Pontes-Silva, André, Sidiq, Mohammad, Muzaffar, Tufail, Janakiraman, Balamurugan, Masoodi, Shariq, Vasanthi, Rajkumar Krishnan, Ramachandran, Arunachalam, Bansal, Nitesh, Chahal, Aksh, Kashoo, Faizan Zaffar, Rizvi, Moattar Raza, Sharma, Ankita, Rai, Richa Hirendra, Verma, Rituraj, Sharma, Monika, Alam, Sajjad, Vajrala, Krishna Reddy, Sharma, Jyoti and Muthukrishnan, Ramprasad (2024) Effects of pain education on disability, pain, quality of life, and self-efficacy in chronic low back pain: A randomized controlled trial. PLOS ONE, 19 (5). ISSN 1932-6203
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Abstract
Background
Low back pain stands as a prevalent contributor to pain-related disability on a global scale. In addressing chronic low back pain (CLBP), there is a growing emphasis on incorporating psychological strategies into the management process. Among these, pain education interventions strive to reshape pain beliefs and mitigate the perceived threat of pain. This randomized controlled trial sought to assess the effects of pain education on various aspects, including pain levels, disability, quality of life, self-efficacy, and prognostic characteristics in individuals grappling with CLBP.
Methods
The clinical trial, retrospectively registered with the Clinical Trials Registry of India (CTRI/2021/08/035963), employed a two-arm parallel randomized design. Ninety-two participants with CLBP were randomly assigned to either the standard physiotherapy care with a pain education program or the control group. Both groups underwent a 6-week intervention. Assessment of pain intensity (using NPRS), disability (using RMDQ), self-efficacy (using the general self-efficacy scale), and well-being (using WHO 5I) occurred both before and after the 6-week study intervention.
Findings
Post-intervention score comparisons between the groups revealed that the pain education intervention led to a significant reduction in disability compared to the usual standard care at 6 weeks (mean difference 8.2, p < 0.001, effect size Cohen d = 0.75), a decrease in pain intensity (mean difference 3.5, p < 0.001, effect size Cohen d = 0.82), and an improvement in the well-being index (mean difference 13.7, p < 0.001, effect size Cohen d = 0.58).
Conclusion
The findings suggest that integrating a pain education program enhances the therapeutic benefits of standard physiotherapy care for individuals dealing with chronic LBP. In conclusion, the clinical benefits of pain education become apparent when delivered in conjunction with standard care physiotherapy during the management of chronic low back pain.
Item Type: | Article |
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Keywords: | Chronic low back pain (CLBP) | Pain-related disability |
Subjects: | Physical, Life and Health Sciences > Medicine Social Sciences and humanities > Social Sciences > Social Sciences (General) |
JGU School/Centre: | Jindal School of Public Health and Human Development |
Depositing User: | Subhajit Bhattacharjee |
Date Deposited: | 31 May 2024 16:28 |
Last Modified: | 31 May 2024 16:28 |
Official URL: | https://doi.org/10.1371/journal.pone.0294302 |
URI: | https://pure.jgu.edu.in/id/eprint/7862 |
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