Low Back Pain
Conditions
Interventions
This is a two-arm, double-blind, randomized clinical trial. The sample will be composed of volunteers with chronic low back pain (CLBP), aged between 18 and 59 years, without any other chronic and/or
b) baseline evaluation
and final reevaluation. The outcome variables will be representative of psychosocial, neuromuscular and locomotor aspects. Education in neurophysiology of pain (NPE): Two visits, distributed in one we
b) basic information on chronic pain
c) multifactorial aspects of the pain experience
d) guidelines and strategies for pain management. CONTROL: Video classes, of approximately 20 minutes each, allocated to two visits (one per visit), distributed over one week. They will conta
Sponsors
Universidade Estadual do Oeste do Paraná
Universidade Estadual do Oeste do Paraná
Eligibility
Age
18 Years to 59 Years
Inclusion criteria
Inclusion criteria: Physically inactive volunteers; aged between 18 and 59 years; both genders; with report of persistent or intercurrent low back pain for more than three months; low back pain, with physical characteristics compatible with mechanical etiology according to the evaluation and treatment guidelines proposed by the American College of Physicians and by the American Pain Society
Exclusion criteria
Exclusion criteria: History of spinal surgery; pregnancy; absence of safe hemodynamic conditions to perform walking or clinical tests; significant increase in pain during the tests, making walking an intolerant activity by the perception of the volunteer; worsening of the chronic condition on the day of the test, identified by pain intensity measured by the visual analog scale (VAS), at rest, greater than eight; symptoms of acute diseases, such as colds and flu; body mass index (BMI) greater than 30
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluation of locomotor parameters (self-selected walking speed) and muscle strength (trunk extensor strength) before and after 2 Pain Neurophysiology Education classes. The changes in pain beliefs induced by the intervention are expected to affect psychosocial aspects and, as a consequence, make walking speed faster and increase the ability to generate force | — |
Secondary
| Measure | Time frame |
|---|---|
| Psychosocial parameters (kinesiophobia, catastrophizing, qualitative pain perception and knowledge of pain neurophysiology) before and after 2 Pain Neurophysiology Education classes. Pain neurophysiology education is expected to modify psychosocial aspects by reducing kinesiophobia, catastrophizing, and pain perception, while increasing the volunteer's knowledge of pain processing | — |
Countries
Brazil
Contacts
Public ContactAlberito Carvalho
Universidade Estadual do Oeste do Paraná
Outcome results
None listed