Exercise, PNE and Cognitive Training in Individuals With Chronic Low Back Pain

Aveiro University

Status: Enrolling

Conditions: Chronic Low-back Pain

Treatments: Other: Experimental; Other: Exercise and PNE; Other: Cognitive training

Study type: Interventional

Funder types: Other; NETWORK

Identifiers

NCT05777343

RCTCognitiveTraining

Details and patient eligibility

About

This study aims of to investigate whether combining cognitive training to exercise and Pain Neuroscience Education will contribute to reduction of pain and associated symptoms (i.e., catastrophizing, fear of movement, disability) in individuals with low back pain (LBP).

Full description

This study aims of to investigate whether combining cognitive training to exercise and Pain Neuroscience Education (PNE) will contribute to reduction of pain and associated symptoms (i.e., catastrophizing, fear of movement, disability) in individuals with low back pain (LBP).

It will have three arms of which will receive exercise, PNE and/or cognitive training for 8 weeks (Group I - exercise and PNE; Group II - exercise, PNE and cognitive training; Group III - cognitive training).

Participants will be assessed for pain characteristics, psychological, and cognitive aspects at baseline, post-intervention and at 3 months follow-up.

Enrollment: 83 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• have chronic idiopathic LBP
• report pain intensity of at least 2 out of 10 on the Numeric Pain Rating Scale
• 18 to 64 years old
• Be able to read, write and speak Portuguese
• Asses to personal computer and internet for those receiving cognitive training

Exclusion criteria

• individuals receiving any chronic treatment for their pain
• symptoms of peripheral nervous system pathology (e.g., motor weakness and sensory disturbance);
• a diagnosis of an ongoing neurological disease with peripheral or central nervous system involvement or relevant sequela;
• having a diagnosis of ongoing psychiatric disease
• having relevant cognitive impairment as assessed by Montreal Cognitive Assessment (MoCA).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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83 participants in 3 patient groups

Intervention 1

Experimental group

Description:

Participants will receive exercise, PNE and online cognitive training sessions.

Treatment:

Other: Experimental

Intervention 2

Active Comparator group

Description:

Participants will receive exercise and pain neuroscience education (PNE).

Treatment:

Other: Exercise and PNE

Intervention 3

Active Comparator group

Description:

Participants will receive online cognitive training sessions.

Treatment:

Other: Cognitive training