Norwegian Psychomotor Physiotherapy Versus Cognitive Patient Education and Active Physiotherapy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 128
- 试验地点
- 1
- 主要终点
- Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain
研究概览
简要总结
The aim is to examine the effect of Norwegian Psychomotor Physiotherapy (NPMP) in employees with long-lasting musculoskeletal pain compared to employees receiving Cognitive Patient Education in combination with active individual physiotherapy (COPE-PT) on pain, function, quality of life and sick-leave
详细描述
The NPMP is based on the assumption that patients with long-lasting problems, physical and/or psychological, may react with general aberrations related to posture, respiration, and movements, as well as with muscular tension and skin changes.
Employees With Long lasting musculoskeletal pain problems, working in the Municipality of Bergen, will be invited to participate in an Randomized Clinical Trial (RCT), and randomized to either receive Norwegian Psychomotor Physiotherapy (NPMP) or a series of Cognitive Patient Education in combination with active individual physiotherapy (COPE-PT). The aim is to examine the effect of NPMP compared to those receiving COPE-PT on pain, function, quality of life and sick-leave.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 67 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients With neck,shoulder and/or widespread pain
- •Pain (≥ 3 Numeric Pain Rating Scale (NPRS)
- •Functional problems measured with Orebro Musculoskeletal Pain Screening Questionnaire (OMPSQ), Neck Disability Index (NDI) and/or Shoulder Pain and Disability Inventory (SPADI)-been sick-listed for 4-8 weeks, or on the brink of becoming sick-listed, or having had residual neck- and shoulder complaints problems during the last two years with several short-term sick-leaves.
- •=/6 American College of Rheumatology (ACR) tender points,
- •Reduced Relaxation and Flexibility from the Global Physiotherapy Examination (GPE)
排除标准
- •Sick-listed > 6 months
研究组 & 干预措施
Norwegian Psychomotor Physiotherapy
NPMP is a body-mind awareness approach, often given in a combination of massage, exercises and conversations. The NPMP is individualized, with duration of 45-60 minutes in each session. As the NPMP is a longitudinal and normally slow process to obtain change, treatment can last up till one year, in the beginning once a week, and after some time once a month.
干预措施: Norwegian Psychomotor Physiotherapy (Other)
Cognitive Patient Education and PT
The comparison group will receive a combination of education about how to manage pain (COPE) followed by active individual physiotherapy.They will receive one session weekly with COPE, given by a physiotherapist, maximum 4 times, followed by active individual Physiotherapy (PT).
干预措施: Cognitive Patient Education and PT (Other)
结局指标
主要结局
Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain
时间窗: Change from baseline in pain at 3 months, at 6 months and 12 months.
Pain on the Numeric Pain Rating Scale (NPRS)
次要结局
- Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain(Change from baseline flexibility at 6 months.)
- Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain(Change from baseline in wellbeing at 3 months, at 6 months and 12 months.)
- Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain(Change from baseline in sick-leave at 3 months, at 6 months and 12 months.)
- Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain(Change from baseline in shoulder function at 3 months, at 6 months and 12 months.)
- Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain(Change from baseline work related function at 3 months, at 6 months and 12 months.)
- Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain(Change from baseline neck function at 3 months, at 6 months and 12 months.)
研究者
Tove Dragesund
Post doc
University of Bergen