Pain Neuroscience Education for Acute and Sub-Acute Low Back Pain: An Exploratory Case Series
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- NPRS - LBP
研究概览
简要总结
To determine if Pain Neuroscience Education (PNE) would result in positive clinical changes in patients presenting with acute or sub-acute low back pain (LBP).
详细描述
Background: Pain neuroscience education (PNE) has shown efficacy in treating chronic pain. Clinicians may believe PNE is not suitable for acute and sub-acute pain. Subgroupings of low back pain (LBP) imply some patients with LBP may respond favorably to PNE.
Objective
To determine if PNE would result in positive clinical changes in patients presenting with acute or sub-acute LBP.
Methods: Eighty consecutive patients with LBP < 3 months were enrolled in the study. Patients completed a demographics questionnaire, leg and LBP rating (Numeric Pain Rating Scale - NPRS), disability (Oswestry Disability Index), fear-avoidance (Fear-Avoidance Beliefs Questionnaire), pain catastrophization (Pain Catastrophization Scale), central sensitization (Central Sensitization Inventory), pain knowledge (Revised Neurophysiology of Pain Questionnaire), risk assessment (Keele STarT Back Screening Tool), active trunk flexion and straight leg raise (SLR). Patients received a 15-minute verbal, one-on-one PNE session, followed by repeat measurement of LBP and leg pain (NPRS), trunk flexion and SLR.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 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
- •a complaint of LBP with or without leg pain less than 3 months, and
- •a willingness to participate
排除标准
- •a) were under age 18 (minor);
- •b) had undergone lumbar surgery;
- •c) could not read or understand the English language;
- •d) presented with any cognitive deficits rendering them unsuitable for PNE (i.e., stroke, traumatic brain injury, etc.),
- •e) declined to participate or
- •f) presented with a medical etiology (red flag) associated with their LBP.
研究组 & 干预措施
Pain Neuroscience Education
Subjects received a 15-minute verbal, one-on-one Pain Neuroscience Education (PNE) session
干预措施: Pain Neuroscience Education (Behavioral)
结局指标
主要结局
NPRS - LBP
时间窗: Immediate change from baseline after assigned intervention
Numeric Pain Rating Scale for Low Back Pain (Range 0 = no pain to 11 = maximum pain)
NPRS - Leg pain
时间窗: Immediate change from baseline after assigned intervention
Numeric Pain Rating Scale for leg pain (Range 0 = no pain to 11 = maximum pain)
次要结局
- Passive Straight Leg Raise(Immediate change from baseline in angular degrees after assigned intervention)
- Active trunk flexion(Immediate change from baseline in centimeters after assigned intervention)
研究者
Emilio J Puentedura, PT, DPT, PhD
Project Coordinator
University of Nevada, Las Vegas