Title
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Pain neurophysiology education and therapeutic exercise for patients with chronic low back pain : a single-blind randomized controlled trial
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Author
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Abstract
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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 was observed for the 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. |
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Language
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English
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Source (journal)
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Archives of physical medicine and rehabilitation. - Chicago, Ill., 1952, currens
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Publication
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Chicago, Ill.
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2018
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ISSN
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0003-9993
[print]
1532-821X
[online]
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DOI
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10.1016/J.APMR.2017.10.016
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Volume/pages
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99
:2
(2018)
, p. 338-347
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ISI
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000424069800016
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Pubmed ID
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29138049
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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