The Effect of Online Therapeutic Neuroscience Education Added to Conventional Physiotherapy Program on Clinical Outcomes, Treatment Expectations and Satisfaction Levels in Patients With Chronic Low Back Pain

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

This study aims to evaluate the effects of online Therapeutic Neuroscience Education (TNE) combined with a 6-week conventional physiotherapy program on pain, disability, kinesiophobia, functionality, treatment expectations, and satisfaction in individuals with chronic low back pain (CLBP). The goal is to improve participants' understanding of chronic pain, reduce fear and avoidance behaviors, enhance movement and functionality, and increase treatment satisfaction. The study also seeks to provide a lasting educational resource. TNE focuses on educating patients about pain neurophysiology, aiming to reduce pain, improve function, and shift perceptions about pain through interactive sessions involving diagrams, metaphors, and examples. Despite evidence supporting TNE's effectiveness for chronic pain conditions, no studies have evaluated its online application or long-term effects. The study will include 60 volunteers with CLBP (ages 20-60), randomized into two groups: one receiving conventional physiotherapy and online TNE, and the other receiving conventional treatment alone. The TNE group will participate in six weekly 45-minute online sessions, covering topics like pain neurophysiology, biopsychosocial factors, and pain coping strategies, without addressing anatomical or emotional aspects. Educational materials, including resources adapted from Why You Hurt will be presented to the TNE group. Conventional physiotherapy includes hot packs, ultrasound, TENS, and home exercises for both groups. Clinical outcomes will be assessed by a blinded researcher at multiple time points using tools such as pain and disability scales, kinesiophobia measures, functional tests, and questionnaires on treatment expectations and satisfaction. The study is significant for its innovative approach in examining the clinical and long-term effectiveness of online TNE as part of CLBP management.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 20
Maximum Age: 60
Healthy Volunteers: t
View:

• Individuals aged 20-60

• Literate

• Having received a score of 24 or above in the Mini-Mental Status Assessment

• Having internet access

• Having back pain for more than 3 months

• Having pain between 3-8 on the Numerical Pain Scale

• Individuals with chronic back pain whose symptoms are not radicular

Locations
Other Locations
Turkey
Ornek Medical Clinic
RECRUITING
Istanbul
Contact Information
Primary
Mine Gulden Polat, Prof.
guldenpolat2002@yahoo.com
90053 251 3686
Backup
Furkan Cakir, MSc.
fztfurkancakir@gmail.com
905426033944
Time Frame
Start Date: 2025-05-01
Estimated Completion Date: 2026-05-01
Participants
Target number of participants: 60
Treatments
Experimental: Experimental
These participants will receive online Therapeutic Neuroscience Education with conventional physiotherapy program.
Active_comparator: Control
Control group will receive only conventional physiotherapy program.
Related Therapeutic Areas
Sponsors
Leads: Istanbul Bilgi University
Collaborators: Marmara University

This content was sourced from clinicaltrials.gov