Evaluating Online Therapeutic Neuroscience Education Plus Conventional Physiotherapy for Chronic Low Back Pain Effects on Pain, Function, Fear, and Treatment Satisfaction in Adults

What this Trial Is About

Researchers are evaluating the effects of combining online Therapeutic Neuroscience Education TNE with a 6-week conventional physiotherapy program on people aged 20 to 60 who have chronic low back pain CLBP. The study aims to improve participants understanding of chronic pain, reduce fear and avoidance behaviors, enhance movement and disability outcomes, and increase treatment expectations and satisfaction. This innovative approach also examines the long-term effects of delivering TNE online, which has not been studied before. The study includes 60 volunteers randomly assigned to two groups. One group receives conventional physiotherapy alone, while the other group receives the same physiotherapy plus six weekly 45-minute online TNE sessions. TNE sessions focus on pain neurophysiology using interactive tools like diagrams, metaphors, and examples, covering topics such as pain mechanisms, nervous system sensitization, and coping strategies. Conventional physiotherapy for both groups includes hot packs, ultrasound, TENS, and home exercises. Participants will be evaluated by a blinded researcher at baseline, 3 weeks, 6 weeks, and 6 months after starting the program. Assessments include pain intensity, disability, fear of movement, physical function, treatment expectations, and satisfaction using validated scales and physical tests. The study will provide important information about the clinical and lasting benefits of adding online TNE to standard physiotherapy for chronic low back pain.

The Long Term Effects of Online Therapeutic Neuroscience Education in Patients With Chronic Low Back Pain