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oai:repisalud.isciii.es:20.500.12105/180342024-11-28T14:49:06Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16927
Repisalud author Galan-Martin, Miguel Angel author Montero-Cuadrado, Federico author Lluch-Girbes, Enrique author Coca-López, María Carmen author Mayo-Iscar, Agustín author Cuesta-Vargas, Antonio authoraffiliation [Galan-Martin,MA; Montero-Cuadrado,F] Unit for Active Coping Strategies for Pain in Primary Care, East-Valladolid Primary Care Management, Castilla and León Public Health System (Sacyl), Valladolid, Spain. [Galan-Martin,MA] Doctoral Program of Research in Health Sciences, University of Valladolid, Valladolid, Spain. [Lluch-Girbes,E] Department of Physical Therapy, University of Valencia, Valencia, Spain. [Lluch-Girbes,E] Pain in Motion International Research Group, Brussels, Belgium. [Lluch-Girbes,E] Department of Human Physiology and Rehabilitation Sciences, Faculty of Physiotherapy, Vrije University Brussels, Brussels, Belgium. [Coca-López,MC] Castilla and León Regional Centre of Sports Medicine, (Sacyl), Valladolid, Spain. [Mayo-Iscar,A] Department of Statistics and Operational Research and IMUVA, University of Valladolid, Valladolid, Spain. [Cuesta-Vargas,A] Department of Physiotherapy, Faculty of Heath Sciences, University of Malaga, Málaga, Spain. [Cuesta-Vargas,A] Institute of Biomedical Research in Malaga. IBIMA, Málaga, Spain. [Cuesta-Vargas,A] School of Clinical Science, Faculty of Health Science, Queensland University Technology, Brisbane, QLD, Australia. 2024-02-12T19:45:59Z 2024-02-12T19:45:59Z 2020-04-22 10.3390/jcm9041201 2077-0383 Journal of Clinical Medicine http://hdl.handle.net/10668/3722 32331323 http://hdl.handle.net/20.500.12105/18034 Chronic 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. eng Chronic pain Chronic spinal pain Pain neuroscience education Physical exercise Primary care Randomized controlled trial Dolor crónico Ejercicio físico Atención primaria Ensayo clínico controlado aleatorio Pain Neuroscience Education and Physical Therapeutic Exercise for Patients with Chronic Spinal Pain in Spanish Physiotherapy Primary Care: A Pragmatic Randomized Controlled Trial research article