Norwegian Psychomotor Physiotherapy in Patients With Long-lasting Musculoskeletal Pain.

Tove Dragesund128 enrolled

Overview

The aim is to examine the effect of Norwegian Psychomotor Physiotherapy (NPMP) in employees with long-lasting musculoskeletal pain compared to employees receiving Cognitive Patient Education in combination with active individual physiotherapy (COPE-PT) on pain, function, quality of life and sick-leave

The NPMP is based on the assumption that patients with long-lasting problems, physical and/or psychological, may react with general aberrations related to posture, respiration, and movements, as well as with muscular tension and skin changes. Employees With Long lasting musculoskeletal pain problems, working in the Municipality of Bergen, will be invited to participate in an Randomized Clinical Trial (RCT), and randomized to either receive Norwegian Psychomotor Physiotherapy (NPMP) or a series of Cognitive Patient Education in combination with active individual physiotherapy (COPE-PT). The aim is to examine the effect of NPMP compared to those receiving COPE-PT on pain, function, quality of life and sick-leave.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

128

Conditions

Physical Disability

Interventions

Norwegian Psychomotor PhysiotherapyOTHER

The recruited patients will after randomization receive either Norwegian Psychomotor Physiotherapy (NPMP) or COPE combined with active individual physiotherapy. In NPMP the treatment is individualized, targeting body-mind awareness through exercise, massage and therapeutic conversation

Cognitive Patient Education and PTOTHER

The comparison group will receive a combination of education about how to manage pain (COPE) followed by active individual physiotherapy.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 67 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patients With neck,shoulder and/or widespread pain * Pain (≥ 3 Numeric Pain Rating Scale (NPRS) * Functional problems measured with Orebro Musculoskeletal Pain Screening Questionnaire (OMPSQ), Neck Disability Index (NDI) and/or Shoulder Pain and Disability Inventory (SPADI)-been sick-listed for 4-8 weeks, or on the brink of becoming sick-listed, or having had residual neck- and shoulder complaints problems during the last two years with several short-term sick-leaves. * =/6 American College of Rheumatology (ACR) tender points, * Reduced Relaxation and Flexibility from the Global Physiotherapy Examination (GPE) Exclusion Criteria: * Sick-listed \> 6 months

Locations (1)

Department of Global Public Health and Primary Care, UiB

Bergen, Hordaland, Norway