- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04099576
The Effect of Therapeutic Neuroscience Education on Chronic Low Back Pain
Physiotherapy Combined With Therapeutic Neuroscience Education Versus Physiotherapy Alone for Patients With Chronic Low Back Pain: a Randomized Controlled Trial
Ongoing fear and catastrophization in people with chronic low back pain (CLBP) causes increased pain, disability and kinesiophobia, and decreased endurance of trunk muscles. Nowadays, recurrent low back pain complaints are increasing day by day. Besides the use of electrophysical agents and exercise in the treatment of chronic low back pain, education methods used to reduce the negative effects of psychosocial factors are important for healing.
Although there were studies about the combination of Therapeutic Neuroscience Education (TNE) with exercise in CLBP, there are no studies that combine electrophysical agents, exercise and TNE methods in the literature. Therefore, in this study, we aimed to investigate whether TNE combined with physiotherapy consisting of electrophysical modalities and home program exercise is superior to only physiotherapy in patients with CLBP.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Denizli, Turkey
- Pamukkale University Medical Ethics Committee
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
The inclusion criteria were:
- aged between 18-60 years
- to have CLBP ˃ 3 months duration
- to have independent walking ability
- to be literate in Turkish.
Exclusion Criteria:
- to have vertebral compression fractures
- to have transitional vertebrae
- to have an underlying tumoral, rheumatologic or inflammatory disease
- to have trauma, surgical history
- to be pregnant or less than six months postpartum period
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Physiotherapy plus Education
The experimental group received a three-week program consisting of 15 sessions of physiotherapy and six sessions of therapeutic neuroscience education.
|
Hot-pack, ultrasound, trancutaneus nerve electrical stimulation (TENS) and home program exercises were applied or given to the individuals within the physiotherapy program.
In addition to physiotherapy, therapeutic neuroscience education were applied to experimental group.
One-to-one speech sessions focusing on pain neurophysiology were organized twice a week for three weeks.
Each session lasted 40 minutes.
The Therapeutic neuroscience education program included nociception, ion channel neurophysiology, central and peripheral sensitization, methods to help reduce sensitization, neuroplasticity, psychosocial factors involved in the transition from acute pain to chronic pain and behavioral, cognitive responses to pain.
|
ACTIVE_COMPARATOR: Control group
The control group received a three-week program consisting of 15 sessions of physiotherapy alone. .
|
Hot-pack, ultrasound, trancutaneus nerve electrical stimulation (TENS) and home program exercises were applied or given to the individuals within the physiotherapy program.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Visual Analogue Scale
Time Frame: 1 minute
|
Visual Analogue Scale assessed pain severity.
Visual Analog Scale is a straight horizontal line of fixed length, usually 100 mm.
The ends are defined as the extreme limits of pain.
hence the left end is usually labeled 'no pain', and the right end usually labeled 'extreme pain'.
The score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark by using a ruler.
The scale is provided a range of scores from 0-100.
High score indicates a high level of pain.
|
1 minute
|
Tampa Kinesiophobia Scale
Time Frame: Five minutes
|
Tampa Kinesiophobia Scale (TKS) evaluated kinesiophobia.
TKS is a questionnaire evaluating kinesiophobia due to low back pain.
The TKS questionnaire contained 17 items that assessed fear-related concepts.
Each item has a four-point Likert scale with scoring options tiered from "strongly agree" to "strongly disagree" and a total score ranging from 17 to 68.
Higher scores represented stronger levels of fear avoidance behavior.
|
Five minutes
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
partial curl-up
Time Frame: 1 minute
|
partial curl-up is an endurance test evaluating endurance of trunk flexors.
|
1 minute
|
modified Sorensen tests
Time Frame: Five minutes
|
modified Sorensen tests is an endurance test evaluating isometric endurance of trunk extansors.
|
Five minutes
|
Roland Morris Index
Time Frame: Five minutes
|
Roland Morris Index (RMI) consists of 24 items related to physical functions.
The questionnaire is a list of 24 statements relating to activities and the impairments of pain, appetite, mood, and sleep.
A total score of the questionnaire range from 0 to 24 and a higher score indicate more severe disability.
|
Five minutes
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 60116787-020/8825
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Chronic Low-back Pain
-
Dow University of Health SciencesRecruitingLow Back Pain | Chronic Low-back Pain | Low Back Pain, Mechanical | Mechanical Low Back Pain | Pain, Chronic | Pain, Back | Lower Back Pain Chronic | CLBP - Chronic Low Back PainPakistan
-
Iran University of Medical SciencesNot yet recruitingLow Back Pain | Chronic Low-back Pain | Chronic Non-specific Low Back Pain | Cupping Therapy
-
Federal University of Minas GeraisRecruitingBack Pain | Low Back Pain | Chronic Low-back Pain | Back Pain Lower Back ChronicBrazil
-
Federal University of ParaíbaCompletedChronic Low Back Pain | Nonspecific Chronic Low Back Pain
-
Faculdade de Ciências Médicas da Santa Casa de...CompletedLow Back Pain, Mechanical | Low Back Pain, Postural | Lower Back Pain Chronic | Low Back Pain, Posterior CompartmentBrazil
-
University of Colorado, BoulderNational Institutes of Health (NIH); Radiological Society of North America; Psychophysiologic... and other collaboratorsCompletedChronic Pain | Back Pain Lower Back Chronic | Back Pain, LowUnited States
-
Presidio Medical, IncRecruitingChronic Pain | Chronic Low-back PainAustralia
-
Spaulding Rehabilitation HospitalHighland Instruments, Inc.Active, not recruitingChronic Pain | Chronic Low Back PainUnited States
-
University of WashingtonNational Center for Complementary and Integrative Health (NCCIH)Active, not recruiting
-
Dan RhonNational Center for Complementary and Integrative Health (NCCIH); 59th Medical... and other collaboratorsRecruitingLow Back Pain | Chronic Pain | Surgery | Back Pain Lower Back Chronic | Back Pain, LowUnited States
Clinical Trials on physiotherapy and education
-
Manchester Metropolitan UniversityCompleted
-
Mogens Berg LaursenAarhus University Hospital; University of Southern DenmarkCompletedPatellofemoral Pain SyndromeDenmark
-
Istituti Clinici Scientifici Maugeri SpACompleted
-
Marmara UniversityCompletedOsteo Arthritis KneeTurkey
-
Queen Elizabeth Hospital, Hong KongUnknownParkinson DiseaseHong Kong
-
Prince Sattam Bin Abdulaziz UniversityCompletedCervicogenic HeadacheSaudi Arabia
-
Asir John SamuelCompletedAbdominal SurgeryIndia
-
Fakulti Sains KesihatanRecruiting
-
Istanbul Arel UniversityCompletedPain | Neck PainTurkey
-
Karolinska InstitutetÖrebro County CouncilSuspendedPain | Rheumatoid Arthritis | Psoriatic ArthritisSweden