The primary objectives of this study are to: * Evaluate recruitment procedures and adherence rates; * Evaluate the ability to understand the concepts of pain neurophysiology; * Evaluate the acceptability of an intervention program based on pain neuroscience education and exercise by institutionalized older adults and the institutions where they are.
Participants will be older adults with pain that are institutionalized and assess the feasibility of implementing an intervention consisting of pain neuroscience education in addition to exercise. It is antecipated that the intervention will consist of 1 to 2 sessions per week during 8 weeks and will be delivered in small groups. Participants will be assessed for pain intensity, duration, catastrophizing, fear of movement, knowledge of pain neuroscience, depression and performance.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
9
PNE will be conducted in line with international guidelines and will cover the neurophysiology of pain, transition from acute to chronic pain and the nervous system ability to modulate the pain experience.
Exercise will be provided in different formats including general exercise, strengthening, dance.
Lar de Fermentelos
Águeda Municipality, Portugal
Pain intensity
Assessed using the vertical numeric rating scale that assesses pain intensity (range 0-10 and higher values are indicative of higher pain intensity)
Time frame: Baseline
Pain intensity
Assessed using the vertical numeric rating scale that assesses pain intensity (range 0-10 and higher values are indicative of higher pain intensity)
Time frame: 9 weeks
Pain intensity
Assessed using the vertical numeric rating scale that assesses pain intensity (range 0-10 and higher values are indicative of higher pain intensity)
Time frame: 3 months
Pain location
Assessed using a body chart where the patients identifies the painful body segments
Time frame: Baseline
Pain location
Assessed using a body chart where the patients identifies the painful body segments
Time frame: 9 weeks
Pain location
Assessed using a body chart where the patients identifies the painful body segments
Time frame: 3 months
Pain frequency
Assessed using a closed question on pain frequency for the last week
Time frame: Baseline
Pain frequency
Assessed using a closed question on pain frequency for the last week
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Time frame: 9 weeks
Pain frequency
Assessed using a closed question on pain frequency for the last week
Time frame: 3 months
Depression
Assessed using the Geriatric Depression Scale (range 0-15 and values of 5 or higher are indicative of depression)
Time frame: Baseline
Depression
Assessed using the Geriatric Depression Scale (range 0-15 and values of 5 or higher are indicative of depression)
Time frame: 9 weeks
Depression
Assessed using the Geriatric Depression Scale (range 0-15 and values of 5 or higher are indicative of depression)
Time frame: 3 months
Knowledge of pain neuroscience
Assessed using the pain neurophysiology questionnaire
Time frame: Baseline
Knowledge of pain neuroscience
Assessed using the pain neurophysiology questionnaire (range 0-19 and higher values are indicative of more knowledge on pain neurophysiology)
Time frame: 9 weeks
Knowledge of pain neuroscience
Assessed using the pain neurophysiology questionnaire (range 0-19 and higher values are indicative of more knowledge on pain neurophysiology)
Time frame: 3 months
Pain catastrophizing
assessed using the Pain Catastrophizing Scale (range 0-52 and higher values are indicative of higher pain catastrophizing)
Time frame: Baseline
Pain catastrophizing
assessed using the Pain Catastrophizing Scale (range 0-52 and higher values are indicative of higher pain catastrophizing)
Time frame: 9 weeks
Pain catastrophizing
assessed using the Pain Catastrophizing Scale (range 0-52 and higher values are indicative of higher pain catastrophizing)
Time frame: 3 months
Fear of movement
Assessed using the TAMPA Scale, which assesses fear of movement (range: 13-52 and higher values are indicative of higher levels of fear of movement)
Time frame: Baseline
Fear of movement
Assessed using the TAMPA Scale (range: 13-52 and higher values are indicative of higher levels of fear of movement)
Time frame: 9 weeks
Fear of movement
Assessed using the TAMPA Scale (range: 13-52 and higher values are indicative of higher levels of fear of movement)
Time frame: 3 months
Gait velocity
Assessed using the gait velocity test - the time, in seconds, that each participant takes to walk 4 meters
Time frame: Baseline
Gait velocity
Assessed using the gait velocity test - the time, in seconds, that each participant takes to walk 4 meters
Time frame: 9 weeks
Gait velocity
Assessed using the gait velocity test - the time, in seconds, that each participant takes to walk 4 meters
Time frame: 3 months
Postural control
Assessed using the Timed up and go test - the time, in seconds, that it takes to stand from a chair, walk 3 meters, turn, walk another 3 meters to sit in the chair.
Time frame: Baseline
Postural control
Assessed using the Timed up and go test - the time, in seconds, that it takes to stand from a chair, walk 3 meters, turn, walk another 3 meters to sit in the chair.
Time frame: 9 weeks
Postural control
Assessed using the Timed up and go test - the time, in seconds, that it takes to stand from a chair, walk 3 meters, turn, walk another 3 meters to sit in the chair.
Time frame: 3 months