Low Back Pain
Conditions
Keywords
low back pain, pain neurophysiology education, motor control
Brief summary
The purpose of the present study is to evaluate whether the addition of two pain neurophysiology education sessions to motor control training may result in an improvement of the outcome measures of pain and disability, compared to motor control training alone.
Detailed description
Sixty-two subjects with unspecific low-back pain were randomly recruited for the present study. The subjects were randomly allocated to a control group (which received only motor control training) and an intervention group (which underwent two pain neurophysiology education sessions prior to motor control training). Primary outcome measures were pain (measured with the Visual Analogical Scale) and disability (measured with the Oswestry Disability Index). Secondary outcome measures are kinesiophobia (Tampa Scale for Kinesiophobia), the global perceived effect (Global Perceived Effect Scale) and quality of life (SF-12). These will be measured before the intervention, at the end of the intervention, and 3 and 6 months after ending the intervention.
Interventions
BEHAVIORALmotor control training
Exercises to strengthen the lumbar musculature and control the posture.
BEHAVIORALpain neurophysiology education
Educational sessions to improve patient's neurophysiology of pain knowledge.
Sponsors
Hospital Universitario Fundación Alcorcón
FUNDACION PARA LA INVESTIGACION HOSPITAL CLINICO SAN CARLOS
Universidad Complutense de Madrid
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Unspecific low back pain for at least 3 months * Patients must be knowledgeable in the language in which the educational sessions will be provided (Spanish)
Exclusion criteria
* Specific low back pain (e.g. infection, tumor, fracture, radiculopathy). * Signs and symptoms of neuropathic pain or generalized chronic pain. * History of lumbar or cervical spine surgery. * Pregnancy. * Concomitant pathologies that impede the performance of exercises. * Psychiatric treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in pain at different time points | Assessed before the intervention, at the end of the 4-week motor control intervention and 3 and 6 months after the end of the intervention | Visual Analogic Scale |
| Change in disability at different time points | Assessed before the intervention, at the end of the 4-week motor control intervention and 3 and 6 months after the end of the intervention | Oswestry Disability Index |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in kinesiophobia at different time points | Assessed before the intervention, at the end of the 4-week intervention and 3 and 6 months after the end of the intervention | Tampa Scale of Kinesiophobia |
| Change in Global Perceived Effect at different time points | Assessed before the intervention, at the end of the 4-week motor control intervention and 3 and 6 months after the end of the intervention | Global Perceived Effect Scale |
| Change in quality of life at different time points | Assessed before the intervention, at the end of the 4-week motor control intervention and 3 and 6 months after the end of the intervention | SF-12 questionnaire |
Countries
Spain
Outcome results
None listed