None listed
Conditions
Brief summary
Pain is multifactorial and involves both biological and psychological components. Multi-disciplinary treatment approaches incorporating drugs, cognitive-behavioural therapy and exercise interventions are the most efficacious for managing chronic pain. Single sessions of exercise and pain education are both demonstrated to have positive effects on pain in people with chronic pain such as fibromyalgia and osteoarthritis, however it is not known whether pain education delivered immediately prior to exercise can enhance the efficacy of exercise in relieving pain. Recent studies from our group have identified that the pain relieving effects of exercise involve a psychological component that influences the appraisal of pain; this would likely be augmented by a combination of exercise and education. The current project will examine the effect of explicit pain education about the pain relieving effect of exercise, compared to more general exercise and pain education, on pain responses to exercise in people with chronic pain (fibromyalgia and osteoarthritis) and healthy individuals. The results will provide insight into: 1) the impact of pain education on the pain response to exercise; and 2) whether this differs between healthy individuals and people with chronic pain. The outcomes may have implications for how exercise and pain education are combined in clinical practice in the management of chronic pain.
Interventions
The intervention will involve general education about pain during exercise followed by explicit education about pain relieving effects of exercise. The education will be delivered face to face by an Accredited Exercise Physiologist on an individual basis but will not be personalised for each participant. The intervention education component of the experiment will last approximately 15 minutes and the entire experimental session will last approximately 60 - 90 minutes with the rest of the experim
The intervention will involve general education about pain during exercise followed by explicit education about pain relieving effects of exercise. The education will be delivered face to face by an Accredited Exercise Physiologist on an individual basis but will not be personalised for each participant. The intervention education component of the experiment will last approximately 15 minutes and the entire experimental session will last approximately 60 - 90 minutes with the rest of the experimental session to consist of participants completing questionnaires relating to their health and level of physical activity (30 min), a bout of aerobic exercise (20 min), and assessments of pressure pain threshold before and after exercise (10 min). All testing will be performed at Neuroscience Research Australia. For participants in the chronic pain group, abstinence from analgesic medication(s) must begin 23 hours prior to the start of their experimental session.
Sponsors
The University of New South Wales
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Participants in the chronic pain group must be able to speak, read and write English and have a specialist diagnosis of knee or hip osteoarthritis or fibromyalgia. Participants in the chronic pain group must also be able to refrain from analgesic medications for 24 hours. Participants in the healthy group must be able to speak, read and write English.
Exclusion criteria
For both groups: presence of a severe psychiatric, cardiovascular, pulmonary, metabolic and/or neurological disease or any other reason that it is not medically suitable for them to perform aerobic exercise. For the chronic pain group: any other type of arthritis apart from osteoarthritis of the knee or hip or another cause of chronic pain other than osteoarthritis or fibromyalgia. For the healthy group: currently experiencing pain, experienced musculoskeletal pain in the past 3 months, or have a history of chronic pain.
Outcome results
None listed