PDF(Pubmed)
Abstract：
Background: Chronic non-specific low back pain is a non-harmous condition often found in the general population. It is one of the most significant disabilities and needs different treatment modalities. This study investigates the effects of pain neuroscience education and physiotherapy on pain intensity, fear of movement and functional status in a Lithuanian cohort with non-specific low back pain. Methods: The study was performed at the primary health care unit in Kaunas, Lithuania. The key inclusion criterion was persistent non-specific low back pain longer than three months and which affects daily life functions. Thirty participants (mean 33.47, SD 4.38 years age, 70% women) were randomised into two training groups with and without pain neuroscience education (for a total of 60 min of teaching). Physiotherapy was performed twice per week during 45 min/session for a period of 10 weeks with exercises which strengthen, stabilize, and stretch the spinal cord muscles. Outcomes included pain intensity, kinesiophobia and disability and these were measured by self-scored questionnaires (numeric rating scale, Tampa scale for kinesiophobia-11, Oswestry disability index and the Roland-Morris questionnaire, respectively). Results: The results indicate that both groups improved in the measured outcomes, with the only difference between them being a better improvement in kinesiophobia in the group receiving physiotherapy and pain neuroscience education. Conclusions: The results of this study confirm that a relatively short intervention of pain neuroscience education enhances the effects of physiotherapy and should be implemented in clinical practice.
摘要：
背景：慢性非特异性下腰痛是一种常见的非危害性疾病。它是最严重的残疾之一，需要不同的治疗方式。这项研究调查了疼痛神经科学教育和物理治疗对疼痛强度的影响，立陶宛非特异性下腰痛队列中对运动和功能状态的恐惧。方法：这项研究是在考纳斯的初级卫生保健单位进行的，立陶宛。关键的纳入标准是持续的非特异性下腰痛超过三个月，这会影响日常生活功能。30名参与者(平均年龄33.47，SD4.38岁，70％的女性）被随机分为两个有和没有疼痛神经科学教育的训练组（总共60分钟的教学）。每周进行两次物理治疗，每次45分钟，持续10周，并进行锻炼，稳定,拉伸脊髓肌肉。结果包括疼痛强度，运动恐惧症和残疾，这些是通过自我评分问卷(数字评定量表，运动恐惧症的坦帕量表-11，Oswestry残疾指数和Roland-Morris问卷，分别)。结果：结果表明，两组的测量结果均有所改善，它们之间的唯一区别是在接受物理治疗和疼痛神经科学教育的组中，运动恐惧症的改善更好。结论：本研究结果证实，相对较短的疼痛神经科学教育干预可增强物理治疗的效果，应在临床实践中实施。
