Influence of Health Determinants on Physical Exercise Therapy With a Neurocognitive Focus on Chronic Low Back Pain

Fundació Universitària del Bages

Status: Unknown

Conditions: Chronic Low-back Pain

Treatments: Behavioral: Group of educational intervention on the neurophysiology of pain and physical exercises; Behavioral: Control group

Study type: Interventional

Funder types: Other

Identifiers

NCT04115670

UManresa_Caregivers2019

Details and patient eligibility

About

Protocols in which pain neuroscience education is combined with physical exercise have shown recently greater effectiveness in the treatment of low back pain in comparison to protocols based only on one of the two approaches. The professional caregiver has a high incidence of low back pain related to the specific aspects of this collection with the low physical condition, the typical tasks performed and other psychosocial aspects. Individual characteristics of these caregivers may condition the effectiveness of the therapy as well as demographic aspects or the alliance between patient and physiotherapist. The aim of this study is to determine the influence of certain health determinants on the effectiveness of a therapy that combines pain neuroscience education and motor control training from a neurocognitive perspective on chronic low back pain in a population of professional caregivers in Bages, analyzing the reduction of low back pain, the improvement of functionality, the reduction of muscle movement and the improvement of muscle coordination.

It will be a quasi-experimental pre-post design, prospective, with a control group, lasting 3 months. The intervention will be performed using a sample of professional caregivers, and the data will be collected before the intervention, at the end of the intervention, and 3-6 months after the intervention. Pain, functionality, conducts of fear/avoidance, and muscular coordination will be analyzed

Enrollment: 50 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Of legal age
• Participants who present lumbar or lumbosacral pain all the time for more than 1 year
• Score of 6 on the Visual Analogical Scale
• Have been at work (same position) longer than 1 year

Exclusion criteria

• Other alterations and diseases of the musculoskeletal system that may interfere with the results of the intervention.
• Pregnancy during the study time
• Older than 65 years old

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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50 participants in 2 patient groups

specific intervention (experimental)

Experimental group

Description:

Specific intervention (experimental). The intervention group will carry out 3 sessions of specific pain education + 15 sessions of physical training.

Treatment:

Behavioral: Group of educational intervention on the neurophysiology of pain and physical exercises

control group (no intervention)

Active Comparator group

Description:

NO intervention

Treatment:

Behavioral: Control group