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. 2019 Aug 21;8(9):1267. doi: 10.3390/jcm8091267

Table 1.

Best Evidence for Rehabilitation in Pediatric Chronic Pain.

Evidence Supporting Interventions Examples of Resources
Individual Outpatient Interventions
Pain Science Education Heathcote et al., 2019 ** [25]; Moseley & Butler [26], 2015; Pas et al., 2018 [27] * Tame the Beast
What is Pain? The Mysterious Science of Pain
PNE4Kids
A Journey to Learn About Pain
Physiological Self-Regulation Training Eccleston et al., 2002 [28] **
Biofeedback Benore and Banez, 2013 [29]; McKenna et al., 2015 [30] * Breathe2Relax
BellyBio
Progressive Muscle Relaxation Palermo, 2012 [10] Progressive Muscle Relaxation Script
Self-Hypnosis Liossi et al., 2003 [31]; Tome-Pires & Miro, 2012 [32];
Guided Imagery Van Tilburg et al., 2009 [33] *
Mindfulness-based Stress
Reduction (MBSR) and Yoga
Evans et al., 2010 [34]; Jastrowski Mano et al., 2013 [35] *
Cognitive Skills Training Eccleston et al., 2015 [36] **; Fisher et al., 2014 [14] **; Palermo et al., 2010 [15] **
Behavioral Exposure Kanstrup et al., 2017 [37]; Kemani et al., 2018 [24]; Wicksell et al., 2007 [38] *; Wicksell et al., 2009 [39]
Cognitive Behavioral Therapy for Insomnia (CBT-I) Palermo et al., 2017 [40] * iSleep App
CBT-I App
Parent Coaching Eccleston et al., 2014 [36] **; Palermo, 2012 [10] Conquering Your Child’s Chronic Pain
Managing Your Child’s Chronic Pain
When Your Child Hurts
Pain in Children and Young Adults: The Journey Back to Normal
Problem-Solving Skills Training Law et al., 2017 [41]; Palermo et al., 2016 [42] *
Multi-component Treatment Packages
Cognitive-Behavioral Therapy Eccleston et al., 2014 [36] **; Fisher et al., 2014 [14] **; Palermo et al., 2010 [15] ** Cognitive-Behavioral Therapy for Chronic Pain in Children and Adolescents
Acceptance and Commitment Therapy Pielech et al., 2017 [43]; Wicksell et al., 2009 [39] Acceptance and Mindfulness Treatments for Children and Adolescents
Physical Therapy
Strength and Endurance
Training
Eccleston and Eccleston, 2004 [44]; Kempert et al., 2017b [45]; Mirek et al., 2019 [46]
Gait and Posture Training
Occupational Therapy
Independence with Activities of Daily Living Kempert et al., 2017a [47]; Kempert et al., 2017b [45]
Desensitization Sherry et al., 1999 [48]
Interdisciplinary Outpatient Pain Treatment
FIT Teens Kashikar-Zuck et al., 2018 [49] *; Tran et al., 2016 [50] *
2B Active Dekker et al., 2016 [51]
GET Living GET Living, NCT: 03699007
Intensive Interdisciplinary Pain Treatment (IIPT) Hechler et al., 2015 [19] **
Emerging Pain Treatment Intervention Formats
One-day workshops Coakley et al., 2018 [52] The Comfort Ability
Internet and mobile applications Bonnert et al., 2019 [53]; Palermo et al., 2018 [54]; Stinson et al., 2014 [55]
Virtual Reality Won et al., 2015 [56] *; Won et al., 2017 [57]

Note: Tame the Beast and What is Pain? The Mysterious Science of Pain videos were not specifically developed for children. * denotes pilot studies; ** denotes systematic review and/or meta-analysis. All other studies listed are individual clinical trials or topical reviews.