Pain Neuroscience Education for Acute and Sub-Acute Low Back Pain: An Exploratory Case Series
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Low Back Pain
- Sponsor
- University of Nevada, Las Vegas
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- NPRS - LBP
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
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).
Detailed Description
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.
Investigators
Emilio J Puentedura, PT, DPT, PhD
Project Coordinator
University of Nevada, Las Vegas
Eligibility Criteria
Inclusion Criteria
- •a complaint of LBP with or without leg pain less than 3 months, and
- •a willingness to participate
Exclusion Criteria
- •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.
Outcomes
Primary Outcomes
NPRS - LBP
Time Frame: 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
Time Frame: Immediate change from baseline after assigned intervention
Numeric Pain Rating Scale for leg pain (Range 0 = no pain to 11 = maximum pain)
Secondary Outcomes
- 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)