Kharazmi University , letafatkaramir@yahoo.com
Abstract: (821 Views)
Abstract
Introduction: Previous studies have shown promising results in improving pain, disability, and kinesiophobia in chronic low back pain patients through pain neuroscience education and targeted cognitive motor control exercises. The aim of this study was to compare the effectiveness of a combination of pain neuroscience education and targeted cognitive motor control exercises with targeted cognitive motor control exercises alone in patients with chronic low back pain.
Materials and Methods: Fifty-four chronic low back pain patients (the pain neuroscience education with targeted cognitive motor control exercises group, n=27 and the targeted cognitive motor control exercises only group, n=27) participated in this study. Pain (visual analogue scale), disability (Oswestry Disability Index), central sensitization inventory, and kinesiophobia (Tampa Scale) were assessed at baseline and eight weeks after interventions. Repeated measures analysis of variance and linear mixed models with Bonferroni correction were used to examine between-group differences.
Results: A significant group × time interaction effect was found for pain (p=0.008), central sensitization inventory (p=0.002) and kinesiophobia (p<0.001) in the pain neuroscience education with targeted cognitive motor control exercises group compared to the targeted cognitive motor control exercises only group after eight weeks. Main effects of time were observed for pain, disability, and fear of movement after interventions (p<0.001). No significant group × time interaction effects was found for disability (p=0.50).
Conclusions: This study’s findings support the provision of pain neuroscience education as a clinically effective addition to targeted cognitive motor control exercises in chronic low back pain patients.
Introduction: Previous studies have shown promising results in improving pain, disability, and kinesiophobia in chronic low back pain patients through pain neuroscience education and targeted cognitive motor control exercises. The aim of this study was to compare the effectiveness of a combination of pain neuroscience education and targeted cognitive motor control exercises with targeted cognitive motor control exercises alone in patients with chronic low back pain.
Materials and Methods: Fifty-four chronic low back pain patients (the pain neuroscience education with targeted cognitive motor control exercises group, n=27 and the targeted cognitive motor control exercises only group, n=27) participated in this study. Pain (visual analogue scale), disability (Oswestry Disability Index), central sensitization inventory, and kinesiophobia (Tampa Scale) were assessed at baseline and eight weeks after interventions. Repeated measures analysis of variance and linear mixed models with Bonferroni correction were used to examine between-group differences.
Results: A significant group × time interaction effect was found for pain (p=0.008), central sensitization inventory (p=0.002) and kinesiophobia (p<0.001) in the pain neuroscience education with targeted cognitive motor control exercises group compared to the targeted cognitive motor control exercises only group after eight weeks. Main effects of time were observed for pain, disability, and fear of movement after interventions (p<0.001). No significant group × time interaction effects was found for disability (p=0.50).
Conclusions: This study’s findings support the provision of pain neuroscience education as a clinically effective addition to targeted cognitive motor control exercises in chronic low back pain patients.
Type of Study: Research |
Subject:
آسیب شناسی و حرکات اصلاحی
Received: 2023/07/25 | Accepted: 2023/12/25
Received: 2023/07/25 | Accepted: 2023/12/25
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