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The Effect of Structured Pain Education on Pain and Performance Parameters in Patients With Chronic Low Back Pain

16 maggio 2022 aggiornato da: Ayşe Yaşar, Medipol University

The Effect of Structured Pain Education on Pain and Performance Parameters in Patients with Chronic Low Back Pain

The aim of this study is to compare the effects of only Low Load Motor Control Exercises and Pain Education in addition to these exercises on pain, performance, disability and psychological factors, and to present a generalizable pain education in patients with chronic low back pain. We think that DYMK exercises applied together with a general Pain Education given to the patients will provide more improvement on these factors.

The patients will be divided into 2 groups, as a pain training group and an exercise group, with 20 people in each group, in a randomized controlled manner. Only DYMK exercise training will be applied to the exercise group. In the pain training group, pain training will be applied in addition to the DYMK exercise training.

As an evaluation parameter to the participants; Numerical Rating Scale, Short-Form McGill Pain Questionnaire, Pain Catastrophizing Scale, Tampa Kinesiophobia Scale, Roland-Morris Disability Questionnaire, Pain Self-Efficacy Questionnaire, Passive Lumbar Extension Test, Finger-Place Test and Physical Performance Test Battery will be applied. Patients will be evaluated before the start of the study (T0) and at the end of the study (T1).

Low Load Motor Control Exercises will be applied to people in both groups for 4 weeks, 3 days a week, during 20-30 minute sessions. In addition to the DYMK exercise training, a session of 30 to 50 minutes of Pain Training in groups of 4 to 5 people will be given to the patients included in the Pain Training group at the beginning of the exercise training and the exercise training will begin.

Panoramica dello studio

Stato

Reclutamento

Condizioni

Intervento / Trattamento

Tipo di studio

Interventistico

Iscrizione (Anticipato)

35

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Contatto studio

Luoghi di studio

  • Tacchino
      • Istanbul, Tacchino, 34515
        • Reclutamento
        • Istanbul Medipol University Sefakoy Hospital
        • Contatto:

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

Da 18 anni a 65 anni (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

  • 18 to 65 years old
  • Chronic low back pain 3 days a week and ≥ 3 months
  • Absence of spinal fracture or acute disc herniation
  • Absence of existing psychiatric problems and mental deficiencies
  • Absence of exercise contraindications [28] [29] [30]

Exclusion Criteria:

  • Being diagnosed with lumbar radiculopathy
  • Pain due to tumors or infections, metastases, osteoporosis, inflammatory arthritis or fractures
  • Specific medical conditions (neck or back surgery in the previous 3 years, osteoporotic vertebral fractures or rheumatological diseases)
  • Chronic widespread pain syndromes (fibromyalgia or chronic fatigue syndrome)
  • Receiving any other treatment for chronic low back pain during the study [28] [29] [30]

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: exercise group
Only DYMK exercise training will be applied to the exercise group.
Altro: exercise group

1 stage

  • In a sitting position, pull the leg up and extend the knee forward
  • Standing, bending forward and bending the knee
  • Supine, tucked legs
  • Maintaining spinal smoothness in crawling
  • Prone heel pull to buttock

Stage 2

  • Prone on forearms-hands
  • Extending the supine hands to the knees
  • Rounding and hollowing the waist in crawling
  • Progressive sit-stand
  • Standing up from sitting and putting on and taking off socks
  • Reaching up while standing and maintaining the straightness of the spine
  • Squatting
  • Climbing and descending stairs

Stage 3

  • Maintaining standing, arms forward
  • Slipping hands on the bed while standing
  • Initiating the standing throw and maintaining the position until the final interval
  • Putting on and taking off socks while standing
  • Taking weight towards the ground from a certain height
  • Picking up different weights from the ground
  • Push-pull items
  • Crossing obstacles of certain height
  • Walking a certain distance
Sperimentale: pain training group
In the pain training group, pain training will be applied in addition to the DYMK exercise training.
Altro: pain training group

The training provides participants with the opportunity to explain the central sensitization mechanism and also integrates the behavioral, psychological and environmental aspects that contribute to the persistence of pain. It is intended to teach that education reduces pain and improves endogenous pain inhibition, mental health, physical function, vitality and self-rated disability in patients with chronic pain, and reduces passive coping, kinesiophobia, and catastrophizing.

The same exercises will be applied as the exercise group.

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Change from baseline of pain intensity on the Numerical Rating Scale at 3 weeks
Lasso di tempo: baseline and 3 weeks
It is an 11-point unidimensional measure of pain intensity. It is a segmented numerical version of the Visual Analog Scale (VAS), in which participants select an integer (0-10 integer) that best reflects the intensity of their pain. 0 represents no pain and 10 represents worst pain.
baseline and 3 weeks
Change from baseline in the multidimensional measure of pain on the Short-Form McGill Pain Questionnaire at 3 weeks
Lasso di tempo: baseline and 3 weeks
A multidimensional measure of pain. It consists of 2 subscales: 1) a sensory subscale consisting of 11 words or items, and 2) an emotional subscale consisting of 4 items rated on the intensity scale (0= none, 1= mild, 2= moderate, and 3= severe). It also includes 1 item for current pain intensity and 1 item for 10 cm Visual Analog Scale for mean pain.
baseline and 3 weeks
Change from baseline in assessing feelings, thoughts, and emotions related to pain and disaster on the Pain Catastrophizing Scale at 3 weeks
Lasso di tempo: baseline and 3 weeks
It is used to assess the patient's feelings, thoughts, and feelings about pain and disaster. It is a self-administered questionnaire with 13 items and 3 subscales: helplessness, magnification, and rumination. A 5-point scale is used for each item, with higher values representing greater destruction. The scores of each item are added to determine the subscales and the total score is calculated with the sum of all items. Scores range from 0 to 52 points.
baseline and 3 weeks
Change from baseline in measuring fear of movement and (re)injury on the Tampa Kinesiophobia Scale at 3 weeks
Lasso di tempo: baseline and 3 weeks
A 17-item questionnaire that measures fear of movement and (re)injury. Each question is answered on a 4-point Likert scale ranging from "strongly disagree" to "strongly agree". The total score is calculated after reversing the individual scores of items 4, 8, 12, and 16.
baseline and 3 weeks
Change from baseline in questioning pain-related disability from low back pain on the Roland Morris Disability Questionnaire at 3 weeks
Lasso di tempo: baseline and 3 weeks
A 24-item self-reported outcome measure questioning pain-related disability from low back pain. Items are scored 0 if left blank or 1 if approved. The total score ranges from 0 to 24; higher scores represent higher pain-related disability.
baseline and 3 weeks
Change from baseline in the patient's ability to perform a range of activities despite pain in the Pain Self-Efficacy Questionnaire at 3 weeks
Lasso di tempo: baseline and 3 weeks
A 10-item questionnaire that measures both the strength and generality of a patient's beliefs about their ability to perform a range of activities despite pain. Scores can range from 0 to 60, with higher scores indicating stronger self-efficacy beliefs.
baseline and 3 weeks
Measuring pain intensity and disability in the Revised Graded Chronic Pain Scale at baseline
Lasso di tempo: baseline
The new scale, consisting of 6 questions, was developed as a revised version of the original scale. There is a categorical rating scheme and numerical self-assessment scores for pain intensity and disability. The first 2 questions ask the frequency of pain, how the pain affects life and work activities and evaluate the last 3 months. It is scored from 0 to 4 (0 = never to 4 = every day). Questions between 3 and 5 (PEG scale) evaluate the severity of pain in the last 7 days and are scored between 0-10 points. The third question questions the severity of the pain. Questions 4 and 5, respectively, ask how pain interferes with enjoying life and how it affects general activities. Question 6 has 2 answers (1=yes and 2=no) and asks if the person is not working or unable to work because of pain or painful condition.
baseline
Change from baseline in assessing internal factors and emotions influencing the experience of health-threatening physical injury and pain in the Pain Beliefs Questionnaire at 3 weeks
Lasso di tempo: baseline and 3 weeks
The consists of two subscales. The organic beliefs subscale (PBQ-O) questions the user about physical injury or physiological pain that threaten wellness, while the psychological pain beliefs subscale (PBQ-P) evaluates intrinsic factors and emotions affecting the pain experience that may potentially threaten wellness.
baseline and 3 weeks
Identifying subjective neuropathic pain experience on the Pain Perception Questionnaire at baseline
Lasso di tempo: baseline
It is a symptom-based assessment tool performed by clinicians to specify the subjective neuropathic pain experience of patients.
baseline
Change from baseline in assessing overall quality of Sleep at 3 weeks
Lasso di tempo: baseline and 3 weeks
It's about the overall quality of sleep about most nights in the last 7 days. It is scored between 1 and 10. High scores represent good sleep quality.
baseline and 3 weeks

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Change from baseline in detecting structural lumbar segmental instability on Passive Lumbar Extension Test at 3 weeks
Lasso di tempo: baseline and 3 weeks
It is a passive test that detects structural lumbar segmental instability. Participants are placed in a prone position and the physiotherapist then lifts both lower extremities simultaneously to a height of approximately 30 cm from the bed while keeping the knees extended and gently pulling the legs. The test is considered positive if the participant reports low back pain during testing.
baseline and 3 weeks
Change from baseline on trunk mobility on the Finger-Place Test at 3 weeks
Lasso di tempo: baseline and 3 weeks
It is a test that provides information about trunk mobility. The participant stands upright on a 20 cm high platform, with shoes off and feet glued together. He is asked to bend forward as much as possible, fully extending his knees, arms and fingers. The vertical distance between the tip of the middle finger and the platform is measured with a flexible tape measure and expressed in centimeters. The vertical distance between the platform and the tip of the middle finger is considered positive when the participant does not reach the platform, and negative when they can go further.
baseline and 3 weeks
Change from baseline in maintaining a neutral lumbar spine in the Physical Performance Test Battery at 3 weeks
Lasso di tempo: baseline and 3 weeks
Includes bias bridge, side bridge, Biering-Sørensen test and a motion control test battery. . All tests will be performed in standard positions. In the bias bridge, side bridge and Biering-Sørensen testing, emphasis will be placed on maintaining a neutral lumbar spine for as long as possible (seconds).
baseline and 3 weeks

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Medipol University

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

15 aprile 2022

Completamento primario (Anticipato)

15 giugno 2022

Completamento dello studio (Anticipato)

30 ottobre 2022

Date di iscrizione allo studio

Primo inviato

15 marzo 2022

Primo inviato che soddisfa i criteri di controllo qualità

14 aprile 2022

Primo Inserito (Effettivo)

15 aprile 2022

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

17 maggio 2022

Ultimo aggiornamento inviato che soddisfa i criteri QC

16 maggio 2022

Ultimo verificato

1 maggio 2022

Maggiori informazioni

Termini relativi a questo studio

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

  • MedipolUniversity

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

NO

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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