Improvement of Fear-avoidance Beliefs in Patients with Chronic Low Back Pain

NCT ID: NCT06138158

Last Updated: 2024-11-05

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

COMPLETED

Clinical Phase

NA

Total Enrollment

39 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-11

Study Completion Date

2024-11-01

Brief Summary

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Non-specific chronic low back pain is the main cause of public spending on health care and labor, with a prevalence of 10.2%. Its therapeutic management is difficult, with moderate levels of pain and persistent disability over time, influenced by psychosocial factors, such as "fear-avoidance" beliefs. The supervised therapeutic exercise program associated with an educational component is one of the most effective interventions to reduce pain and disability in these patients, but its efficacy seems to be less if there are erroneous beliefs, avoidance attitudes, or fear of physical activity, since it makes it difficult to follow the recommendations. The Back School would address this problem, seeking to improve pain, disability and increase quality of life.

Detailed Description

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The main objective of this study is to evaluate the influence of the intervention of the Back School of the Hospital Universitario Insular de Gran Canaria in reducing the levels of "fear-avoidance" beliefs in patients with non-specific chronic low back pain.

Conditions

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Non Specific Low Back Pain

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Exercise and Education Group

They will perform an exercise program oriented according to the back school, as well as educational guidelines related to pain.

Group Type EXPERIMENTAL

Exercise and Education Group

Intervention Type PROCEDURE

Physical exercise and pain education

Interventions

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Exercise and Education Group

Physical exercise and pain education

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of non-specific low back pain, age 18-65 years, acceptance of voluntary participation and signature of the informed consent document.
* Acceptance of voluntary participation and signature of the informed consent document.
* Sufficient oral and written knowledge of the Spanish language
* Absence of any other educational intervention at the present time.

Exclusion Criteria

* Presence or suspicion of red flags
* Cognitive impairment
* Spinal surgery
* Intolerance to physical activity
* Litigation pending resolution
* Pregnancy or postpartum less than 6 months
* Withdrawal from the study (signature of the informed consent revocation document).
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Las Palmas de Gran Canaria

OTHER

Sponsor Role lead

Responsible Party

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Aníbal Báez Suárez

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sven Mikael Appelvik González, MSc

Role: PRINCIPAL_INVESTIGATOR

University of Las Palmas de Gran Canaria

Locations

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Sven Mikael Appelvik González

Las Palmas de Gran Canaria, Las Palmas, Spain

Site Status

Countries

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Spain

References

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Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, Mannion AF, Reis S, Staal JB, Ursin H, Zanoli G; COST B13 Working Group on Guidelines for Chronic Low Back Pain. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J. 2006 Mar;15 Suppl 2(Suppl 2):S192-300. doi: 10.1007/s00586-006-1072-1. No abstract available.

Reference Type BACKGROUND
PMID: 16550448 (View on PubMed)

Delitto A, George SZ, Van Dillen L, Whitman JM, Sowa G, Shekelle P, Denninger TR, Godges JJ; Orthopaedic Section of the American Physical Therapy Association. Low back pain. J Orthop Sports Phys Ther. 2012 Apr;42(4):A1-57. doi: 10.2519/jospt.2012.42.4.A1. Epub 2012 Mar 30.

Reference Type BACKGROUND
PMID: 22466247 (View on PubMed)

National Collaborating Centre for Primary Care (UK). Low Back Pain: Early Management of Persistent Non-specific Low Back Pain [Internet]. London: Royal College of General Practitioners (UK); 2009 May. Available from http://www.ncbi.nlm.nih.gov/books/NBK11702/

Reference Type BACKGROUND
PMID: 20704057 (View on PubMed)

Sorensen PH, Bendix T, Manniche C, Korsholm L, Lemvigh D, Indahl A. An educational approach based on a non-injury model compared with individual symptom-based physical training in chronic LBP. A pragmatic, randomised trial with a one-year follow-up. BMC Musculoskelet Disord. 2010 Sep 17;11:212. doi: 10.1186/1471-2474-11-212.

Reference Type BACKGROUND
PMID: 20849601 (View on PubMed)

Other Identifiers

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SPainEduca

Identifier Type: -

Identifier Source: org_study_id

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