Abstract
Objective
To assess the effect of a pain neurophysiology education (PNE) program plus therapeutic
exercise (TE) for patients with chronic low back pain (CLBP).
Design
Single-blind randomized controlled trial.
Setting
Private clinic and university.
Participants
Patients with CLBP for ≥6 months (N=56).
Interventions
Participants were randomized to receive either a TE program consisting of motor control,
stretching, and aerobic exercises (n=28) or the same TE program in addition to a PNE
program (n=28), conducted in two 30- to 50-minute sessions in groups of 4 to 6 participants.
Main Outcomes Measures
The primary outcome was pain intensity rated on the numerical pain rating scale which
was completed immediately after treatment and at 1- and 3-month follow-up. Secondary
outcome measures were pressure pain threshold, finger-to-floor distance, Roland-Morris
Disability Questionnaire, Pain Catastrophizing Scale, Tampa Scale for Kinesiophobia,
and Patient Global Impression of Change.
Results
At 3-month follow-up, a large change in pain intensity (numerical pain rating scale:
−2.2; −2.93 to −1.28; P<.001; d=1.37) was observed for the PNE plus TE group, and a moderate effect size was observed
for the secondary outcome measures.
Conclusions
Combining PNE with TE resulted in significantly better results for participants with
CLBP, with a large effect size, compared with TE alone.
Keywords
List of abbreviations:
CLBP (chronic low back pain), MCID (minimal clinically important difference), NPRS (numerical pain rating scale), PCS (Pain Catastrophizing Scale), PGIC (Patient Global Impression of Change), PNE (pain neurophysiology education), RMDQ (Roland-Morris Disability Questionnaire), TE (therapeutic exercise), TSK-11 (Tampa Scale for Kinesiophobia)To read this article in full you will need to make a payment
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Article Info
Publication History
Published online: November 11, 2017
Footnotes
Clinical Trial Registration No.: ACTRN12617000097347.
Disclosures: none.
Identification
Copyright
© 2017 by the American Congress of Rehabilitation Medicine
