Pain Neuroscience Education Combined With Lumbar Stabilization Exercises on Disability and Kinesiophobia Among Patients With Chronic Low Back Pain
NCT ID: NCT07307859
Last Updated: 2025-12-29
Study Results
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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NOT_YET_RECRUITING
NA
40 participants
INTERVENTIONAL
2026-01-20
2026-09-01
Brief Summary
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Control group - will receive lumbar stabilization exercises only.
Experimental group - will receive lumbar stabilization exercises in addition to PNE delivered once weekly for 8 sessions.
Both groups will undergo an 8-week intervention, and outcome measures will be collected at baseline, post-intervention (8 weeks), and at a follow-up assessment (16 weeks) to evaluate the persistence of treatment effects. It is expected that the experimental group will show greater improvements in disability and kinesiophobia compared with the control group, indicating that integrating PNE with stabilization exercises may provide enhanced and sustained benefits for patients with chronic low back pain.
Detailed Description
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PNE sessions will focus on explaining the neurophysiological mechanisms of chronic pain, emphasizing concepts such as central sensitization, the protective nature of pain, and the role of thoughts, emotions, and movement in pain modulation. The lumbar stabilization exercises will aim to improve trunk control, enhance spinal stability, and promote functional movement patterns.
Participants will be assessed at baseline, after completion of the intervention period, and again at a later follow-up to examine the sustainability of treatment effects. The study is expected to provide evidence on whether combining educational and physical interventions yields greater improvements in disability and kinesiophobia compared with stabilization exercises alone. This information may support future clinical decision-making and contribute to improving physiotherapy services for patients with chronic low back pain in the Gaza Strip.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
OTHER
SINGLE
Study Groups
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Lumbar Stabilization Exercises
Standard Lumbar Stabilization Exercise Program A physiotherapy program focused solely on core and trunk stabilization exercises without additional educational components.
Control Group - Lumbar Stabilization Exercises Only
Lumbar Stabilization Exercises (LSE)
Frequency: 3 supervised sessions per week for 8 weeks
→ Total 24 supervised LSE sessions
Session duration: 45-60 minutes
Structure: Identical warm-up, core program, and cool-down as the experimental group.
Progression: Identical 8-week exercise progression.
Home program: 1 basic LSE home session weekly (same as experimental group).
Communication: Therapists will not provide pain education or discuss pain science concepts.
Adherence: Attendance logs and SMS reminders identical to the experimental group.
Lumbar Stabilization Exercises Plus Pain Neuroscience Education
Lumbar Stabilization Program Integrated with Weekly Pain Neuroscience Education Sessions A combined intervention including trunk stabilization exercises supported by once-weekly educational sessions addressing pain mechanisms and fear-avoidance beliefs.
Experimental Group - Lumbar Stabilization Exercises + PNE
Experimental Group - Lumbar Stabilization Exercises + PNE
1. Lumbar Stabilization Exercises (LSE)
Frequency: 3 supervised sessions per week for 8 weeks
→ Total 24 supervised LSE sessions
Session duration: 45-60 minutes
Structure each session:
Warm-up (5-10 min)
Core stabilization program (30-40 min)
Cool-down (5-10 min)
Progression: Exercises will advance weekly from basic motor control to high-level functional stabilization (details below).
Home program: 1 additional short home session weekly (basic LSE).
Monitoring: VAS before and after each session. Exercises will be modified if pain rises \>2 VAS points.
Adherence: Attendance logs
2. Pain Neuroscience Education (PNE)
Frequency: Once per week (included within one of the 3 weekly sessions)
→ Total 8 PNE sessions
Duration: 30-40 minutes
Format: Small group (≤5) or one-on-one
Methods: Metaphors, storytelling, diagrams, role-play, Arabic handouts
Learning evaluation: Mini-quizzes, reflective journaling, i
Interventions
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Experimental Group - Lumbar Stabilization Exercises + PNE
Experimental Group - Lumbar Stabilization Exercises + PNE
1. Lumbar Stabilization Exercises (LSE)
Frequency: 3 supervised sessions per week for 8 weeks
→ Total 24 supervised LSE sessions
Session duration: 45-60 minutes
Structure each session:
Warm-up (5-10 min)
Core stabilization program (30-40 min)
Cool-down (5-10 min)
Progression: Exercises will advance weekly from basic motor control to high-level functional stabilization (details below).
Home program: 1 additional short home session weekly (basic LSE).
Monitoring: VAS before and after each session. Exercises will be modified if pain rises \>2 VAS points.
Adherence: Attendance logs
2. Pain Neuroscience Education (PNE)
Frequency: Once per week (included within one of the 3 weekly sessions)
→ Total 8 PNE sessions
Duration: 30-40 minutes
Format: Small group (≤5) or one-on-one
Methods: Metaphors, storytelling, diagrams, role-play, Arabic handouts
Learning evaluation: Mini-quizzes, reflective journaling, i
Control Group - Lumbar Stabilization Exercises Only
Lumbar Stabilization Exercises (LSE)
Frequency: 3 supervised sessions per week for 8 weeks
→ Total 24 supervised LSE sessions
Session duration: 45-60 minutes
Structure: Identical warm-up, core program, and cool-down as the experimental group.
Progression: Identical 8-week exercise progression.
Home program: 1 basic LSE home session weekly (same as experimental group).
Communication: Therapists will not provide pain education or discuss pain science concepts.
Adherence: Attendance logs and SMS reminders identical to the experimental group.
Eligibility Criteria
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Inclusion Criteria
* CLBP lasting for more than 12 weeks.
Exclusion Criteria
* Presence of neurological problems.
* Inflammatory conditions, including radiculopathy.
* Pregnancy.
* Body mass index (BMI) ≥ 30.
* Chronic systemic diseases or conditions requiring regular use of strong analgesics or opioids, which may interfere with intervention outcomes.
* Significant visual or hearing impairments.
25 Years
50 Years
ALL
No
Sponsors
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Al-Azhar University
OTHER
Responsible Party
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Mosab ALdabbas
Assistant Professor at Al Azhar University ,Palestine, Gaza
Central Contacts
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Mosab Aldabbas Last Name or Official Title: Aldabbas First Name: Mosab, PhD
Role: CONTACT
Phone: 00972597451222
Email: [email protected]
Other Identifiers
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Al Azhar University , Gaza
Identifier Type: -
Identifier Source: org_study_id