PMID- 31161919
OWN - NLM
STAT- MEDLINE
DCOM- 20200813
LR  - 20201201
IS  - 2042-6186 (Electronic)
IS  - 1066-9817 (Print)
IS  - 1066-9817 (Linking)
VI  - 27
IP  - 5
DP  - 2019 Dec
TI  - Immediate effect of pain neuroscience education for recent onset low back pain: 
      an exploratory single arm trial.
PG  - 267-276
LID - 10.1080/10669817.2019.1624006 [doi]
AB  - Study Design: A prospective, single-arm, pre-postintervention study.Objective: To 
      determine the preliminary usefulness of providing pain neuroscience education 
      (PNE) on improving pain and movement in patients presenting with non-chronic 
      mechanical low back pain (LBP).Background: PNE has been shown to be an effective 
      intervention for the treatment of chronic LBP but its usefulness in patients with 
      non-chronic LBP has not been examined.Methods: A single group cohort pilot study 
      was conducted. Eighty consecutive patients with LBP < 3 months completed a 
      demographics questionnaire, leg and LBP rating (Numeric Pain Rating Scale - 
      NPRS), disability (Oswestry Disability Index), fear-avoidance (Fear-Avoidance 
      Beliefs Questionnaire), pain catastrophizing (Pain Catastrophizing Scale), 
      central sensitization (Central Sensitization Inventory), pain knowledge (Revised 
      Neurophysiology of Pain Questionnaire), risk assessment (Keele STarT Back 
      Screening Tool), active trunk flexion and straight leg raise (SLR). Patients 
      received a 15-minute verbal, one-on-one PNE session, followed by repeat 
      measurement of LBP and leg pain (NPRS), trunk flexion and SLR.Results: 
      Immediately after intervention, LBP and leg pain improved significantly 
      (p < 0.001), but the mean change did not exceed minimal clinically important 
      difference (MCID) of 2.0. Active trunk flexion significantly improved 
      (p < 0.001), with the mean improvement (4.7 cm) exceeding minimal detectible 
      change (MDC). SLR improved significantly (p = 0.002), but mean change did not 
      exceed MDC.Conclusions: PNE may be an interesting option in the treatment of 
      patients with non-chronic mechanical LBP. The present pilot study provides the 
      rationale for studying larger groups of patients in controlled studies over 
      longer periods of time.
FAU - Louw, Adriaan
AU  - Louw A
AD  - International Spine and Pain Institute, Story City, IA, USA.
AD  - Department of Physical Therapy Education, Residency Program, St. Ambrose 
      University, Health Sciences Center, Davenport, IA, USA.
FAU - Farrell, Kevin
AU  - Farrell K
AD  - Department of Physical Therapy Education, Residency Program, St. Ambrose 
      University, Health Sciences Center, Davenport, IA, USA.
FAU - Choffin, Breanna
AU  - Choffin B
AD  - Department of Physical Therapy Education, Residency Program, St. Ambrose 
      University, Health Sciences Center, Davenport, IA, USA.
FAU - Foster, Brooke
AU  - Foster B
AD  - Department of Physical Therapy Education, Residency Program, St. Ambrose 
      University, Health Sciences Center, Davenport, IA, USA.
FAU - Lunde, Grace
AU  - Lunde G
AD  - Department of Physical Therapy Education, Residency Program, St. Ambrose 
      University, Health Sciences Center, Davenport, IA, USA.
FAU - Snodgrass, Michelle
AU  - Snodgrass M
AD  - Department of Physical Therapy Education, Residency Program, St. Ambrose 
      University, Health Sciences Center, Davenport, IA, USA.
FAU - Sweet, Robert
AU  - Sweet R
AD  - Department of Physical Therapy Education, Residency Program, St. Ambrose 
      University, Health Sciences Center, Davenport, IA, USA.
FAU - Weitzel, Matthew
AU  - Weitzel M
AD  - Department of Physical Therapy Education, Residency Program, St. Ambrose 
      University, Health Sciences Center, Davenport, IA, USA.
FAU - Wilder, Rebecca
AU  - Wilder R
AD  - Department of Physical Therapy Education, Residency Program, St. Ambrose 
      University, Health Sciences Center, Davenport, IA, USA.
FAU - Puentedura, Emilio J
AU  - Puentedura EJ
AD  - International Spine and Pain Institute, Story City, IA, USA.
AD  - Doctor of Physical Therapy Program, Baylor University Graduate School, Waco, TX, 
      USA.
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
DEP - 20190604
PL  - England
TA  - J Man Manip Ther
JT  - The Journal of manual & manipulative therapy
JID - 9433812
SB  - IM
MH  - Acute Disease
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Low Back Pain/*therapy
MH  - Male
MH  - Middle Aged
MH  - Neurosciences/*education
MH  - Pain Measurement
MH  - *Patient Education as Topic
MH  - Pilot Projects
MH  - Range of Motion, Articular
MH  - Sampling Studies
MH  - Torso
MH  - Young Adult
PMC - PMC6830205
OTO - NOTNLM
OT  - Low back pain
OT  - clinical prediction rules
OT  - pain neuroscience education
OT  - sub-grouping
EDAT- 2019/06/05 06:00
MHDA- 2020/08/14 06:00
PMCR- 2020/12/01
CRDT- 2019/06/05 06:00
PHST- 2019/06/05 06:00 [pubmed]
PHST- 2020/08/14 06:00 [medline]
PHST- 2019/06/05 06:00 [entrez]
PHST- 2020/12/01 00:00 [pmc-release]
AID - 1624006 [pii]
AID - 10.1080/10669817.2019.1624006 [doi]
PST - ppublish
SO  - J Man Manip Ther. 2019 Dec;27(5):267-276. doi: 10.1080/10669817.2019.1624006. 
      Epub 2019 Jun 4.