Back Pain Clinical Trial
Official title:
Efficacy of Educating Physical Therapists on Clinical Practice Guidelines and Pain Management in the Treatment of Patients With Nonspecific Chronic Low Back Pain: a Cluster Randomized Controlled Trial
The aim of this trial is to investigate if patients treated by physical therapists who received an update on clinical practice guidelines and pain management have better outcomes than patients treated by physical therapists who did not received such training.
The training "Update on the treatment of patients with nonspecific chronic low back pain"
will be announced in the social network by members of the study. Interested physical
therapists will send an email to one of the study authors with their information regarding
the inclusion criteria. After two months of notice, interested and eligible physiotherapists
will be randomized into two groups of 15 participants each.
The study arms are: 1) control group (physical therapist who will not receive training) and
2) experimental group (physical therapist who will receive training). Before and after
training, attitudes, beliefs and knowledge about low back pain guidelines will be evaluated.
Each physical therapist will recruit for the study a total of fifteen consecutive patients
with chronic nonspecific low back pain (total sample=150 patients). All the patients will be
assessed before the first session by a blinded examiner who will be unaware about the group
allocation.
Clinical outcomes (pain, disability, fear avoidance beliefs and pain catastrophizing) will be
collected at baseline and at 5 weeks, 3 and 6 months after randomization. All statistical
analysis will be conducted following the principles of intention to treat analysis and the
between-group differences will be performed using Mixed Linear Models.
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