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Title: Pain neuroscience education and physical exercise for patients with chronic spinal pain in primary healthcare: a randomised trial protocol
Authors: Galán-Martín, Miguel A.
Montero-Cuadrado, Federico
Lluch-Girbes, Enrique
Coca-López, M. Carmen
Mayo-Iscar, Agustín
Cuesta-Vargas, Antonio
metadata.dc.contributor.authoraffiliation: [Galán-Martín,MA; Montero-Cuadrado,F] Unit for Active Coping Strategies for Pain in Primary Care, East-Valladolid Primary Care Management, Castilla and Leon Public Health System (Sacyl), Valladolid, Spain. [Galán-Martín,MA] Doctoral Program of Research in Health Sciences, University of Valladolid, Valladolid, Spain. [Lluch-Girbes,E] Department of Physical Therapy, University of Valencia, Valencia, Spain. [Lluch-Girbes,E] “Pain in motion” International Research Group, Brussels, Belgium. [Lluch-Girbes,E] Department of Human Physiology and Rehabilitation Sciences, Faculty of Physiotherapy, Vrije university Brussels, Brussels, Belgium. [Coca-López,MC] Castilla and Leon Regional Centre of Sports Medicine, Castilla and Leon Public Health System (Sacyl), Valladolid, Spain. [Mayo-Iscar,A] Department of Statistics and Operational Research and IMUVA, University of Valladolid, Valladolid, Spain. [Cuesta-Vargas,A] Department of Physiotherapy, Faculty of Heath Sciences, University of Malaga, Málaga, Spain. [Cuesta-Vargas,A] Institute of Biomedical Research in Malaga. IBIMA, Málaga, Spain. [Cuesta-Vargas,A] School of Clinical Science, Faculty of Health Science, Queensland University Technology, Brisbane, Australia.
Keywords: Chronic pain;Chronic spinal pain;Pain neuroscience education;Physical exercise;Primary care;Treatment protocol;Dolor crónico;Ejercicio físico;Atención primaria de salud;Potocolos clínicos
metadata.dc.subject.mesh: Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Adaptation, Psychological
Medical Subject Headings::Persons::Persons::Age Groups::Adult
Medical Subject Headings::Persons::Persons::Age Groups::Adult::Aged
Medical Subject Headings::Diseases::Nervous System Diseases::Neurologic Manifestations::Pain::Chronic Pain
Medical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Human Activities::Exercise
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Physical Therapy Modalities::Exercise Therapy
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Persons::Persons::Age Groups::Adult::Middle Aged
Medical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Education::Education, Nonprofessional::Health Education::Patient Education as Topic
Medical Subject Headings::Health Care::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Care
Medical Subject Headings::Diseases::Musculoskeletal Diseases::Bone Diseases::Spinal Diseases
Medical Subject Headings::Persons::Persons::Age Groups::Adult::Young Adult
Issue Date: 3-Nov-2019
Publisher: BioMed Central Ltd.
Citation: Galán-Martín MA, Montero-Cuadrado F, Lluch-Girbes E, Coca-López MC, Mayo-Iscar A, Cuesta-Vargas A. Pain neuroscience education and physical exercise for patients with chronic spinal pain in primary healthcare: a randomised trial protocol. BMC Musculoskelet Disord. 2019 Nov 3;20(1):505.
Abstract: Background: Chronic musculoskeletal pain affects more than 20% of the population, and the prevalence is increasing, causing suffering, loss of quality of life, disability, and an enormous expenditure on healthcare resources. The most common location for chronic pain is the spine. Many of the treatments used are mainly passive (pharmacological and invasive) and poor outcomes. The treatments currently applied in the public health system do not comply with the recommendations of the main clinical practice guidelines, which suggest the use of educational measures and physical exercise as the first-line treatment. A protocol based on active coping strategies is described, which will be evaluated through a clinical trial and which could facilitate the transfer of the recommendations of the clinical practice guidelines to a primary care setting. Methods: Randomised and multicentre clinical trials, which will be carried out in 10 Primary Care centres. The trial will compare the effect of a Pain Neuroscience Education program (six sessions, 10 h) and group physical exercise (18 sessions program carried out in six weeks, 18 h), with usual care physiotherapy treatment. Group physical exercise incorporates dual tasks, gaming, and reinforcement of contents of the educational program. The aim is to assess the effect of the intervention on quality of life, as well as on pain, disability, catastrophism, kinesiophobia, central sensitisation, and drug use. The outcome variables will be measured at the beginning of the intervention, after the intervention (week 11), at six months, and a year. Discussion: Therapeutic interventions based on active coping strategies are essential for the treatment of chronic pain and the sustainability of the Public Health System. Demonstrating whether group interventions have an effect size is essential for optimising resources in such a prevalent problem. Trial registration: NCT03654235 "Retrospectively registered" 31 August 2018.
ISSN: 1471-2474 (Online)
Appears in Collections:01- Artículos - IBIMA. Instituto de Investigación Biomédica de Málaga

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