Influence of Health Determinants and Therapeutic Alliance on the Effectiveness of a Pain Neuroscience Education Combined With Motor Control Training With Neurocognitive Focus on Chronic Lumbar Pain in a Population of Professional Caregivers
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Change from Baseline in Pain perceived at 3 months: Visual Analogue Scale
研究概览
简要总结
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Double (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
- •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
排除标准
- •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
研究组 & 干预措施
specific intervention (experimental)
Specific intervention (experimental). The intervention group will carry out 3 sessions of specific pain education + 15 sessions of physical training.
干预措施: Group of educational intervention on the neurophysiology of pain and physical exercises (Behavioral)
control group (no intervention)
NO intervention
干预措施: Control group (Behavioral)
结局指标
主要结局
Change from Baseline in Pain perceived at 3 months: Visual Analogue Scale
时间窗: 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
时间窗: Baseline and 6 months
Analisis of pain, using the Visual Analogue Scale, that measure from 0 (no pain) to 10 (excruciating pain)
次要结局
- Change from Baseline in Fear and avoidance of movement at 3 months(Baseline and 3 months)
- Change from Baseline in Pain disability at 3 months: Oswestry Disability Index(Baseline and 3 months)