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NCT03523949 Clinical Trial

Pain Neuroscience Education in Old Adults.

Healthy Clinical Trial

Official title:
A Study of the Effectiveness of Pain Neuroscience Education in the Elderly.

Clinical Trial Details — Status: Not yet recruiting

Administrative data
NCT number NCT03523949
Other study ID # END65
Secondary ID
Status Not yet recruiting
Phase N/A
First received
Last updated
Start date June 1, 2018
Est. completion date September 1, 2019

Study information
Verified date May 2018
Source University of Barcelona
Contact Marc Terradas, Msc
Phone 652 948 632
Email m.terradas10@gmail.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The primary objectives of this study are to:

- Evaluate the ability of the older adults to understand the biological processes underneath a pain experience.

- Evaluate their ability to modify their behaviors and beliefs about pain and health.

Description:

The purpose of this study is to test the effectivity of a single, group-based session of pain neuroscience education (PNE) on old adults. Participants will be 65 years or older, and they will be recruited from primary care medical clinics, public lectures, community centers and through the word of mouth. The intervention consist in one educational session of pain neuroscience education delivered by a physiotherapist. The study design is a single arm, crossover clinical trial, participants will be assessed in 3 different times (1 month before PNE ,pre-PNE, post-PNE) for knowledge of pain neuroscience, pain attitudes, pain catastrophizing and pain-related fear of movement.

Recruitment information / eligibility
Status Not yet recruiting
Enrollment 60
Est. completion date September 1, 2019
Est. primary completion date June 1, 2019
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 65 Years and older
Eligibility Inclusion Criteria:

- Subjects 65 years old or more.

- Able to speak and read in Spanish.

Exclusion Criteria:

- Cognitive impairment. Global Deterioration Scale and Functional Assessment Staging (GDS-FAST) will be used for the screening, excluding the subjects with a level 3 or above in the GDS-FAST scale.

Study Design

Related Conditions & MeSH terms

Intervention

Behavioral:
• PNE
The PNE will be delivered by a physiotherapist in a single, group-based session.

Locations
Country Name City State
n/a

Sponsors (1)
Lead Sponsor Collaborator
University of Barcelona

References & Publications (12)

Andias R, Neto M, Silva AG. The effects of pain neuroscience education and exercise on pain, muscle endurance, catastrophizing and anxiety in adolescents with chronic idiopathic neck pain: a school-based pilot, randomized and controlled study. Physiother Theory Pract. 2018 Jan 10:1-10. doi: 10.1080/09593985.2018.1423590. [Epub ahead of print] — View Citation

Cox T, Louw A, Puentedura EJ. An abbreviated therapeutic neuroscience education session improves pain knowledge in first-year physical therapy students but does not change attitudes or beliefs. J Man Manip Ther. 2017 Feb;25(1):11-21. doi: 10.1080/10669817.2015.1122308. Epub 2016 Feb 10. — View Citation

Lluch E, Dueñas L, Falla D, Baert I, Meeus M, Sánchez-Frutos J, Nijs J. Preoperative Pain Neuroscience Education Combined With Knee Joint Mobilization for Knee Osteoarthritis: A Randomized Controlled Trial. Clin J Pain. 2018 Jan;34(1):44-52. doi: 10.1097/AJP.0000000000000511. — View Citation

Louw A PT, PhD, Podalak J PT, DPT, Zimney K PT, DPT, Schmidt S PT, M.Phys, OCS, FAAOMPT, Puentedura EJ PT, DPT, PhD. Can pain beliefs change in middle school students? A study of the effectiveness of pain neuroscience education. Physiother Theory Pract. 2018 Jul;34(7):542-550. doi: 10.1080/09593985.2017.1423142. Epub 2018 Jan 8. — View Citation

Louw A PT, PhD, Zimney K PT, DPT, Reed J PT, DPT, Landers M PT, DPT, PhD, Puentedura EJ PT, DPT, PhD. Immediate preoperative outcomes of pain neuroscience education for patients undergoing total knee arthroplasty: A case series. Physiother Theory Pract. 2018 Mar 28:1-11. doi: 10.1080/09593985.2018.1455120. [Epub ahead of print] — View Citation

Louw A, Butler DS, Diener I, Puentedura EJ. Development of a preoperative neuroscience educational program for patients with lumbar radiculopathy. Am J Phys Med Rehabil. 2013 May;92(5):446-52. doi: 10.1097/PHM.0b013e3182876aa4. Review. — View Citation

Louw A, Diener I, Landers MR, Puentedura EJ. Preoperative pain neuroscience education for lumbar radiculopathy: a multicenter randomized controlled trial with 1-year follow-up. Spine (Phila Pa 1976). 2014 Aug 15;39(18):1449-57. doi: 10.1097/BRS.0000000000000444. — View Citation

Louw A, Zimney K, Puentedura EJ, Diener I. The efficacy of pain neuroscience education on musculoskeletal pain: A systematic review of the literature. Physiother Theory Pract. 2016 Jul;32(5):332-55. doi: 10.1080/09593985.2016.1194646. Epub 2016 Jun 28. Review. — View Citation

Maguire N, Chesterton P, Ryan C. The Effect of Pain Neuroscience Education on Sports Therapy and Rehabilitation Students' Knowledge, Attitudes and Clinical Recommendations Towards Athletes with Chronic Pain. J Sport Rehabil. 2018 Feb 6:1-19. doi: 10.1123/jsr.2017-0212. [Epub ahead of print] — View Citation

Moseley L. Unraveling the barriers to reconceptualization of the problem in chronic pain: the actual and perceived ability of patients and health professionals to understand the neurophysiology. J Pain. 2003 May;4(4):184-9. — View Citation

Nijs J, Paul van Wilgen C, Van Oosterwijck J, van Ittersum M, Meeus M. How to explain central sensitization to patients with 'unexplained' chronic musculoskeletal pain: practice guidelines. Man Ther. 2011 Oct;16(5):413-8. doi: 10.1016/j.math.2011.04.005. Epub 2011 May 31. — View Citation

Rufa A PT, DPT, OCS, Beissner K PT, PhD, Dolphin M PT, DPT, MS, OCS. The use of pain neuroscience education in older adults with chronic back and/or lower extremity pain. Physiother Theory Pract. 2018 Mar 30:1-11. doi: 10.1080/09593985.2018.1456586. [Epub ahead of print] — View Citation

* Note: There are 12 references in all — Click here to view all references

Outcome
Type Measure Description Time frame Safety issue
Primary Knowledge of Pain Neuroscience. Changes from baseline to immediately after PNE. Participants will be asked to complete the Neurophysiology of Pain Questionnaire (NPQ) (Spanish version) baseline, pre-PNE, immediately after PNE
Secondary Pain Attitudes. Participants will be asked to complete the Survey of Pain Attitudes Brief Version (SOPA-B) (Spanish version). baseline, pre-PNE, immediately after PNE
Secondary Pain Catastrophism. Participants will be asked to complete the Pain Catastrophizing Scale (PCS) (Spanish version). baseline, pre-PNE, immediately after PNE
Secondary Pain-related Fear of Movement. Participants will be asked to complete the Tampa Scale of Kinesiophobia (TSK-11) (Spanish version). baseline, pre-PNE, immediately after PNE
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