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.