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The primary objectives of this study are to:
Participants will be older adults with pain that are institutionalized and assess the feasibility of implementing an intervention consisting of pain neuroscience education in addition to exercise. It is antecipated that the intervention will consist of 1 to 2 sessions per week during 8 weeks and will be delivered in small groups. Participants will be assessed for pain intensity, duration, catastrophizing, fear of movement, knowledge of pain neuroscience, depression and performance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pain neuroscience and exercise | Experimental | Participants will received an 8 week intervention consisting of pain neuroscience education and exercise. Pain neuroscience education will be conducted in line with international guidelines, covering the neurophysiology of pain, transition from from acute to chronic pain and the nervous system ability to modulate the pain experience. exercise will include general exercise and dance. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pain neuroscience education | Other | PNE will be conducted in line with international guidelines and will cover the neurophysiology of pain, transition from acute to chronic pain and the nervous system ability to modulate the pain experience. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity | Assessed using the vertical numeric rating scale that assesses pain intensity (range 0-10 and higher values are indicative of higher pain intensity) | Baseline |
| Pain intensity | Assessed using the vertical numeric rating scale that assesses pain intensity (range 0-10 and higher values are indicative of higher pain intensity) | 9 weeks |
| Pain intensity | Assessed using the vertical numeric rating scale that assesses pain intensity (range 0-10 and higher values are indicative of higher pain intensity) | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pain location | Assessed using a body chart where the patients identifies the painful body segments | Baseline |
| Pain location | Assessed using a body chart where the patients identifies the painful body segments |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anabela Silva, PhD | Aveiro University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lar de Fermentelos | Águeda Municipality | Portugal |
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| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Exercise | Other | Exercise will be provided in different formats including general exercise, strengthening, dance. |
|
| 9 weeks |
| Pain location | Assessed using a body chart where the patients identifies the painful body segments | 3 months |
| Pain frequency | Assessed using a closed question on pain frequency for the last week | Baseline |
| Pain frequency | Assessed using a closed question on pain frequency for the last week | 9 weeks |
| Pain frequency | Assessed using a closed question on pain frequency for the last week | 3 months |
| Depression | Assessed using the Geriatric Depression Scale (range 0-15 and values of 5 or higher are indicative of depression) | Baseline |
| Depression | Assessed using the Geriatric Depression Scale (range 0-15 and values of 5 or higher are indicative of depression) | 9 weeks |
| Depression | Assessed using the Geriatric Depression Scale (range 0-15 and values of 5 or higher are indicative of depression) | 3 months |
| Knowledge of pain neuroscience | Assessed using the pain neurophysiology questionnaire | Baseline |
| Knowledge of pain neuroscience | Assessed using the pain neurophysiology questionnaire (range 0-19 and higher values are indicative of more knowledge on pain neurophysiology) | 9 weeks |
| Knowledge of pain neuroscience | Assessed using the pain neurophysiology questionnaire (range 0-19 and higher values are indicative of more knowledge on pain neurophysiology) | 3 months |
| Pain catastrophizing | assessed using the Pain Catastrophizing Scale (range 0-52 and higher values are indicative of higher pain catastrophizing) | Baseline |
| Pain catastrophizing | assessed using the Pain Catastrophizing Scale (range 0-52 and higher values are indicative of higher pain catastrophizing) | 9 weeks |
| Pain catastrophizing | assessed using the Pain Catastrophizing Scale (range 0-52 and higher values are indicative of higher pain catastrophizing) | 3 months |
| Fear of movement | Assessed using the TAMPA Scale, which assesses fear of movement (range: 13-52 and higher values are indicative of higher levels of fear of movement) | Baseline |
| Fear of movement | Assessed using the TAMPA Scale (range: 13-52 and higher values are indicative of higher levels of fear of movement) | 9 weeks |
| Fear of movement | Assessed using the TAMPA Scale (range: 13-52 and higher values are indicative of higher levels of fear of movement) | 3 months |
| Gait velocity | Assessed using the gait velocity test - the time, in seconds, that each participant takes to walk 4 meters | Baseline |
| Gait velocity | Assessed using the gait velocity test - the time, in seconds, that each participant takes to walk 4 meters | 9 weeks |
| Gait velocity | Assessed using the gait velocity test - the time, in seconds, that each participant takes to walk 4 meters | 3 months |
| Postural control | Assessed using the Timed up and go test - the time, in seconds, that it takes to stand from a chair, walk 3 meters, turn, walk another 3 meters to sit in the chair. | Baseline |
| Postural control | Assessed using the Timed up and go test - the time, in seconds, that it takes to stand from a chair, walk 3 meters, turn, walk another 3 meters to sit in the chair. | 9 weeks |
| Postural control | Assessed using the Timed up and go test - the time, in seconds, that it takes to stand from a chair, walk 3 meters, turn, walk another 3 meters to sit in the chair. | 3 months |