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Titre : | Pain Neurophysiology Education and Therapeutic Exercise for Patients With Chronic Low Back Pain: A Single-Blind Randomized Controlled Trial (2018) |
Auteurs : | Gema Bodes Pardo ; Enrique Lluch Girbés ; Nathalie A. Roussel |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 2, 2018) |
Article en page(s) : | p. 338-347 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Lombalgie ; Rééducation et réadaptation ; Traitement par les exercices physiques |
Mots-clés: | Exercise therapy ; Low back pain ; Cognitive Neuroscience ; Neurosciences cognitives |
Résumé : |
Objective To assess the effect of a pain neurophysiology education (PNE) program plus therapeutic exercise (TE) for patients with chronic low back pain (CLBP). Design Single-blind randomized controlled trial. Setting Private clinic and university. Participants Patients with CLBP for ≥6 months (N=56). Interventions Participants were randomized to receive either a TE program consisting of motor control, stretching, and aerobic exercises (n=28) or the same TE program in addition to a PNE program (n=28), conducted in two 30- to 50-minute sessions in groups of 4 to 6 participants. Main Outcomes Measures The primary outcome was pain intensity rated on the numerical pain rating scale which was completed immediately after treatment and at 1- and 3-month follow-up. Secondary outcome measures were pressure pain threshold, finger-to-floor distance, Roland-Morris Disability Questionnaire, Pain Catastrophizing Scale, Tampa Scale for Kinesiophobia, and Patient Global Impression of Change. Results At 3-month follow-up, a large change in pain intensity (numerical pain rating scale: −2.2; −2.93 to −1.28; P<.001 d="1.37)" was observed for the pne plus te group and a moderate effect size secondary outcome measures.> Conclusions Combining PNE with TE resulted in significantly better results for participants with CLBP, with a large effect size, compared with TE alone. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317313436 |