Effects of a Hybrid Physiotherapy Program Based on Pain Neuroscience Education and Therapeutic Exercise in Individuals With Chronic Persistent Pain and Depressive Disorder: A Prospective Longitudinal Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Pain Intensity (Numering Rating Scale)
Study Overview
Brief Summary
This prospective longitudinal pre-post intervention study aims to evaluate the effects of an 8-week physiotherapy program combining face-to-face and asynchronous tele-rehabilitation sessions in individuals with chronic persistent pain and depressive disorder. The intervention is based on pain neuroscience education and therapeutic exercise. Outcomes include pain intensity, psychosocial factors, adherence to treatment, usability of telemedicine, balance, body awareness, and participants' experiences collected through focus groups.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Masking Description
No Masking
Eligibility Criteria
- Ages
- 45 Years to 75 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Age 45-75 years
- •User of AFDA and ASAPME
- •Chronic persistent pain
- •Written informed consent provided
Exclusion Criteria
- •Severe psychiatric disorders (including schizophrenia)
- •Neurological diseases preventing participation
- •No internet access
- •Mini-Mental State Examination score ≤24
- •Acute musculoskeletal disorders
- •Rheumatic diseases
- •Severe respiratory insufficiency
- •Inability to understand Spanish
- •Pregnancy, immunosuppression, transplantation or active oncological condition
Arms & Interventions
Hybrid Physiotherapy Program
Hybrid Physiotherapy Program consisted of Pain Neuroscience Education and Therapeutic Exercise
Intervention: Hybrid Physiotherapy Program (Other)
Outcomes
Primary Outcomes
Pain Intensity (Numering Rating Scale)
Time Frame: Baseline and Week 8
It is a numerical scale ranging from 1 to 10, where 1 represents the absence of pain and 10 represents the highest intensity.
Secondary Outcomes
- Pain Catastrophizing Scale(Baseline and Week 8)
- Chronic Pain Coping Questionnaire(Baseline and Week 8)
- Tampa Scale for Kinesiophobia (TSK-11)(Baseline and Week 8)
- Chronic Pain Self-Efficacy Questionnaire(Baseline and Week 8)
- Depression Anxiety Stress Scale (DASS-21)(Baseline and Week 8)
- Fear Avoidance Beliefs Questionnaire (FABQ)(Baseline and Week 8)
- Clinical Global Impression Scale (CGI)(Baseline and Week 8)
- Qualitative outcomes from focus groups(Week 8)
Investigators
Sandra Calvo Carrión
Phd. Clinical professor
Instituto de Investigación Sanitaria Aragón