Physical Therapy Management Of The Patient With Central Sensitization

NCT05062694 | Completed DMC

• 1 other identifier: Survey_CS
• Study Type: observational
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

In the literature there is still debate about the concept of central sensitization, as a pain mechanism that can support a neuromusculoskeletal pathology and which for Woolf corresponds to an amplification of neural signaling within the Central Nervous System causing hypersensitivity to pain. This mechanism is often confused with the concept of chronic pain, as in many conditions such as fibromyalgia, traumatic neck pain, low back pain or osteoarthritis, central sensitization supports its maintenance beyond 6 months. We believe it is important to investigate among Italian physiotherapists the management of the patient in which the presence of a central pain sensitization phenomenon is suspected, in order to provide consistent data to direct the education of health professionals towards more effective management of this problem. To achieve this goal we aim to:

• Conduct a Delphi study in order to reach consensus, into a panel of experts, on the methods useful for the management, in each phase of the physiotherapy process, of the patient with neuromusculoskeletal problems with pain underlying central sensitization mechanism
• Investigate, through a survey among Italian physiotherapists, their clinical approach to the patient in question
• Develop a free online course available to clinical professionals and/or students who wish to deepen this issue.

Conditions

Central Sensitisation; Musculoskeletal Diseases; Pain

Keywords

Patient Management; Central Sensitisation; Muscoloskeletal Disease; Pain

Outcome Measures

Primary Outcomes (1)

• Physical therapists' patient management

  Exploring Italian physiotherapists' clinical approach to the patient in question through an online survey

  1 month

Interventions

Survey OTHER

It will be created a questionnaire to investigate, among Italian physiotherapists, their clinical approach to the patient with Central Sensitisation

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Physical therapists

You may qualify if:

• Italian physiotherapists who will decide to fill in the questionnaire

Sponsors & Collaborators

• University Hospital of Ferrara: lead

Study Sites (1)

Azienda Ospedaliero-Universitaria di Ferrara

Ferrara, FE, 44124, Italy

Location

Related Publications (1)

• Baroni A, Margelli M, Saoncella A, Toigo I, Antonellini G, Straudi S. Physiotherapy management of nociplastic pain: A Delphi study of Italian specialists. Pain Pract. 2023 Sep;23(7):734-742. doi: 10.1111/papr.13238. Epub 2023 May 4.

  PMID: 37143408 DERIVED

MeSH Terms

Conditions

Musculoskeletal Diseases; Pain

Interventions

Surveys and Questionnaires

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 21, 2021
• First Posted: September 30, 2021
• Study Start: September 20, 2021
• Primary Completion: October 20, 2021
• Study Completion: October 30, 2021
• Last Updated: November 10, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

IT (1)