Immediate Effects of Pain Neuroscience Education in Physiotherapy Students With Chronic Non-specific Low Back Pain: a Pre-Post Intervention Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 79
- 试验地点
- 2
- 主要终点
- Pain Intensity (Numeric Pain Rating Scale)
研究概览
简要总结
This study aims to examine the immediate effects of a single-session Pain Neuroscience Education (PNE) program in physiotherapy students who experience chronic non-specific low back pain. The PNE session focuses on explaining pain mechanisms, central sensitization, and the role of psychological, cognitive, and behavioral factors in chronic pain. Participants complete outcome measures assessing pain intensity, pain knowledge, pain catastrophizing, and kinesiophobia before and immediately after the intervention. The purpose of the study is to determine whether a brief educational session can produce immediate improvements in pain-related outcomes in a student population.
详细描述
This study is a retrospective registration of a completed pre-post interventional study conducted among undergraduate physiotherapy students with chronic non-specific low back pain. The objective of the research was to evaluate the immediate effects of a single-session Pain Neuroscience Education (PNE) program on pain intensity, pain knowledge, pain-related beliefs, pain catastrophizing, and kinesiophobia.
The PNE session lasted approximately 70 minutes and was delivered by a physiotherapist trained in pain neuroscience and the biopsychosocial model. The session covered pain neurophysiology, the distinction between acute and chronic pain, central sensitization, factors contributing to persistent pain, and the role of cognition, emotions, and behaviors in pain experiences.
Participants completed self-report outcome measures at two time points:
Baseline (pre-intervention)
Immediately after the intervention
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Undergraduate physiotherapy and rehabilitation students
- •Chronic non-specific low back pain for at least 3 months
- •Pain intensity ≥3/10 on the Numeric Pain Rating Scale in the last week
- •willing to participate
排除标准
- •History of back surgery within the last 6 months
- •Presence of neurological, orthopedic, cardiac, or systemic chronic disease
- •Current participation in any physiotherapy, exercise, or medical treatment for low back pain
结局指标
主要结局
Pain Intensity (Numeric Pain Rating Scale)
时间窗: Baseline and immediately after the intervention
Pain intensity was measured using the Numeric Pain Rating Scale (NPRS), a 0-10 scale where higher scores indicate greater pain. Participants report their average low back pain in the last week. In the NPRS, individuals were asked to verbally rate the severity of their pain on a scale from 0 to 10. The minimum clinically significant difference for the NPRS was reported as 2 points.
Pain Knowledge (Revised Neurophysiology of Pain Questionnaire - rNPQ)
时间窗: Baseline and immediately after the intervention
Pain knowledge was measured using the Revised Neurophysiology of Pain Questionnaire (rNPQ). Higher scores indicate deeper understanding of pain neurophysiology.
Pain Catastrophizing (Pain Catastrophizing Scale - PCS)
时间窗: Baseline and immediately after the intervention
Pain catastrophizing was measured using the Pain Catastrophizing Scale (PCS). The Likert-type scale consists of 13 items, with each item scored from 0 (strongly disagree) to 4 (strongly agree). The higher the total score, the higher the degree of negative and exaggerated thoughts about pain
Kinesiophobia (Tampa Scale of Kinesiophobia - TSK)
时间窗: Baseline and immediately after the intervention
Kinesiophobia was assessed using the Tampa Scale for Kinesiophobia (TSK). Higher scores reflect greater fear of movement and reinjury. The TSK has a total of 17 items, and each item is scored using a 5-point Likert scale ranging from 1 = "disagree" to 4 = "strongly agree." The total score ranges from 17 to 68, with higher scores indicating greater fear of injury.
次要结局
未报告次要终点
研究者
Ayşe ŞİMŞEK
Research Assistant, PhD Student
Hacettepe University