Justification: among the sequelae of Covid-19 in clinical practice we frequently find persistent neuromusculoskeletal pain. Previous studies carried out by this research group and in the scientific literature have shown that "Pain Neuroscience Education" (PNE) and Therapeutic Exercise (TE) constitute an effective care strategy in the treatment of persistent pain. Therefore, with this research we will try to respond with a treatment proposal from Primary Care (PC). Objective: to determine whether an PNE and TE program is effective in patients presenting Long Covid Pain (LCP). Method: Randomized clinical trial. A sample of 80 subjects will be recruited. The intervention group will receive a program of TE and PNE, of 12 weeks duration: 5 weeks of PNE, of 1 weekly session of 90 minutes, and 7 weeks of TE, with a total of 19 sessions of 60 minutes duration. The control group will receive the usual treatment. An assessment will be made at the beginning and after the end of the intervention, where the following variables will be measured: quality of life, intensity, distribution and expansion of pain, healthy physical condition and blood test values. These will be evaluated by means of physical examination, questionnaires and laboratory tests. Applicability of the expected results: The proposed intervention is simple and reproducible. It requires few resources, and can produce changes in pain perception, functionality and quality of life in patients with LCP.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
89
12-week program consisting of PNE and TE
12-week program consisting of home exercises, performed 3 days/week.
Universidad de Valladolid
Valladolid, VALLADOLID, Spain
Quality of life (QoL)
EQ-5D questionnaire (Quality of life 5 dimension questionnaire): The EQ-5D is a brief multi-attribute health status measure composed of five questions with Likert response options (descriptive system) and a visual analogue scale (EQ-VAS). The descriptive system covers five dimensions of health (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) with three levels of severity in each dimension (no problems, some problems, and extreme problems).
Time frame: 3 months
Pain Intensity
Visual Analog Scale, VAS (0-100mm).
Time frame: 3 months
Body Chart
Nordic Questionnaire
Time frame: 3 months
Quantitative sensory tests
pain detection to pressure
Time frame: 3 months
Handgrip Strength assessment
With a manual dynamometer.
Time frame: 3 months
30 sit to stand test
Time frame: 3 months
6 Minute Walking Test (6MWT)
Time frame: 3 months
Maximal Inspiratory and Expiration Pressure (MIP/MEP)
Time frame: 3 months
Catastrophism
Pain Catastrophism Scale (ECD).
Time frame: 3 months
Anxiety
Beck Anxiety Questionnaire (BAI)
Time frame: 3 months
Depression
Beck Depression Questionnaire-II (BDI-II)
Time frame: 3 months
Drug consumption.
Record by dose of the consumption of drugs for the patient's pain pre-post intervention.
Time frame: 3 months
Fatigue
Modified Fatigue Impact Scale (MFIS)
Time frame: 3 months
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