Physical Disability
Conditions
Keywords
Musculoskeletal disorders, Psychosomatic, Pain
Brief summary
The aim is to examine the effect of Norwegian Psychomotor Physiotherapy (NPMP) in employees with long-lasting musculoskeletal pain compared to employees receiving Cognitive Patient Education in combination with active individual physiotherapy (COPE-PT) on pain, function, quality of life and sick-leave
Detailed description
The NPMP is based on the assumption that patients with long-lasting problems, physical and/or psychological, may react with general aberrations related to posture, respiration, and movements, as well as with muscular tension and skin changes. Employees With Long lasting musculoskeletal pain problems, working in the Municipality of Bergen, will be invited to participate in an Randomized Clinical Trial (RCT), and randomized to either receive Norwegian Psychomotor Physiotherapy (NPMP) or a series of Cognitive Patient Education in combination with active individual physiotherapy (COPE-PT). The aim is to examine the effect of NPMP compared to those receiving COPE-PT on pain, function, quality of life and sick-leave.
Interventions
The recruited patients will after randomization receive either Norwegian Psychomotor Physiotherapy (NPMP) or COPE combined with active individual physiotherapy. In NPMP the treatment is individualized, targeting body-mind awareness through exercise, massage and therapeutic conversation
OTHERCognitive Patient Education and PT
The comparison group will receive a combination of education about how to manage pain (COPE) followed by active individual physiotherapy.
Sponsors
Norwegian Fund for Postgraduate Training in Physiotherapy
Tove Dragesund
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 67 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients With neck,shoulder and/or widespread pain * Pain (≥ 3 Numeric Pain Rating Scale (NPRS) * Functional problems measured with Orebro Musculoskeletal Pain Screening Questionnaire (OMPSQ), Neck Disability Index (NDI) and/or Shoulder Pain and Disability Inventory (SPADI)-been sick-listed for 4-8 weeks, or on the brink of becoming sick-listed, or having had residual neck- and shoulder complaints problems during the last two years with several short-term sick-leaves. * =/6 American College of Rheumatology (ACR) tender points, * Reduced Relaxation and Flexibility from the Global Physiotherapy Examination (GPE)
Exclusion criteria
* Sick-listed \> 6 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain | Change from baseline in pain at 3 months, at 6 months and 12 months. | Pain on the Numeric Pain Rating Scale (NPRS) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain | Change from baseline in wellbeing at 3 months, at 6 months and 12 months. | Wellbeing on the Short Form-12 Health Survey (SF-12) |
Countries
Norway
Outcome results
None listed