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| Name | Class |
|---|---|
| Norwegian Fund for Postgraduate Training in Physiotherapy | OTHER |
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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
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Norwegian Psychomotor Physiotherapy | Experimental | 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. |
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| Cognitive Patient Education and PT | Active Comparator | 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). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Norwegian Psychomotor Physiotherapy | Other | The recruited patients will after randomization receive either Norwegian Psychomotor Physiotherapy (NPMP) or COPE combined with active individual physiotherapy. In NPMP the treatment is individualized, targeting body-mind awareness through exercise, massage and therapeutic conversation |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain | Pain on the Numeric Pain Rating Scale (NPRS) | Change from baseline in pain at 3 months, at 6 months and 12 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain | Wellbeing on the Short Form-12 Health Survey (SF-12) | Change from baseline in wellbeing at 3 months, at 6 months and 12 months. |
| Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alice Kvåle, PhD | University of Bergen | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Global Public Health and Primary Care, UiB | Bergen | Hordaland | 5018 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27496046 | Derived | Dragesund T, Kvale A. Study protocol for Norwegian Psychomotor Physiotherapy versus Cognitive Patient Education in combination with active individualized physiotherapy in patients with long-lasting musculoskeletal pain - a randomized controlled trial. BMC Musculoskelet Disord. 2016 Aug 5;17:325. doi: 10.1186/s12891-016-1159-8. |
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| ID | Term |
|---|---|
| D009140 | Musculoskeletal Diseases |
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Cognitive Patient Education and PT | Other | The comparison group will receive a combination of education about how to manage pain (COPE) followed by active individual physiotherapy. |
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Sick-leave |
| Change from baseline in sick-leave at 3 months, at 6 months and 12 months. |
| Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain | Function on the Shoulder Pain and Disability Inventory (SPADI) | Change from baseline in shoulder function at 3 months, at 6 months and 12 months. |
| Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain | Function on the Norwegian Functional Assessment Scale (NFAS) | Change from baseline work related function at 3 months, at 6 months and 12 months. |
| Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain | Neck Disability Index (NDI) | Change from baseline neck function at 3 months, at 6 months and 12 months. |
| Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain | Global Body Examination-Flexibility (GBE) | Change from baseline flexibility at 6 months. |