A contemporary neuroscience approach compared to biomedically focused education combined with symptom-contingent exercise therapy in people with chronic whiplash associated disorders : a randomized controlled trial protocol
| Autor: | Brenda De Petter, Anneleen Malfliet, Lieven Danneels, Kelly Ickmans, Mira Meeus, Jo Nijs, Dorine Lenoir, Iris Coppieters, Barbara Cagnie, Ward Willaert |
|---|---|
| Přispěvatelé: | Physiotherapy, Human Physiology and Anatomy, Pain in Motion, Physical Medicine and Rehabilitation, Faculty of Physical Education and Physical Therapy, Motor Mind, Spine Research Group |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Stress management
Clinical Trial Protocol Brain activity and meditation Physical Therapy Sports Therapy and Rehabilitation Electroencephalography law.invention 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Randomized controlled trial law Whiplash Humans Medicine Disabled Persons Orthopedics and Sports Medicine 030212 general & internal medicine Whiplash Injuries Central Nervous System Sensitization Cognitive Behavioral Therapy medicine.diagnostic_test business.industry Rehabilitation Neurosciences Human factors and ergonomics Flexibility (personality) medicine.disease Exercise Therapy Chronic Disease Quality of Life Human medicine business Neuroscience 030217 neurology & neurosurgery |
| Zdroj: | Revista brasileira de fisioterapia Braz J Phys Ther |
| ISSN: | 1413-3555 |
| Popis: | Background: To address the need for a better treatment of chronic whiplash associated disorders (WAD), a contemporary neuroscience approach can be proposed. Objective: To examine the effectiveness of a contemporary neuroscience approach, comprising pain neuroscience education, stress management, and cognition-targeted exercise therapy versus conventional physical therapy for reducing disability (primary outcome measure) and improving quality of life and reducing pain, central sensitization, and psychological problems (secondary outcome measures) in people with chronic WAD. Methods: The study is a multi-center, two-arm randomized, controlled trial with 1-year follow-up and will be performed in two university-based and one regional hospital. People with chronic WAD (n = 120) will be recruited. The experimental group will receive pain neuroscience education followed by cognition-targeted exercise therapy, and stress management. The control group will receive biomedically focused education followed by graded and active exercise therapy focusing on muscle endurance, strength, and flexibility, and ergonomic principles. The treatment will have a duration of 16 weeks. Functional status (Neck Disability Index) is the primary outcome measure. Secondary outcome measures include quality of life, pain, central sensitization, and psychological and socio-economic factors. In addition, electroencephalography will measure brain activity at rest and during a conditioned pain modulation paradigm. Assessments will take place at baseline, immediately post-treatment and at 6 and 12 months follow-up. Conclusions: This study will examine whether a contemporary neuroscience approach is superior over conventional physical therapy for improving functioning, quality of life, and reducing pain, central sensitization, and psychological problems in people with chronic WAD. (C) 2020 Associacao Brasileira de Pesquisa e Pos-Graduacao em Fisioterapia. Published by ElsevierEditora Ltda. All rights reserved. |
| Databáze: | OpenAIRE |
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