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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| specific intervention (experimental) | Experimental | Specific intervention (experimental). The intervention group will carry out 3 sessions of specific pain education + 15 sessions of physical training. |
|
| control group (no intervention) | Active Comparator | NO intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group of educational intervention on the neurophysiology of pain and physical exercises | Behavioral | The physiotherapist of the institution will execute the intervention on the group:
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Pain perceived at 3 months: Visual Analogue Scale | Analisis of pain, using the Visual Analogue Scale, that measure from 0 (no pain) to 10 (excruciating pain) | Baseline and 3 months |
| Change from Baseline in Pain perceived at 6 months: Visual Analogue Scale | Analisis of pain, using the Visual Analogue Scale, that measure from 0 (no pain) to 10 (excruciating pain) | Baseline and 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Fear and avoidance of movement at 3 months | Tampa Scale of Kinesophobia, a scale with 11 items, the rating ranges from 11 points to 44 points. A high value indicates that there is a high degree of fear of movement. | Baseline and 3 months |
| Change from Baseline in Pain disability at 3 months: Oswestry Disability Index |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Olga Borao, PhD | Contact | 0034 938774179 | 363 | oborao@umanresa.cat |
| Júlia Jubany, PhD | Contact | 0034 938774179 | 370 | jjubany@umanresa.cat |
| Name | Affiliation | Role |
|---|---|---|
| Júlia Jubany, PhD | University of Vic - Central University of Catalonia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universitat de Vic-Universitat de Catalunya (UVic-UCC) | Manresa | Barcelona | 08242 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22231424 | Background | Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, Woolf A, Vos T, Buchbinder R. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012 Jun;64(6):2028-37. doi: 10.1002/art.34347. Epub 2012 Jan 9. | |
| 10767807 | Background | Radebold A, Cholewicki J, Panjabi MM, Patel TC. Muscle response pattern to sudden trunk loading in healthy individuals and in patients with chronic low back pain. Spine (Phila Pa 1976). 2000 Apr 15;25(8):947-54. doi: 10.1097/00007632-200004150-00009. |
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Data about the protocol intervention, primary outcome measures and final report will be available for the Institution director.
Before the intervention starts
Only for institution director
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|
| Control group | Behavioral | The control group will follow its normal course of activity |
|
Oswestry Disability Index, This scale consists of 10 questions, each of them with answers graduated from 0 (no relevant) to 5 (very relevant), from which the % of disability of the individual is obtained from the formula: Total points of the answers / 50 *100= % disabled |
| Baseline and 3 months |
| 25180773 | Background | Kamper SJ, Apeldoorn AT, Chiarotto A, Smeets RJ, Ostelo RW, Guzman J, van Tulder MW. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain. Cochrane Database Syst Rev. 2014 Sep 2;2014(9):CD000963. doi: 10.1002/14651858.CD000963.pub3. |
| 28736211 | Background | Malfliet A, Kregel J, Meeus M, Cagnie B, Roussel N, Dolphens M, Danneels L, Nijs J. Applying contemporary neuroscience in exercise interventions for chronic spinal pain: treatment protocol. Braz J Phys Ther. 2017 Sep-Oct;21(5):378-387. doi: 10.1016/j.bjpt.2017.06.019. Epub 2017 Jul 8. |
| 27568831 | Background | Yang H, Haldeman S, Lu ML, Baker D. Low Back Pain Prevalence and Related Workplace Psychosocial Risk Factors: A Study Using Data From the 2010 National Health Interview Survey. J Manipulative Physiol Ther. 2016 Sep;39(7):459-472. doi: 10.1016/j.jmpt.2016.07.004. Epub 2016 Aug 25. |
| ID | Term |
|---|---|
| D015444 | Exercise |
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
| D008722 | Methods |
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