Davenport, Iowa 52803

  • Depression

Purpose:

This study will look at the effects of Pain Neuroscience Education on a Depression outcome tool in patients with chronic low back pain.


Study summary:

Pain and depression have been shown to be interrelated, especially chronic pain: people in chronic pain develop depression and people with depression develop chronic pain. In light of this coexistence it is not surprising that current best-evidence for depression and chronic pain shows significant overlap which includes primarily some type of cognitive intervention, aerobic exercise, and skilled delivery of medication including selective-serotonin-reuptake-inhibitors and/or membrane stabilizers. Current best-evidence regarding musculoskeletal pain provides strong support for Pain Neuroscience Education (PNE) to positively influence pain ratings, dysfunction, and limitations in movement, pain knowledge and healthcare utilization. Additionally, PNE has shown to powerfully influence psychosocial issues that powerfully influence pain and depression: fear-avoidance and pain catastrophization. Evidence is lacking in whether PNE could also influence depression ratings. The purpose of this study is to examine the immediate effect of PNE on pain, function, and depressive symptoms (using the Patient Health Questionnaire - PHQ-9) in patients attending PT for chronic low back pain (LBP). This will be a pre- and post-intervention convenience sample of consecutive patients with chronic LBP (pain > 6 months) meeting the inclusion criteria, attending outpatient PT. On initial examination, intake data and information will be collected prior to PNE and immediately following PNE.


Criteria:

Inclusion Criteria: - adults over the age of 18 - presenting at PT with a primary complaint of LBP - LBP being present for 6 months or more - fluent in English - willing to participate in the study. Exclusion Criteria: - are under age 18 (minor) - had undergone lumbar surgery - cannot read or understand the English language - presents with any cognitive deficits rendering them unsuitable for PNE (i.e., stroke, traumatic brain injury, etc.) - decline to participate - present with a medical etiology (red flag) associated with their LBP.


NCT ID:

NCT04023435


Primary Contact:

Principal Investigator
Kevin Farrell
St. Ambrose University

Kevin Farrell
Phone: 563-333-6405
Email: farrellkevin@sau.edu


Backup Contact:

Email: Adriaan@ispinstitute.com
Adriaan Louw
Phone: 515-722-2699


Location Contact:

Davenport, Iowa 52803
United States

Kevin Farrell
Phone: 563-333-6405
Email: farrellkevin@sau.edu

Site Status: Recruiting


Data Source: ClinicalTrials.gov

Date Processed: September 16, 2021

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