Pain / diagnosis
  • Acute Pain / physiopathology
  • Acute Pain / psychology
  • Acute Pain / therapy*
  • Avoidance Learning
  • Disability Evaluation
  • Exercise Therapy
  • Fear
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Low Back Pain / diagnosis
  • Low Back Pain / physiopathology
  • Low Back Pain / psychology
  • Low Back Pain / therapy*
  • Neurosciences / education*
  • Occupational Diseases / diagnosis
  • Occupational Diseases / physiopathology
  • Occupational Diseases / psychology
  • Occupational Diseases / therapy*
  • Pain Measurement
  • Patient Education as Topic*
  • Predictive Value of Tests
  • Recovery of Function
  • Return to Work
  • Surveys and Questionnaires
  • Time Factors
  • Treatment Outcome
  • Young Adult