[en] This systematic review and meta-analysis aims to identify and quantify the current available evidence of hypnosis efficacy to manage pain in patients with chronic musculoskeletal and neuropathic pain. Randomized Control Trials (RCTs) with hypnosis and/or self-hypnosis treatment used to manage musculoskeletal and/or neuropathic chronic pain in adults and assessing pain intensity were included. Reviews, meta-analyses, non-randomized clinical trials, case reports and meeting abstracts were excluded. Five databases, up until May 13th 2021, were used to search for RCTs using hypnosis to manage chronic musculoskeletal and/or neuropathic pain. The protocol is registered on PROSPERO register (CRD42020180298) and no specific funding was received for this review. The risk of bias asessement was conducted according to the revised Cochrane risk of bias tool for randomized control trials (RoB 2.0). Nine eligible RCTs including a total of 530 participants were considered. The main analyses showed a moderate decrease in pain intensity (Hedge's g: -0.42; p=0.025 after intervention, Hedge's g: -0.37; p=0.027 after short-term follow-up) and pain interference (Hedge's g: -0.39; p=0.029) following hypnosis compared to control interventions. A significant moderate to large effect size of hypnosis compared to controls was found for at 8 sessions or more (Hedge's g: -0.555; p=0.034), compared to a small and not statistically significant effect for fewer than 8 sessions (Hedge's g: -0.299; p=0.19). These findings suggest that a hypnosis treatment lasting a minimum of 8 sessions could offer an effective complementary approach to manage chronic musculoskeletal and neuropathic pain. Future research is needed to delineate the relevance of hypnosis in practice and its most efficient prescription.
Disciplines :
Alternative medicine
Author, co-author :
Langlois, Pascaline; PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, Poitiers, France
Perrochon, Anaick; Laboratoire HAVAE, EA6310, Université de Limoges, Limoges, France
David, Romain; PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, Poitiers, France, Department of Physical Medicine and Rehabilitation, Poitiers University Hospital, Poitiers, France
Rainville, Pierre; Département de stomatologie, Université de Montréal, Montréal, Canada, Centre de recherche de l'Institut universitaire de gériatrie de Montréal (CRIUGM), Montréal, Canada
Wood, Chantal; PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, Poitiers, France
VANHAUDENHUYSE, Audrey ; Centre Hospitalier Universitaire de Liège - CHU > > Service d'algologie - soins palliatifs
Pageaux, Benjamin; Centre de recherche de l'Institut universitaire de gériatrie de Montréal (CRIUGM), Montréal, Canada, École de kinésiologie et des sciences de l'activité physique (EKSAP), Faculté de médecine, Université de Montréal, Montréal, Canada
Ounajim, Amine; PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, Poitiers, France, Laboratoire de Mathématiques Appliquées (LMA), Faculty of Sciences, Poitiers University, 86000 Poitiers, France
Lavallière, Martin; Module de kinésiologie, Département des sciences de la santé, CISD, & Lab BioNR, Université du Québec à Chicoutimi, Chicoutimi, Qc, Canada
Debarnot, Ursula; Univ. Lyon, UCBL-Lyon 1, Laboratoire Interuniversitaire de Biologie de la Motricité, EA 7424, Université Claude Bernard Lyon1, Villeurbanne, France, Institut Universitaire de France, Paris, France
Luque-Moreno, Carlos; Department of Physiotherapy, University of Seville, Seville, Spain
Roulaud, Manuel; PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, Poitiers, France
Simoneau, Martin; Centre Interdisciplinaire de Recherche en Réadaptation et en Intégration Sociale (CIRRIS), Laval University, Quebec City, QC, Canada, Department of Kinesiology, Laval University, Quebec City, QC, Canada
Goudman, Lisa; Department of Neurosurgery, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium, STIMULUS consortium (reSearch and TeachIng neuroModULation Uz bruSsel), Vrije Universiteit Brussel, Laarbeeklaan 103, 1090, Brussels, Belgium
Moens, Maarten; Department of Neurosurgery, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium, STIMULUS consortium (reSearch and TeachIng neuroModULation Uz bruSsel), Vrije Universiteit Brussel, Laarbeeklaan 103, 1090, Brussels, Belgium
Rigoard, Philippe; PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, Poitiers, France, Departement of Spine, Neuromodulation and Rehabilitation, Poitiers University Hospital, Poitiers, France, Institut Pprime UPR 3346, CNRS, ISAE-ENSMA, University of Poitiers, Poitiers, France
Billot, Maxime; PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, Poitiers, France. Electronic address: maxime.billot@chu-poitiers.fr
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