Effectiveness of Physiotherapist's Communication Skills on Clinical Outcomes in Patients With Chronic Musculoskeletal Pain: A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- University of Thessaly
- Enrollment
- 69
- Locations
- 2
- Primary Endpoint
- PPT: Pressure Pain Threshold
Study Overview
Brief Summary
The purpose of this study is to investigate the impact of the physiotherapist's communication on the clinical presentation of patients with chronic musculoskeletal pain.
Detailed Description
The purpose of this study is to investigate the impact of the physiotherapist's communication on the clinical presentation of patients with chronic musculoskeletal pain. Sixty-nine (69) patients with chronic musculoskeletal pain in the cervical or lumbar spine, knee, or shoulder will participate. They will be randomly divided into three groups, each consisting of thirty-three (33) patients. One group (Experimental- Good communication skills) will watch the video in which physiotherapist will develop qualities of good communication while he explains about chronic musculoskeletal pain, the other group (Experimental- Poor communication skills ) will view the video in which the physiotherapist imparts information and explains chronic pain without enhancing his communication skills and lastly, the control group (control) that will not view any video.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Participants should speak and understand the Greek language, as the questionnaires and the video will be in Greek
- •Participants should experience pain in one of the following four different areas: cervical or lumbar spine, knee, or shoulder
- •Pain of musculoskeletal origin
- •Pain lasting more than 3 months, evident on most days of the week to be classified as chronic pain, with a pain intensity of at least 3/10 Numeric Pain Rating Scale.
Exclusion Criteria
- •Medication for neurological/psychiatric disorders
- •Pain medication on the day agreed upon with the researcher, in order to minimize the potential influence of medication
- •Undergoing surgery in the last six months
- •Pregnancy or childbirth before 1 year
Outcomes
Primary Outcomes
PPT: Pressure Pain Threshold
Time Frame: Changes from baseline to10 minutes after watching the video
The Pain Pressure Threshold (PPT) is a method utilized to quantify the sensitivity of deep muscular tissues. In this measurement, an algometer is commonly employed to apply pressure to a specific area, and the point at which a gradually increasing pressure becomes painful is noted. In the context of PPT, lower values are indicative of heightened sensitivity, suggesting that the individual experiences pain at a lower pressure threshold. Therefore, lower PPT values are interpreted as an indication of increased sensitivity in the deep muscular tissues.
NPRS: Numeric Pain Rating Scale
Time Frame: Changes from baseline to10 minutes after watching the video
The Numeric Pain Rating Scale will be utilized to evaluate the severity of pain. Participants will provide a score ranging from 0 (indicating no pain) to 10 (representing the most intense pain they have ever felt).
Secondary Outcomes
- CSI: Central Sensitisation Inventory(Baseline)
- Pain Distribution(Changes from baseline to10 minutes after watching the video)
- PCS: Pain Catastrophizing Scale(Changes from baseline to 10 minutes after watching the video)
- STAI-40: State - Trait Anxiety Inventory(Changes from baseline to 10 minutes after watching the video)
- BIPQ: Brief Illness Perception Questionnaire(Changes from baseline to 10 minutes after watching the video)
- TSK: Tampa Scale for Kinesiophobia(Changes from baseline to 10 minutes after watching the video)
- VES: Video Engagement Scale(Changes from baseline to 10 minutes after watching the video)
- Working Alliance Inventory - Short Revised (WAI-SR)(Changes from baseline to 10 minutes after watching the video)
- Global Rating of Change Scales(Changes from baseline to 10 minutes after watching the video)
Investigators
Konstantina Savvoulidou
Principal Investigator
University of Thessaly