Chronic Pain
Conditions
Brief summary
The primary objectives of this study are to: * Evaluate recruitment procedures and adherence rates; * Evaluate the ability to understand the concepts of pain neurophysiology; * Evaluate the acceptability of an intervention program based on pain neuroscience education and exercise by institutionalized older adults and the institutions where they are.
Detailed description
Participants will be older adults with pain that are institutionalized and assess the feasibility of implementing an intervention consisting of pain neuroscience education in addition to exercise. It is antecipated that the intervention will consist of 1 to 2 sessions per week during 8 weeks and will be delivered in small groups. Participants will be assessed for pain intensity, duration, catastrophizing, fear of movement, knowledge of pain neuroscience, depression and performance.
Interventions
OTHERPain neuroscience education
PNE will be conducted in line with international guidelines and will cover the neurophysiology of pain, transition from acute to chronic pain and the nervous system ability to modulate the pain experience.
OTHERExercise
Exercise will be provided in different formats including general exercise, strengthening, dance.
Sponsors
Aveiro University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Be institutionalized in any type of response (nursing home, day care, ...), be able to read and write, have chronic pain (defined as pain lasting 3 months or more and felt at least once a week during these 3 months ) anywhere in the body, and have a statement from the institution's physician authorizing participation in the exercise sessions.
Exclusion criteria
* Have any contra-indication to exercise and have cognitive limitations (evaluated through the Montreal Cognitive Assessment questionnaire).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | Baseline | Assessed using the vertical numeric rating scale that assesses pain intensity (range 0-10 and higher values are indicative of higher pain intensity) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain frequency | Baseline | Assessed using a closed question on pain frequency for the last week |
| Depression | Baseline | Assessed using the Geriatric Depression Scale (range 0-15 and values of 5 or higher are indicative of depression) |
| Knowledge of pain neuroscience | Baseline | Assessed using the pain neurophysiology questionnaire |
| Pain location | Baseline | Assessed using a body chart where the patients identifies the painful body segments |
| Fear of movement | Baseline | Assessed using the TAMPA Scale, which assesses fear of movement (range: 13-52 and higher values are indicative of higher levels of fear of movement) |
| Gait velocity | Baseline | Assessed using the gait velocity test - the time, in seconds, that each participant takes to walk 4 meters |
| Postural control | Baseline | Assessed using the Timed up and go test - the time, in seconds, that it takes to stand from a chair, walk 3 meters, turn, walk another 3 meters to sit in the chair. |
| Pain catastrophizing | Baseline | assessed using the Pain Catastrophizing Scale (range 0-52 and higher values are indicative of higher pain catastrophizing) |
Countries
Portugal
Outcome results
None listed