THE EFFECT OF NEUROSCIENCE PAIN EDUCATION IN ADDITION TO CONVENTIONAL PHYSIOTHERAPY AND REHABILITATION PROGRAMME IN INDIVIDUALS WITH MYOFASCIAL PAIN SYNDROME
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Short Form Mc-Gill Pain Questionnaire (SF-MPQ)
研究概览
简要总结
Background This study aimed to evaluate the additive effect of Pain Neuroscience Education (PNE), which addresses the biopsychosocial and neurophysiological foundations of pain, on conventional physiotherapy in myofascial pain syndrome (MPS).
Methods Forty individuals with MPS aged between 18-50 years participated in the study. The participants were divided into two groups as study group (n=20) and control group (n=20). The control group received a conventional physiotherapy and rehabilitation program three times a week 6 weeks. In the Study group, PNE was given once a week for 6 weeks in addition to the conventional physiotherapy and rehabilitation programme. Short Form Mc-Gill Pain Questionnaire (SF-MPQ), Algometer, Pain Catastrophising Scale (PCS), Tampa Scale of Kinesiophobia (TSK) and Depression-Anxiety-Stress Scale (DASS), Pittsburg Sleep Quality Index (PSQI) and Myotonometry were used in the evaluation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Inclusion Criteria
- •Diagnosis of myofascial pain syndrome by a physician
- •Presence of a taut band detected by palpation
- •Referred pain elicited by compression of trigger points
- •Local twitch response induced by transverse palpation of the taut band
- •Age between 18-65 years
- •Voluntary patients with symptoms lasting at least 6 months
排除标准
- •Skin lesions or history of head trauma preventing study participation
- •Ongoing or previous cancer treatment
- •Uncontrolled hypertension or diabetes mellitus
- •History of fracture involving the upper extremities or cervical region
- •History of trauma or surgery in the cervical or upper extremity region
- •Known rheumatological disease
- •Receipt of physical therapy within the last 6 months
- •Presence of other cervical pathologies causing neck or back pain apart from MPS
- •Pregnancy
研究组 & 干预措施
Study Gruop
干预措施: Conventional physiotherapy (Other)
Study Gruop
干预措施: Exercise (Other)
Study Gruop
干预措施: Pain neuroscience education (PNE) (Other)
Control group
干预措施: Conventional physiotherapy (Other)
Control group
干预措施: Exercise (Other)
结局指标
主要结局
Short Form Mc-Gill Pain Questionnaire (SF-MPQ)
时间窗: Baseline and end of Week 6
Because pain is a multidimensional experience involving sensory and emotional components and is often difficult to describe, standardized pain assessment tools are essential in clinical practice. Due to the length and time required to complete the McGill Pain Questionnaire, pain was assessed using the Short-Form McGill Pain Questionnaire (SF-MPQ), developed by Melzack in 1987. The SF-MPQ consists of three sections. The first section includes 15 pain descriptors (11 sensory and 4 affective), each scored from 0 (none) to 3 (severe), providing total, sensory, and affective pain scores. The second section assesses overall pain intensity using a Likert-type scale ranging from 0 (no pain) to 5 (unbearable pain). The third section evaluates current pain intensity using a 10 cm Visual Analog Scale, scored from 0 (no pain) to 10 (severe pain).
Pressure Pain Threshold Assessment
时间窗: Baseline and end of Week 6
Pressure pain threshold is explained as the minimum amount of pressure measured at the first moment when the applied pressure sensation turns into pain. BASELINE® (USA) brand algometer, which can measure the pressure pain thresholds of trigger points, was used in the study. The pressure value is obtained by pressing a dynamic metal piston with a round disc with a surface area of 1 cm² at its tip to the relevant area. In our study, the pressure pain threshold of the sternocleidomastoid (SCM), upper trapezius (UT), levator scapula (LS), pectoralis major (PM) muscles, which are specified as overstrained muscle groups in the definition of 'Upper Cross Syndrome'
次要结局
- Pain Catastrophising Scale (PCS)(Baseline and end of Week 6)
- Tampa Scale of Kinesiophobia (TSK)(Baseline and end of Week 6)
- Depression Anxiety Stress Scale (DASS)(Baseline and end of Week 6)
- Pittsburgh Sleep Quality Index (PSQI)(Baseline and end of Week 6)
- Myotonometric Evaluation(Baseline and end of Week 6)
研究者
Hande Çağlıyan Erdoğan
PhD, Lecturer
Istinye University