Effectiveness of in-group versus individually administered pain neuroscience education on clinical and psychosocial outcomes in patients with chronic low back pain: randomized controlled study protocol
Effectiveness of in-group versus individually administered pain neuroscience education on clinical and psychosocial outcomes in patients with chronic low back pain: randomized controlled study protocol
Authors
Salazar Mendez, Joaquin
Cuyul Vasquez, Ivan
Ponce Fuentes, Felipe
Nunez Cortes, Rodrigo
Mendez Rebolledo, Guillermo
Fuentes, Jorge
Cuyul Vasquez, Ivan
Ponce Fuentes, Felipe
Nunez Cortes, Rodrigo
Mendez Rebolledo, Guillermo
Fuentes, Jorge
Profesor GuĆa
Authors
Date
Datos de publicaciĆ³n:
10.7717/peerj.17507
PEERJ,Vol.12,2024
Tipo de recurso
WOS
Keywords
Materia geogrƔfica
Collections
Abstract
Objective . (1) This trial will compare the clinical and psychosocial effectiveness of in-group and individually pain neuroscience education (PNE) in patients with chronic low back pain (CLBP). In addition, (2) the influence of social determinants of health on post -treatment results will be analyzed. Methods . A three -arm randomized controlled trial will be conducted. Sixty-nine participants with CLBP will be recruited in a 1:1:1 ratio. Participants, assessor, and statistician will be blinded to group assignment. The PNE intervention will be adapted to the context of the participants. An experimental group ( n = 33) will receive PNE in an in-group modality, the other experimental group ( n = 33) will receive PNE in an individually modality and the control group ( n = 33) will continue with usual care. Additionally, participants will be encouraged to stay active by walking for 20- 30 min 3-5 times per week and will be taught an exercise to improve transversus abdominis activation (bracing or abdominal following). The outcome measures will be fear avoidance and beliefs, pressure pain threshold, pain self -efficacy, catastrophizing, pain intensity, and treatment expectation. Outcome measures will be collected at one -week before intervention, immediately post -intervention, and four -weeks postintervention. Conclusion . The innovative approach of PNE oriented to fear beliefs proposed in this study could broaden the application strategies of this educational therapeutic modality. Impact. Contextualized PNE delivered by physical therapist could be essential to achieve a good cost-effectiveness ratio of this intervention to improve the clinical condition of people with CLBP.