Pain Neuroscience Education, Exercise, and Cognitive Training in Individuals With Idiopathic Chronic Low Back Pain: a Three-arm Randomized Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Low-back Pain
- Sponsor
- Aveiro University
- Enrollment
- 83
- Locations
- 1
- Primary Endpoint
- Numeric Pain Rating Scale Numeric Pain Rating Scale
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
This study aims of to investigate whether combining cognitive training to exercise and Pain Neuroscience Education will contribute to reduction of pain and associated symptoms (i.e., catastrophizing, fear of movement, disability) in individuals with low back pain (LBP).
Detailed Description
This study aims of to investigate whether combining cognitive training to exercise and Pain Neuroscience Education (PNE) will contribute to reduction of pain and associated symptoms (i.e., catastrophizing, fear of movement, disability) in individuals with low back pain (LBP). It will have three arms of which will receive exercise, PNE and/or cognitive training for 8 weeks (Group I - exercise and PNE; Group II - exercise, PNE and cognitive training; Group III - cognitive training). Participants will be assessed for pain characteristics, psychological, and cognitive aspects at baseline, post-intervention and at 3 months follow-up.
Investigators
Ellen Hirose Pereira Nery
Principal Investigator
Aveiro University
Eligibility Criteria
Inclusion Criteria
- •have chronic idiopathic LBP
- •report pain intensity of at least 2 out of 10 on the Numeric Pain Rating Scale
- •18 to 64 years old
- •Be able to read, write and speak Portuguese
- •Asses to personal computer and internet for those receiving cognitive training
Exclusion Criteria
- •individuals receiving any chronic treatment for their pain
- •symptoms of peripheral nervous system pathology (e.g., motor weakness and sensory disturbance);
- •a diagnosis of an ongoing neurological disease with peripheral or central nervous system involvement or relevant sequela;
- •having a diagnosis of ongoing psychiatric disease
- •having relevant cognitive impairment as assessed by Montreal Cognitive Assessment (MoCA).
Outcomes
Primary Outcomes
Numeric Pain Rating Scale Numeric Pain Rating Scale
Time Frame: 3 months follow-up
Measured with a 11-point scale ranging from 0 meaning "no pain" to 10 meaning "the worst pain imaginable".
Secondary Outcomes
- Central sensitization Inventory(3 months follow-up)
- Pain Catastrophizing Scale(3 months follow-up.)
- Two-point discrimination(3 months follow-up)
- Patient's Global Impression of Change (PGIC)(3 months follow-up.)
- Basic Scale on Insomnia Complaints and Quality of Sleep (BaSIQs)(3 months follow-up.)
- Cognitive Function(3 months follow-up.)
- Roland Morris disability questionnaire(3 months follow-up)
- Hospital Anxiety and Depression Scale (HADS)(3 months follow-up.)
- TAMPA Scale of Kinesiophobia(3 months follow-up.)