Efficacy of Pain Neurophysiology Education in Combination With Psychologic Inoculation in Chronic Whiplash

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

EARLY_PHASE1

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-02-29

Brief Summary

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With the present study the investigators wish to examine if reconceptualisation of pain, by educating chronic whiplash-associated disorders (CWAD) patients on the neurophysiology of pain, in combination with psychologic innoculation is able to influence maladaptive (pain) cognitions, pain (inhibition) and movement performance, and reduce symptoms.

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Detailed Description

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Results from a previous pilot study conducted by the same investigators suggest that intensive pain neurophysiology education (PNE) is able to increase pain thresholds and improve pain behavior and pain-free movement performance in patients with CWAD. However these results have not been confirmed in a randomized controlled trial.

In addition, it has been emphasized that PNE is not a standalone treatment and that future research should examine PNE in combination with other treatment modalities. Another treatment modality that challenges people's beliefs and barriers is psychological inoculation (PI). However, it has not yet been examined if PI could be a useful component in the rehabilitation of chronic pain patients.

Conditions

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Pain, Chronic Whiplash Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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PNE+PI

The interventional group who will receive the experimental PNE+PI treatment.

Group Type EXPERIMENTAL

Pain neurophysiology education (PNE) and psychologic inoculation (PI)

Intervention Type BEHAVIORAL

3 sessions of PNE+PI are given which include education on pain neurophysiology and applying the PI technique for which subjects are asked to refute sentences which are read by the therapist.

NS

The control group who will receive the neck school treatment.

Group Type ACTIVE_COMPARATOR

Neck school (NS)

Intervention Type BEHAVIORAL

3 sessions of NS which includes advice on posture, ergonomics and on performing activities.

Interventions

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Pain neurophysiology education (PNE) and psychologic inoculation (PI)

3 sessions of PNE+PI are given which include education on pain neurophysiology and applying the PI technique for which subjects are asked to refute sentences which are read by the therapist.

Intervention Type BEHAVIORAL

Neck school (NS)

3 sessions of NS which includes advice on posture, ergonomics and on performing activities.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* WAD grades I to II according to the Quebec Task Force criteria
* with chronic pain as result of a whiplash injury
* 18-65 years of age and with Dutch as their native language will be able to participate