Pain neuroscience education and physical exercise for patients with chronic spinal pain in primary healthcare: a randomised trial protocol
| Autor: | Enrique Lluch-Girbés, M. Carmen Coca-López, Agustín Mayo-Iscar, Antonio Cuesta-Vargas, Federico Montero-Cuadrado, Miguel Angel Galan-Martin |
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| Přispěvatelé: | [Galán-Martín,MA, Montero-Cuadrado,F] Unit for Active Coping Strategies for Pain in Primary Care, East-Valladolid Primary Care Management, Castilla and Leon Public Health System (Sacyl), Valladolid, Spain. [Galán-Martín,MA] Doctoral Program of Research in Health Sciences, University of Valladolid, Valladolid, Spain. [Lluch-Girbes,E] Department of Physical Therapy, University of Valencia, Valencia, Spain. [Lluch-Girbes,E] 'Pain in motion' International Research Group, Brussels, Belgium. [Lluch-Girbes,E] Department of Human Physiology and Rehabilitation Sciences, Faculty of Physiotherapy, Vrije university Brussels, Brussels, Belgium. [Coca-López,MC] Castilla and Leon Regional Centre of Sports Medicine, Castilla and Leon Public Health System (Sacyl), Valladolid, Spain. [Mayo-Iscar,A] Department of Statistics and Operational Research and IMUVA, University of Valladolid, Valladolid, Spain. [Cuesta-Vargas,A] Department of Physiotherapy, Faculty of Heath Sciences, University of Malaga, Málaga, Spain. [Cuesta-Vargas,A] Institute of Biomedical Research in Malaga. IBIMA, Málaga, Spain. [Cuesta-Vargas,A] School of Clinical Science, Faculty of Health Science, Queensland University Technology, Brisbane, Australia., The clinical trial that has allowed the development of the present protocol has been made possible thanks to the funding received from the Regional Health Management of Castilla y León and the Professional College of Physiotherapists of Castilla y León., Pain in Motion, Physiotherapy, Human Physiology and Anatomy |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
lcsh:Diseases of the musculoskeletal system
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| Zdroj: | BMC Musculoskeletal Disorders, Vol 20, Iss 1, Pp 1-11 (2019) BMC Musculoskeletal Disorders |
| Popis: | BackgroundChronic musculoskeletal pain affects more than 20% of the population, and the prevalence is increasing, causing suffering, loss of quality of life, disability, and an enormous expenditure on healthcare resources. The most common location for chronic pain is the spine. Many of the treatments used are mainly passive (pharmacological and invasive) and poor outcomes. The treatments currently applied in the public health system do not comply with the recommendations of the main clinical practice guidelines, which suggest the use of educational measures and physical exercise as the first-line treatment. A protocol based on active coping strategies is described, which will be evaluated through a clinical trial and which could facilitate the transfer of the recommendations of the clinical practice guidelines to a primary care setting.MethodsRandomised and multicentre clinical trials, which will be carried out in 10 Primary Care centres. The trial will compare the effect of a Pain Neuroscience Education program (six sessions, 10 h) and group physical exercise (18 sessions program carried out in six weeks, 18 h), with usual care physiotherapy treatment. Group physical exercise incorporates dual tasks, gaming, and reinforcement of contents of the educational program. The aim is to assess the effect of the intervention on quality of life, as well as on pain, disability, catastrophism, kinesiophobia, central sensitisation, and drug use. The outcome variables will be measured at the beginning of the intervention, after the intervention (week 11), at six months, and a year.DiscussionTherapeutic interventions based on active coping strategies are essential for the treatment of chronic pain and the sustainability of the Public Health System. Demonstrating whether group interventions have an effect size is essential for optimising resources in such a prevalent problem.Trial registrationNCT03654235“Retrospectively registered” 31 August 2018. |
| Databáze: | OpenAIRE |
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