Norwegian Psychomotor Physiotherapy in Patients With Long-lasting Musculoskeletal Pain. (NPMP)

Tove Dragesund

Status: Completed

Conditions: Physical Disability

Treatments: Other: Cognitive Patient Education and PT; Other: Norwegian Psychomotor Physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT02482792

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Details and patient eligibility

About

The aim is to examine the effect of Norwegian Psychomotor Physiotherapy (NPMP) in employees with long-lasting musculoskeletal pain compared to employees receiving Cognitive Patient Education in combination with active individual physiotherapy (COPE-PT) on pain, function, quality of life and sick-leave

Full description

The NPMP is based on the assumption that patients with long-lasting problems, physical and/or psychological, may react with general aberrations related to posture, respiration, and movements, as well as with muscular tension and skin changes.

Employees With Long lasting musculoskeletal pain problems, working in the Municipality of Bergen, will be invited to participate in an Randomized Clinical Trial (RCT), and randomized to either receive Norwegian Psychomotor Physiotherapy (NPMP) or a series of Cognitive Patient Education in combination with active individual physiotherapy (COPE-PT). The aim is to examine the effect of NPMP compared to those receiving COPE-PT on pain, function, quality of life and sick-leave.

Enrollment: 128 patients

Sex: All

Ages: 18 to 67 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients With neck,shoulder and/or widespread pain
• Pain (≥ 3 Numeric Pain Rating Scale (NPRS)
• Functional problems measured with Orebro Musculoskeletal Pain Screening Questionnaire (OMPSQ), Neck Disability Index (NDI) and/or Shoulder Pain and Disability Inventory (SPADI)-been sick-listed for 4-8 weeks, or on the brink of becoming sick-listed, or having had residual neck- and shoulder complaints problems during the last two years with several short-term sick-leaves.
• =/6 American College of Rheumatology (ACR) tender points,
• Reduced Relaxation and Flexibility from the Global Physiotherapy Examination (GPE)

Exclusion criteria

• Sick-listed > 6 months

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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128 participants in 2 patient groups

Norwegian Psychomotor Physiotherapy

Experimental group

Description:

NPMP is a body-mind awareness approach, often given in a combination of massage, exercises and conversations. The NPMP is individualized, with duration of 45-60 minutes in each session. As the NPMP is a longitudinal and normally slow process to obtain change, treatment can last up till one year, in the beginning once a week, and after some time once a month.

Treatment:

Other: Norwegian Psychomotor Physiotherapy

Cognitive Patient Education and PT

Active Comparator group

Description:

The comparison group will receive a combination of education about how to manage pain (COPE) followed by active individual physiotherapy.They will receive one session weekly with COPE, given by a physiotherapist, maximum 4 times, followed by active individual Physiotherapy (PT).

Treatment:

Other: Cognitive Patient Education and PT