Chronic Low Back Pain Clinical Trial
Official title:
Pain Neuroscience Education vs. Self-management Programs Associated With Movement Control Exercises for Chronic Low Back Pain: a Randomized Controlled Clinical Study
The primary aim of this study is to compare the effects of an exercise program based on movement control exercises associated with self-management advice (SME) or pain neuroscience education (PNE) on the outcomes of pain intensity and pain disability in patients with chronic non-specific low back pain (CLBP).
Participants: One hundred and four volunteers (104) aged 18-50 years with chronic
non-specific low back pain.
Interventions: The volunteers will be randomized into two treatment groups: self-management
education and movement control exercises or pain neuroscience education and exercises based
on movement control exercises. Two workshops of 40 minutes each will be administered as
education approach and the exercise program along 2 months ( and 12 sessions distributed over
2 months.
Main outcome measures: Primary outcomes will include pain intensity and low back disability,
and secondary outcomes will be pain catastrophizing, pain self-efficacy, kinesiophobia,
exercise adherence and global perceived effect. These will be measured pre- and
post-intervention and at the 1-month follow-up. Statistical analysis will be conducted
following treatment intent principles, and treatment effects will be calculated using a mixed
linear model, considering intervention groups as a factor and assessments over time as
repeated measures.
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