Low Back Pain, Pain, Back, Pain, Chronic
Conditions
Brief summary
To determine if Pain Neuroscience Education (PNE) would result in positive clinical changes in patients presenting with acute or sub-acute low back pain (LBP).
Detailed description
Background: Pain neuroscience education (PNE) has shown efficacy in treating chronic pain. Clinicians may believe PNE is not suitable for acute and sub-acute pain. Subgroupings of low back pain (LBP) imply some patients with LBP may respond favorably to PNE. Objective: To determine if PNE would result in positive clinical changes in patients presenting with acute or sub-acute LBP. Methods: Eighty consecutive patients with LBP \< 3 months were enrolled in the study. Patients completed a demographics questionnaire, leg and LBP rating (Numeric Pain Rating Scale - NPRS), disability (Oswestry Disability Index), fear-avoidance (Fear-Avoidance Beliefs Questionnaire), pain catastrophization (Pain Catastrophization Scale), central sensitization (Central Sensitization Inventory), pain knowledge (Revised Neurophysiology of Pain Questionnaire), risk assessment (Keele STarT Back Screening Tool), active trunk flexion and straight leg raise (SLR). Patients received a 15-minute verbal, one-on-one PNE session, followed by repeat measurement of LBP and leg pain (NPRS), trunk flexion and SLR.
Interventions
BEHAVIORALPain Neuroscience Education
15 minute verbal one-on-one education session
Sponsors
St. Ambrose University
University of Nevada, Las Vegas
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Observational cohort
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* a complaint of LBP with or without leg pain less than 3 months, and * a willingness to participate
Exclusion criteria
* a) were under age 18 (minor); * b) had undergone lumbar surgery; * c) could not read or understand the English language; * d) presented with any cognitive deficits rendering them unsuitable for PNE (i.e., stroke, traumatic brain injury, etc.), * e) declined to participate or * f) presented with a medical etiology (red flag) associated with their LBP.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| NPRS - LBP | Immediate change from baseline after assigned intervention | Numeric Pain Rating Scale for Low Back Pain (Range 0 = no pain to 11 = maximum pain) |
| NPRS - Leg pain | Immediate change from baseline after assigned intervention | Numeric Pain Rating Scale for leg pain (Range 0 = no pain to 11 = maximum pain) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Active trunk flexion | Immediate change from baseline in centimeters after assigned intervention | Active trunk flexion measured in centimeters from fingertips to floor |
| Passive Straight Leg Raise | Immediate change from baseline in angular degrees after assigned intervention | Range of hip flexion angle during passive straight leg raise test measured in degrees |
Countries
United States
Outcome results
None listed