Norwegian Psychomotor Physiotherapy in Patients With Long-lasting Musculoskeletal Pain.

Physical Disability Clinical Trial

— NPMP  

Official title:

Norwegian Psychomotor Physiotherapy Versus Cognitive Patient Education and Active Physiotherapy

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02482792
• Other study ID #: d7k8fj2m
• Status: Completed
• Phase: N/A
• First received: June 9, 2015
• Last updated: October 26, 2017
• Start date: August 2013
• Est. completion date: October 26, 2017

Study information

• Verified date: October 2017
• Source: University of Bergen
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim is to examine the effect of Norwegian Psychomotor Physiotherapy (NPMP) in employees with long-lasting musculoskeletal pain compared to employees receiving Cognitive Patient Education in combination with active individual physiotherapy (COPE-PT) on pain, function, quality of life and sick-leave

Description:

The NPMP is based on the assumption that patients with long-lasting problems, physical and/or psychological, may react with general aberrations related to posture, respiration, and movements, as well as with muscular tension and skin changes.

Employees With Long lasting musculoskeletal pain problems, working in the Municipality of Bergen, will be invited to participate in an Randomized Clinical Trial (RCT), and randomized to either receive Norwegian Psychomotor Physiotherapy (NPMP) or a series of Cognitive Patient Education in combination with active individual physiotherapy (COPE-PT). The aim is to examine the effect of NPMP compared to those receiving COPE-PT on pain, function, quality of life and sick-leave.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 128
• Est. completion date: October 26, 2017
• Est. primary completion date: October 26, 2017
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 67 Years

Eligibility

Inclusion Criteria:

• Patients With neck,shoulder and/or widespread pain

• Pain (= 3 Numeric Pain Rating Scale (NPRS)

• Functional problems measured with Orebro Musculoskeletal Pain Screening Questionnaire (OMPSQ), Neck Disability Index (NDI) and/or Shoulder Pain and Disability Inventory (SPADI)-been sick-listed for 4-8 weeks, or on the brink of becoming sick-listed, or having had residual neck- and shoulder complaints problems during the last two years with several short-term sick-leaves.

• =/6 American College of Rheumatology (ACR) tender points,

• Reduced Relaxation and Flexibility from the Global Physiotherapy Examination (GPE)

Exclusion Criteria:

• Sick-listed > 6 months

Related Conditions & MeSH terms

• Musculoskeletal Pain
• Physical Disability

Intervention

Other:
• Norwegian Psychomotor Physiotherapy
The recruited patients will after randomization receive either Norwegian Psychomotor Physiotherapy (NPMP) or COPE combined with active individual physiotherapy. In NPMP the treatment is individualized, targeting body-mind awareness through exercise, massage and therapeutic conversation
• Cognitive Patient Education and PT
The comparison group will receive a combination of education about how to manage pain (COPE) followed by active individual physiotherapy.

Locations

Country	Name	City	State
Norway	Department of Global Public Health and Primary Care, UiB	Bergen	Hordaland

Sponsors (2)

Lead Sponsor	Collaborator
Tove Dragesund	Norwegian Fund for Postgraduate Training in Physiotherapy

Country where clinical trial is conducted

Norway, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain	Pain on the Numeric Pain Rating Scale (NPRS)	Change from baseline in pain at 3 months, at 6 months and 12 months.
Secondary	Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain	Wellbeing on the Short Form-12 Health Survey (SF-12)	Change from baseline in wellbeing at 3 months, at 6 months and 12 months.
Secondary	Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain	Sick-leave	Change from baseline in sick-leave at 3 months, at 6 months and 12 months.
Secondary	Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain	Function on the Shoulder Pain and Disability Inventory (SPADI)	Change from baseline in shoulder function at 3 months, at 6 months and 12 months.
Secondary	Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain	Function on the Norwegian Functional Assessment Scale (NFAS)	Change from baseline work related function at 3 months, at 6 months and 12 months.
Secondary	Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain	Neck Disability Index (NDI)	Change from baseline neck function at 3 months, at 6 months and 12 months.
Secondary	Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain	Global Body Examination-Flexibility (GBE)	Change from baseline flexibility at 6 months.