The Effect of Neuroscience Pain Education on Quality of Life in Patients with Chronic Low Back Pain

NCT03901365 | Completed

• 1 other identifier: KutahyaMSUFTR
• Study Type: interventional
• Target: 35
• Locations: 1 country
• Sites: 1

Brief Summary

Manual therapy are among the therapeutic approaches frequently used in chronic low back pain (CLBP). Although most clinicians conduct patient education according biomedical model of pain, a relatively new approach which is referred to as neuroscience pain education (NPE) is promising in patients with CLBP. Therefore the aim of this study was to investigate whether NPE in patients with CLBP who treated via manual therapy technique will produce different outcomes in terms of pain severity and QoL compared to traditional patient education.

Conditions

Chronic Low Back Pain; Quality of Life; Pain

Keywords

Manual Therapy; Neuroscience pain education; Quality of life; Chronic low back pain

Outcome Measures

Primary Outcomes (1)

• Quality of Life (QOL): Turkish Short form-36 (SF-36) questionnaire

  All patients additionally completed Turkish Short form-36 (SF-36) questionnaire, 36-item generic self-administered instrument that consists of eight subscales relating to various aspects of the QoL: physical functioning, physical role, bodily pain, general health, vitality, social functioning, emotional role and mental health. The eight subscales are scored from 0 to 100, with higher scores indicating better health status

  Change from Baseline SF-36 at 4th weeks.

Secondary Outcomes (1)

• Numeric Pain Rating Scale (NPRS)

  Change from Baseline NPRS at 4th weeks.

Study Arms (2)

Group 1

EXPERIMENTAL

Patient received manual therapy in addition neuroscience pain education sessions

Other: Neuroscience pain education; Other: Manual therapy

Group 2

ACTIVE COMPARATOR

Patient received manual therapy in addition tradition education sessions

Other: Traditional patient education; Other: Manual therapy

Interventions

Neuroscience pain education OTHER

In Neuroscience pain education (NPE) sessions, patients were informed about the pain experience and the neurophysiological process about pain. NPE was performed by the method proposed by Louw et al (12). NPE was administered 4 sessions per week for four weeks. Trainings were conducted in the form of face-to-face interview and 45-50 minutes of one-to-one sessions.

Group 1

Traditional patient education OTHER

In traditional patient education (TPE) sessions were aimed to explain to patients a proposed treatment or efficacy of a certain manual therapy technique or approach, have focused heavily on biomechanical and anatomical models. These models would imply that injury, disease, and muscle guarding may lead to altered movement patterns, asymmetrical loading, and resultant pain and dysfunction. TPE was administered 4 sessions per week for four weeks. Trainings were conducted in the form of face-to-face interview and 45-50 minutes of one-to-one sessions.

Group 2

Manual therapy OTHER

Manual therapy (MT) was individualized according to each patient's response to treatment. In this method, the physiotherapist identifies and performs techniques suitable for the patient's symptoms. If the selected techniques do not have a direct positive effect on the patient's symptoms, they are replaced with other techniques.MT were performed in a total of 8 sessions, held twice a week for 4 weeks. Treatment sessions lasted an average of 40-45 minute.The entire treatment program was carried out by the same physiotherapist who is trained and experienced in this area.

Group 1; Group 2

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Volunteered to participate in the study.
• Patients with 18-65 years
• Had low back pain for at least 6 months,
• Reported pain severity of 5 or greater according to the numeric pain rating scale

You may not qualify if:

• Previous spine or lower extremity surgery
• Severe osteoporosis
• Spondyloarthropathy
• Spondylolisthesis
• Lumbar stenosis
• Lumbar fractures
• Malign tumor

Sponsors & Collaborators

• Kutahya Health Sciences University: lead

Study Sites (1)

Yoncali Physical Therapy and Rehabilitation Hospital

Kütahya, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain

Interventions

Musculoskeletal Manipulations

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator,

Study Record Dates

• First Submitted: April 1, 2019
• First Posted: April 3, 2019
• Study Start: April 1, 2018
• Primary Completion: June 30, 2018
• Study Completion: November 30, 2018
• Last Updated: October 15, 2024

Record last verified: 2021-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)