PDF(Pubmed)
Abstract：
UNASSIGNED: (1) This trial will compare the clinical and psychosocial effectiveness of in-group and individually pain neuroscience education (PNE) in patients with chronic low back pain (CLBP). In addition, (2) the influence of social determinants of health on post-treatment results will be analyzed.
UNASSIGNED: A three-arm randomized controlled trial will be conducted. Sixty-nine participants with CLBP will be recruited in a 1:1:1 ratio. Participants, assessor, and statistician will be blinded to group assignment. The PNE intervention will be adapted to the context of the participants. An experimental group (n = 33) will receive PNE in an in-group modality, the other experimental group (n = 33) will receive PNE in an individually modality and the control group (n = 33) will continue with usual care. Additionally, participants will be encouraged to stay active by walking for 20-30 min 3-5 times per week and will be taught an exercise to improve transversus abdominis activation (bracing or abdominal following). The outcome measures will be fear avoidance and beliefs, pressure pain threshold, pain self-efficacy, catastrophizing, pain intensity, and treatment expectation. Outcome measures will be collected at one-week before intervention, immediately post-intervention, and four-weeks post-intervention.
UNASSIGNED: The innovative approach of PNE oriented to fear beliefs proposed in this study could broaden the application strategies of this educational therapeutic modality. Impact. Contextualized PNE delivered by physical therapist could be essential to achieve a good cost-effectiveness ratio of this intervention to improve the clinical condition of people with CLBP.
UNASSIGNED: A three-arm randomized controlled trial will be conducted. Sixty-nine participants with CLBP will be recruited in a 1:1:1 ratio. Participants, assessor, and statistician will be blinded to group assignment. The PNE intervention will be adapted to the context of the participants. An experimental group (n = 33) will receive PNE in an in-group modality, the other experimental group (n = 33) will receive PNE in an individually modality and the control group (n = 33) will continue with usual care. Additionally, participants will be encouraged to stay active by walking for 20-30 min 3-5 times per week and will be taught an exercise to improve transversus abdominis activation (bracing or abdominal following). The outcome measures will be fear avoidance and beliefs, pressure pain threshold, pain self-efficacy, catastrophizing, pain intensity, and treatment expectation. Outcome measures will be collected at one-week before intervention, immediately post-intervention, and four-weeks post-intervention.
UNASSIGNED: The innovative approach of PNE oriented to fear beliefs proposed in this study could broaden the application strategies of this educational therapeutic modality. Impact. Contextualized PNE delivered by physical therapist could be essential to achieve a good cost-effectiveness ratio of this intervention to improve the clinical condition of people with CLBP.
摘要：
■（1）该试验将比较慢性下腰痛（CLBP）患者的团体和个人疼痛神经科学教育（PNE）的临床和社会心理有效性。此外,（2）将分析健康的社会决定因素对后处理结果的影响。
■将进行一项三臂随机对照试验。69名CLBP参与者将以1：1：1的比例招募。参与者,评估师,统计学家将对小组分配视而不见。PNE干预将根据参与者的情况进行调整。实验组（n=33）将以组内方式接受PNE，另一个实验组(n=33)将以单独方式接受PNE,对照组(n=33)将继续常规治疗.此外,参与者将被鼓励通过每周3-5次步行20-30分钟保持活跃,并将被教导一项运动来改善腹横肌激活(支撑或腹部跟随).结果将是避免恐惧和信念，压力痛阈值，疼痛自我效能感，灾难，疼痛强度，和治疗期望。结果措施将在干预前一周收集，立即干预后，和干预后四周。
■本研究中提出的针对恐惧信念的PNE创新方法可以拓宽这种教育治疗方式的应用策略。影响。物理治疗师提供的语境化PNE对于实现这种干预的良好成本效益比以改善CLBP患者的临床状况至关重要。
■将进行一项三臂随机对照试验。69名CLBP参与者将以1：1：1的比例招募。参与者,评估师,统计学家将对小组分配视而不见。PNE干预将根据参与者的情况进行调整。实验组（n=33）将以组内方式接受PNE，另一个实验组(n=33)将以单独方式接受PNE,对照组(n=33)将继续常规治疗.此外,参与者将被鼓励通过每周3-5次步行20-30分钟保持活跃,并将被教导一项运动来改善腹横肌激活(支撑或腹部跟随).结果将是避免恐惧和信念，压力痛阈值，疼痛自我效能感，灾难，疼痛强度，和治疗期望。结果措施将在干预前一周收集，立即干预后，和干预后四周。
■本研究中提出的针对恐惧信念的PNE创新方法可以拓宽这种教育治疗方式的应用策略。影响。物理治疗师提供的语境化PNE对于实现这种干预的良好成本效益比以改善CLBP患者的临床状况至关重要。
