Pain Neuroscience Education in Chronic Musculoskeletal Pain

Not Applicable

Completed

• Conditions: Chronic Musculoskeletal Pain
• Interventions: Behavioral: PNE+Physiotherapy; Procedure: Physiotherapy

• Registration Number: NCT03100721
• Lead Sponsor: University of Malaga

Brief Summary

Chronic musculoskeletal pain (CMP) is highly prevalent, disabling and with high socio-economic costs, with many negative effects on quality of life. CMP affects the ability to perform work, social, recreational and domestic tasks by changing the mood and concentration of this population that suffers.

In a study carried out in 2010, 17% of the Spanish population had experienced pain in the last month and according to the severity of symptoms 12% felt severe , 64% moderate and 24% mild pain. In this same study it is specified that 61% was due to back pain, 29% due to neck pain and 23% due to shoulder pain.

Pain neuroscience education (PNE) has been shown as an effective treatment strategy in increasing knowledge and understanding of neurobiology, neurophysiology and pain processing, modifying beliefs about it, improving patient skills and encouraging to the accomplishment of physical and social activities in different chronic pathologies.

Detailed Description

Study design and setting: The design of the present study will be a quasi-experimental study with 2 follow-ups (one month and four months after intervention) that will be performed between Apr 2018 and Apr 2020 in public health system in Malaga, Spain. The outcomes will be assessed at baseline (t0), one month (t1) and four months after the physiotherapy treatment begins (t2). Written informed consent will be acquired for all participants prior to their participation.

Study Timeline

• Study First Submitted: 2017-03-22
• Study First Submitted QC: 2017-03-28
• Study First Posted: 2017-04-04
• Study Start: 2018-04-04
• Primary Completion: 2020-01-22
• Study Completion: 2020-01-22
• Status Verified: 2020-06
• Last Update Submitted: 2020-06-01
• Last Update Posted: 2020-06-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Age between 18-65 years
• Chronic Musculoskeletal Pain according to the ACCTION-APS Pain Taxonomy (AAPT), included chronic axial musculoskeletal low back pain

Exclusion Criteria

• Chronic postoperative musculoskeletal pain and chronic musculoskeletal pain related to a traumatic injury six months before the beginning of the trial
• Inability to provide written informed consent and/or complete questionnaires in Spanish.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
PNE+Physiotherapy	PNE+Physiotherapy	Pain neuroscience education (PNE) can be defined as an educational session or sessions describing the neurobiology and neurophysiology of pain, and pain processing by the nervous system. It will be applied one time (at baseline). Physiotherapy includes kinesitherapy and exercises.
Physiotherapy	Physiotherapy	Physiotherapy includes kinesitherapy and exercises.

Primary Outcome Measures

Name	Time	Method
Change from Baseline self-efficacy at 1 and 4 months	1 and 4 months	This outcome will be measured with the Chronic Pain Self-Efficacy Scale

Secondary Outcome Measures

Name	Time	Method
Change from Baseline pain and pain interference at 1 and 4 months	1 and 4 months	This outcome will be measured with the Graded Chronic Pain Scale
Change from Baseline analgesic medication at 1 and 4 months	1 and 4 months	This outcome will be measured checking digital medical history

Trial Locations

Locations (1)

UGC Las Lagunas; 🇪🇸 Mijas Costa, Málaga, Spain