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IRCT20200218046542N1 IRCT 2020-06-02 Shiraz University of Medical Sciences The effect of Pain Neuroscience Education technique on Nonspecific chronic low back pain The comparison of lumbosacral manipulation with and without pain neuroscience education method in treatment of nonspecific chronic low back pain in athlete with sacroiliac dysfunction 2020-06-04 anticipated 38 Complete https://irct.ir/trial/46034 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization was performed by permutation block randomization method with 4-digit blocks (two groups of 19 subjects), Blinding description: The researcher who will do the manipulation and assess the outcome measures, as well as the statistic specialist will be unaware of the control and intervention groups. N/A Chronic low back pain with sacroiliac dysfunction. Intervention 1: Intervention group: Performing sacroiliac and lumbar manipulation similar to the control group with a pain neuroscience education technique that teaches about pain management and control it.This technique is performed in three sessions and each session is about 90 minutes before other interventions by PowerPoint and clip And within a month, the taught material will be sent every week to remind them. In fact, PNE technique creates a new perception of the past and previous experience, Due to the lack of focus on the damaged tissue and Pain is taught simply in neurobiology and neurophysiology. In other words, the patient is informed about the mechanism of pain and neuroanatomy in practice And this makes it possible to identify false pains of psychological origin and improve them. Intervention 2: Control group: only perform lumbar and sacroiliac manipulation techniques as baseline treatment in three sessions. Yes - There is a plan to make this available What will be shared: The results will be published as an article in the research international journals When: In the next 1 to 2 years To whom: Only people who ask the main investigator for the information Conditions: With the permission through a written or oral request Where to obtain: School of Rehabilitation Sciences. Shiraz University of Medical Sciences How to obtain: School of Rehabilitation Sciences. Shiraz University of Medical Sciences Comments:
public Mohamad Mahdi Soltani
NO. 3, West Mardani, Janbazan Blvd., Modares Blvd.
Shiraz Iran (Islamic Republic of) 7155816345 +98 71 3720 7692 m_soltani@sums.ac.ir Shiraz University of Medical Sciences scientific Mohamad Mahdi Soltani
No. 3 West Mardani St., Janbazan Blvd., Modares Blvd.
Shiraz Iran (Islamic Republic of) 7155816345 +98 71 3720 7692 m_soltani@sums.ac.ir Shiraz University of Medical Sciences Iran (Islamic Republic of) Non-specific chronic low back pain Who performed specialized exercise at least three times a week for two hours each session Pain between 3 to 6 based on the NRS Functional disability between 20 to 40 based on the ODI questionnaire Catastrophizing pain between 26 and 39 based on the PCS questionnaire sacroiliac dysfunction 18 years 32 years Both Patient dissatisfaction Do additional therapy in addition to the treatment specified in the study Patients who are included in one of the cases of absolute non-use of interventions such as Recent infections, cancer, use anticoagulants, lymphedema, etc. History of spine surgery Osteoporosis Leg length difference Use of painkillers and anti-inflammatory drugs over the past three months Recent physiotherapy in the past three months Spinal deformities including scoliosis Cauda equina syndrome Neurological symptoms from pressure on the nerve Disc herniation Pregnancy Inability to read and write Having medical or paramedical information (such as neuroanatomy-neurophysiology information) M54.5 Low back pain Rehabilitation Rehabilitation Intervention group: Performing sacroiliac and lumbar manipulation similar to the control group with a pain neuroscience education technique that teaches about pain management and control it.This technique is performed in three sessions and each session is about 90 minutes before other interventions by PowerPoint and clip And within a month, the taught material will be sent every week to remind them. In fact, PNE technique creates a new perception of the past and previous experience, Due to the lack of focus on the damaged tissue and Pain is taught simply in neurobiology and neurophysiology. In other words, the patient is informed about the mechanism of pain and neuroanatomy in practice And this makes it possible to identify false pains of psychological origin and improve them. Control group: only perform lumbar and sacroiliac manipulation techniques as baseline treatment in three sessions Pain intensity. Timepoint: Before, after 3 sessions and after one month. Method of measurement: Numerical rate scale. Functional disabilities. Timepoint: Before, after 3 sessions and after one month. Method of measurement: Oswestry disability index. Pain catasrophizing rate. Timepoint: Before, after 3 sessions and after one month. Method of measurement: pain catastrophizing scale questionnare. Static balance with closed eyes. Timepoint: Before,after 3 sessions and after one month. Method of measurement: Single leg stance bilateraly with closed eyes. Shiraz University of Medical Sciences Approved 2019-07-31 Ethics committee of Shiraz university of Medical Sciences Zand Blvd Shiraz Fars Iran (Islamic Republic of)