The Effect of Structured Pain Education on Pain and Performance Parameters in Patients With Chronic Low Back Pain

Summary

The Effect of Structured Pain Education on Pain and Performance Parameters in Patients with Chronic Low Back Pain

The aim of this study is to compare the effects of only Low Load Motor Control Exercises and Pain Education in addition to these exercises on pain, performance, disability and psychological factors, and to present a generalizable pain education in patients with chronic low back pain. We think that DYMK exercises applied together with a general Pain Education given to the patients will provide more improvement on these factors.

The patients will be divided into 2 groups, as a pain training group and an exercise group, with 20 people in each group, in a randomized controlled manner. Only DYMK exercise training will be applied to the exercise group. In the pain training group, pain training will be applied in addition to the DYMK exercise training.

As an evaluation parameter to the participants; Numerical Rating Scale, Short-Form McGill Pain Questionnaire, Pain Catastrophizing Scale, Tampa Kinesiophobia Scale, Roland-Morris Disability Questionnaire, Pain Self-Efficacy Questionnaire, Passive Lumbar Extension Test, Finger-Place Test and Physical Performance Test Battery will be applied. Patients will be evaluated before the start of the study (T0) and at the end of the study (T1).

Low Load Motor Control Exercises will be applied to people in both groups for 4 weeks, 3 days a week, during 20-30 minute sessions. In addition to the DYMK exercise training, a session of 30 to 50 minutes of Pain Training in groups of 4 to 5 people will be given to the patients included in the Pain Training group at the beginning of the exercise training and the exercise training will begin.

Conditions

• Chronic Low Back Pain

Interventions

OTHER

exercise group

1 stage * In a sitting position, pull the leg up and extend the knee forward * Standing, bending forward and bending the knee * Supine, tucked legs * Maintaining spinal smoothness in crawling * Prone heel pull to buttock Stage 2 * Prone on forearms-hands * Extending the supine hands to the knees * Rounding and hollowing the waist in crawling * Progressive sit-stand * Standing up from sitting and putting on and taking off socks * Reaching up while standing and maintaining the straightness of the spine * Squatting * Climbing and descending stairs Stage 3 * Maintaining standing, arms forward * Slipping hands on the bed while standing * Initiating the standing throw and maintaining the position until the final interval * Putting on and taking off socks while standing * Taking weight towards the ground from a certain height * Picking up different weights from the ground * Push-pull items * Crossing obstacles of certain height * Walking a certain distance

OTHER

pain training group

The training provides participants with the opportunity to explain the central sensitization mechanism and also integrates the behavioral, psychological and environmental aspects that contribute to the persistence of pain. It is intended to teach that education reduces pain and improves endogenous pain inhibition, mental health, physical function, vitality and self-rated disability in patients with chronic pain, and reduces passive coping, kinesiophobia, and catastrophizing. The same exercises will be applied as the exercise group.

Sponsors & Collaborators

• Medipol University

  lead OTHER

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

65 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2022-04-15

Primary Completion

2022-06-15

Completion

2022-10-30

Countries

• Turkey (Türkiye)

Study Locations