Chronic Pain Clinical Trial
Official title:
A Multidisciplinary Approach to Treat and Rehabilitate Patients With Chronic Low Back Pain
Introduction: Non-specific chronic low back pain (CLBP) is one of the most frequent causes
for patient disability and a general recurrent cause for medical consultation with high
costs to public health. From rehabilitative medicine, physiotherapy is commonly offered.
Although this treatment is aimed to reduce disability, pain severity and pain-related
anxiety-depressive symptoms, many patients report partial improvement and recurrent
intensive and disabling pain episodes. Therefore, a new approach in the treatment and
rehabilitation of this pathology that takes into account psychosocial aspects that might be
modulating pain is necessary.
Material and methods: This project aims to assess the efficacy of two complementary
interventions to standard physical therapy, such as relaxation techniques and
cognitive-behavioral intervention, to improve health-related quality of life (HRQoL) among
patients with CLBP. It is hypothesized that groups receiving these complementary
interventions will significantly improve their adherence to physiotherapy and the control of
their pain and, ultimately, these aspects will facilitate a decreasing of pain intensity and
better HRQoL.
For these purposes, a pre-post longitudinal design will be carried out, with follow-up
assessments at 6 and 12 months in a sample of 66 participants. This sample will be divided
into: control group (physiotherapy), intervention group 1 (physiotherapy and relaxation
techniques-sophrology) and intervention group 2 (physiotherapy and cognitive-behavioral
intervention).
Expected impact: Study results are not available yet. However, if working hypotheses are
confirmed, a multidisciplinary model of care for CLBP will be empirically justified. This
approach is expected to benefit HRQoL among these patients implying a significant short-mid
term reduction of public health costs.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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