6533b7d2fe1ef96bd125f67b
RESEARCH PRODUCT
Pain neuroscience education and physical exercise for patients with chronic spinal pain in primary healthcare: a randomised trial protocol.
Enrique Lluch-girbésEnrique Lluch-girbésM. Carmen Coca-lópezAgustín Mayo-iscarAntonio Cuesta-vargasAntonio Cuesta-vargasFederico Montero-cuadradoMiguel Angel Galan-martinsubject
lcsh:Diseases of the musculoskeletal systemSports medicinePsychological interventionChronic pain:Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings]Study Protocol:Diseases::Nervous System Diseases::Neurologic Manifestations::Pain::Chronic Pain [Medical Subject Headings]0302 clinical medicineExercise/physiologyHealth careAdaptation PsychologicalMedicineTreatment protocolOrthopedics and Sports Medicine030212 general & internal medicine:Persons::Persons::Age Groups::Adult::Aged [Medical Subject Headings]education.field_of_studyPatient Education as Topic/methodsChronic pain:Anthropology Education Sociology and Social Phenomena::Education::Education Nonprofessional::Health Education::Patient Education as Topic [Medical Subject Headings]Middle Aged:Psychiatry and Psychology::Behavior and Behavior Mechanisms::Adaptation Psychological [Medical Subject Headings]Primary careEjercicio físico:Health Care::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Care [Medical Subject Headings]Exercise TherapySpinal DiseasesChronic Pain/diagnosisSpinal Diseases/diagnosis:Analytical Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Physical Therapy Modalities::Exercise Therapy [Medical Subject Headings]:Persons::Persons::Age Groups::Adult::Young Adult [Medical Subject Headings]Adultmedicine.medical_specialtyPopulationChronic spinal painAdaptation Psychological/physiology03 medical and health sciencesYoung AdultQuality of life (healthcare)Primary Health Care/methodsRheumatologyPatient Education as TopicAtención primaria de salud:Anthropology Education Sociology and Social Phenomena::Human Activities::Exercise [Medical Subject Headings]Humans:Persons::Persons::Age Groups::Adult [Medical Subject Headings]educationExercisePain neuroscience educationAgedPrimary Health Carebusiness.industryPhysical exercise:Persons::Persons::Age Groups::Adult::Middle Aged [Medical Subject Headings]:Diseases::Musculoskeletal Diseases::Bone Diseases::Spinal Diseases [Medical Subject Headings]Dolor crónicomedicine.diseaseExercise Therapy/methodsClinical trialPotocolos clínicoslcsh:RC925-935businessNeuroscienceEducational program030217 neurology & neurosurgerydescription
AbstractBackgroundChronic 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.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2019-11-03 |