RT Journal Article
T1 Pain Neuroscience Education and Physical Therapeutic Exercise for Patients with Chronic Spinal Pain in Spanish Physiotherapy Primary Care: A Pragmatic Randomized Controlled Trial
A1 Galan-Martin, Miguel Angel
A1 Montero-Cuadrado, Federico
A1 Lluch-Girbes, Enrique
A1 Coca-López, María Carmen
A1 Mayo-Iscar, Agustín
A1 Cuesta-Vargas, Antonio
K1 Chronic pain
K1 Chronic spinal pain
K1 Pain neuroscience education
K1 Physical exercise
K1 Primary care
K1 Randomized controlled trial
K1 Dolor crónico
K1 Ejercicio físico
K1 Atención primaria
K1 Ensayo clínico controlado aleatorio
AB Chronic musculoskeletal pain affects more than 20% of the population, leading to high health care overload and huge spending. The prevalence is increasing and negatively affects both physical and mental health, being one of the leading causes of disability. The most common location is the spine. Most treatments used in the Public Health Services are passive (pharmacological and invasive) and do not comply with current clinical guidelines, which recommend treating pain in primary care (PC) with education and exercise as the first-line treatments. A randomized multicentre clinical trial has been carried out in 12 PC centres. The experimental group (EG) conducted a program of pain neuroscience education (6 sessions, 10 h) and group physical exercise with playful, dual-tasking, and socialization-promoting components (18 sessions in 6 weeks, 18 h), and the control group performed the usual physiotherapy care performed in PC. The experimental treatment improved quality of life (d = 1.8 in physical component summary), catastrophism (d = 1.7), kinesiophobia (d = 1.8), central sensitization (d = 1.4), disability (d = 1.4), pain intensity (d = 3.3), and pressure pain thresholds (d = 2). Differences between the groups (p < 0.001) were clinically relevant in favour of the EG. Improvements post-intervention (week 11) were maintained at six months. The experimental treatment generates high levels of satisfaction.
PB https://www.mdpi.com/2077-0383/9/4/1201
YR 2020
FD 2020-04-22
LK http://hdl.handle.net/10668/3722
UL http://hdl.handle.net/10668/3722
LA en
NO Galan-Martin MA, Montero-Cuadrado F, Lluch-Girbes E, Coca-López MC, Mayo-Iscar A, Cuesta-Vargas A. Pain Neuroscience Education and Physical Therapeutic Exercise for Patients with Chronic Spinal Pain in Spanish Physiotherapy Primary Care: A Pragmatic Randomized Controlled Trial. J Clin Med. 2020 Apr 22;9(4):1201
DS RISalud
RD Apr 6, 2025