Pain neuroscience education and physical therapeutic exercise for patients with chronic spinal pain in Spanish physiotherapy primary care: a pragmatic randomized controlled trial

Producción Científica

Detalhes bibliográficos
Autores: Galán Martín, Miguel Ángel, Montero Cuadrado, Federico, Lluch Girbés, Enrique, Coca López, María Carmen, Mayo Iscar, Agustín, Cuesta Vargas, Antonio
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Recursos:Universidad de Valladolid
Repositorio:UVaDOC. Repositorio Documental de la Universidad de Valladolid
OAI Identifier:oai:uvadoc.uva.es:10324/52319
Acesso em linha:https://doi.org/10.3390/jcm9041201
https://uvadoc.uva.es/handle/10324/52319
Access Level:acceso abierto
Palavra-chave:Chronic pain
Dolor crónico
Neuroscience education
Educación neurocientífica
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spelling Pain neuroscience education and physical therapeutic exercise for patients with chronic spinal pain in Spanish physiotherapy primary care: a pragmatic randomized controlled trialGalán Martín, Miguel ÁngelMontero Cuadrado, FedericoLluch Girbés, EnriqueCoca López, María CarmenMayo Iscar, AgustínCuesta Vargas, AntonioChronic painDolor crónicoNeuroscience educationEducación neurocientíficaProducción CientíficaChronic 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.Ministerio de Economía, Industria y Competitividad (grant MTM2017–86061-C2–1-P)Junta de Castilla y León - Fondo Europeo de Desarrollo Regional (grants VA005P17 and VA002G18)MDPI2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.3390/jcm9041201https://uvadoc.uva.es/handle/10324/52319reponame:UVaDOC. Repositorio Documental de la Universidad de Valladolidinstname:Universidad de ValladolidIngléshttps://www.mdpi.com/2077-0383/9/4/1201/htminfo:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-nd/4.0/oai:uvadoc.uva.es:10324/523192026-06-13T12:44:47Z
dc.title.none.fl_str_mv Pain neuroscience education and physical therapeutic exercise for patients with chronic spinal pain in Spanish physiotherapy primary care: a pragmatic randomized controlled trial
title Pain neuroscience education and physical therapeutic exercise for patients with chronic spinal pain in Spanish physiotherapy primary care: a pragmatic randomized controlled trial
spellingShingle Pain neuroscience education and physical therapeutic exercise for patients with chronic spinal pain in Spanish physiotherapy primary care: a pragmatic randomized controlled trial
Galán Martín, Miguel Ángel
Chronic pain
Dolor crónico
Neuroscience education
Educación neurocientífica
title_short Pain neuroscience education and physical therapeutic exercise for patients with chronic spinal pain in Spanish physiotherapy primary care: a pragmatic randomized controlled trial
title_full Pain neuroscience education and physical therapeutic exercise for patients with chronic spinal pain in Spanish physiotherapy primary care: a pragmatic randomized controlled trial
title_fullStr Pain neuroscience education and physical therapeutic exercise for patients with chronic spinal pain in Spanish physiotherapy primary care: a pragmatic randomized controlled trial
title_full_unstemmed Pain neuroscience education and physical therapeutic exercise for patients with chronic spinal pain in Spanish physiotherapy primary care: a pragmatic randomized controlled trial
title_sort Pain neuroscience education and physical therapeutic exercise for patients with chronic spinal pain in Spanish physiotherapy primary care: a pragmatic randomized controlled trial
dc.creator.none.fl_str_mv Galán Martín, Miguel Ángel
Montero Cuadrado, Federico
Lluch Girbés, Enrique
Coca López, María Carmen
Mayo Iscar, Agustín
Cuesta Vargas, Antonio
author Galán Martín, Miguel Ángel
author_facet Galán Martín, Miguel Ángel
Montero Cuadrado, Federico
Lluch Girbés, Enrique
Coca López, María Carmen
Mayo Iscar, Agustín
Cuesta Vargas, Antonio
author_role author
author2 Montero Cuadrado, Federico
Lluch Girbés, Enrique
Coca López, María Carmen
Mayo Iscar, Agustín
Cuesta Vargas, Antonio
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Chronic pain
Dolor crónico
Neuroscience education
Educación neurocientífica
topic Chronic pain
Dolor crónico
Neuroscience education
Educación neurocientífica
description Producción Científica
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.3390/jcm9041201
https://uvadoc.uva.es/handle/10324/52319
url https://doi.org/10.3390/jcm9041201
https://uvadoc.uva.es/handle/10324/52319
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://www.mdpi.com/2077-0383/9/4/1201/htm
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:UVaDOC. Repositorio Documental de la Universidad de Valladolid
instname:Universidad de Valladolid
instname_str Universidad de Valladolid
reponame_str UVaDOC. Repositorio Documental de la Universidad de Valladolid
collection UVaDOC. Repositorio Documental de la Universidad de Valladolid
repository.name.fl_str_mv
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