Influence of Health Determinants on Physical Exercise Therapy With a Neurocognitive Focus on Chronic Low Back Pain
- Conditions
- Chronic Low-back Pain
- Interventions
- Behavioral: Group of educational intervention on the neurophysiology of pain and physical exercisesBehavioral: Control group
- Registration Number
- NCT04115670
- Lead Sponsor
- Fundació Universitària del Bages
- Brief Summary
Protocols in which pain neuroscience education is combined with physical exercise have shown recently greater effectiveness in the treatment of low back pain in comparison to protocols based only on one of the two approaches. The professional caregiver has a high incidence of low back pain related to the specific aspects of this collection with the low physical condition, the typical tasks performed and other psychosocial aspects. Individual characteristics of these caregivers may condition the effectiveness of the therapy as well as demographic aspects or the alliance between patient and physiotherapist. The aim of this study is to determine the influence of certain health determinants on the effectiveness of a therapy that combines pain neuroscience education and motor control training from a neurocognitive perspective on chronic low back pain in a population of professional caregivers in Bages, analyzing the reduction of low back pain, the improvement of functionality, the reduction of muscle movement and the improvement of muscle coordination.
It will be a quasi-experimental pre-post design, prospective, with a control group, lasting 3 months. The intervention will be performed using a sample of professional caregivers, and the data will be collected before the intervention, at the end of the intervention, and 3-6 months after the intervention. Pain, functionality, conducts of fear/avoidance, and muscular coordination will be analyzed
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 50
- Of legal age
- Participants who present lumbar or lumbosacral pain all the time for more than 1 year
- Score of 6 on the Visual Analogical Scale
- Have been at work (same position) longer than 1 year
- Other alterations and diseases of the musculoskeletal system that may interfere with the results of the intervention.
- Pregnancy during the study time
- Older than 65 years old
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description specific intervention (experimental) Group of educational intervention on the neurophysiology of pain and physical exercises Specific intervention (experimental). The intervention group will carry out 3 sessions of specific pain education + 15 sessions of physical training. control group (no intervention) Control group NO intervention
- Primary Outcome Measures
Name Time Method Change from Baseline in Pain perceived at 3 months: Visual Analogue Scale Baseline and 3 months Analisis of pain, using the Visual Analogue Scale, that measure from 0 (no pain) to 10 (excruciating pain)
Change from Baseline in Pain perceived at 6 months: Visual Analogue Scale Baseline and 6 months Analisis of pain, using the Visual Analogue Scale, that measure from 0 (no pain) to 10 (excruciating pain)
- Secondary Outcome Measures
Name Time Method Change from Baseline in Fear and avoidance of movement at 3 months Baseline and 3 months Tampa Scale of Kinesophobia, a scale with 11 items, the rating ranges from 11 points to 44 points. A high value indicates that there is a high degree of fear of movement.
Change from Baseline in Pain disability at 3 months: Oswestry Disability Index Baseline and 3 months Oswestry Disability Index, This scale consists of 10 questions, each of them with answers graduated from 0 (no relevant) to 5 (very relevant), from which the % of disability of the individual is obtained from the formula: Total points of the answers / 50 \*100= % disabled
Trial Locations
- Locations (1)
Universitat de Vic-Universitat de Catalunya (UVic-UCC)
🇪🇸Manresa, Barcelona, Spain