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- Title
Effectiveness of a pain neuroscience communication, motivational interviewing and cognition targeted exercise intervention in patients with chronic neck pain.
- Authors
Morales Tejera, D.; Prieto-Aldana, M.; Gallardo-Vidal, M.; Fernández-Carnero, J.; Nijs, J.
- Abstract
Introduction: Neck pain is the main consultation reason in primary care (PC) in Spain and with a prevalence of 8.4% in women and 3.2% in men1. Pain neuroscience communication (PNC) and motivational interviewing (MI) have been widely tested in chronic pain management and are successful for chronic pain management2. Objective: to evaluate the effectiveness of a complex intervention compared with routine PC physiotherapy to improve disability and intensity and severity of pain in patients with chronic neck pain (CNP). Methods: Randomized clinical trial. Subjects: Patients 18-65 years old with CNP referred from their physician. Sample: 142 patients. Intervention: PNC, MI and cognition targeted exercise (CTE). Control group: Standard PC health education program. Variables: Main: pain intensity. Secondary: pain severity, conditioned pain modulation, temporal summation, neck disability, fear/avoidance behaviours, kinesiophobia catastrophism, quality of life, and adherence. Follow-up: Baseline, 3, 6, 12 months. Results: We expect that patients with CNP in the intervention of PNC, MI and CTE will have a higher improvement in pain intensity, compared to the control group. Results: We expect that patients with CNP in the intervention of PNC, MI and CTE will have a higher improvement in pain intensity, compared to the control group. Process evaluation: We have recruited 32 clinicians from the PC, they will change their location so we will wait until that to start recruiting, also due to the pandemic, big group therapies are restricted so they will be reduced. Patients cannot be blind to the intervention, so appointments in different days to avoid communication will be made.
- Subjects
NETHERLANDS; NECK pain treatment; NEUROSCIENCES; CHRONIC pain; MOTIVATIONAL interviewing; COGNITION; CONFERENCES &; conventions; TREATMENT effectiveness; RANDOMIZED controlled trials; COMMUNICATION; PAIN management; EXERCISE therapy
- Publication
Pain Practice, 2022, Vol 22, p16
- ISSN
1530-7085
- Publication type
Article
- DOI
10.1111/papr.13128