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挪威心理运动物理治疗与认知患者教育联合主动个体化物理治疗用于长期肌肉骨骼疼痛患者的研究方案——一项随机对照试验

Study protocol for Norwegian Psychomotor Physiotherapy versus Cognitive Patient Education in combination with active individualized physiotherapy in patients with long-lasting musculoskeletal pain - a randomized controlled trial.

作者信息

Dragesund Tove, Kvåle Alice

机构信息

Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.

Department of Occupational therapy, Physiotherapy and Radiography, Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway.

出版信息

BMC Musculoskelet Disord. 2016 Aug 5;17:325. doi: 10.1186/s12891-016-1159-8.

Abstract

BACKGROUND

Norwegian Psychomotor Physiotherapy (NPMP) has been an established treatment approach for more than 50 years, although mostly in the Scandinavian countries, and is usually applied to patients with widespread and long-lasting musculoskeletal pain and/or psychosomatic disorders. Few studies have been investigating outcome of NPMP and no randomized clinical trials (RCT) have been systematically tried out on individuals.

METHODS/DESIGN: This is a study protocol for a pragmatic, single blinded RCT, which will take place in a city of Norway. The participants will be block randomized either to receive NPMP or Cognitive Patient Education in combination with active individualized physiotherapy (COPE-PT). The intervention will reflect usual care and will be conducted in physiotherapy clinics by five experienced physiotherapists in each of the two treatment approaches.

DISCUSSION

The findings of the present study may give an important contribution to our knowledge of the outcome of NPMP, on patients with long-lasting widespread musculoskeletal pain and/or pain located to the neck and shoulder region.

TRIAL REGISTRATION

The study has been registered with ClinicalTrials.gov (June 9 th 2015, NCT02482792).

摘要

背景

挪威心理运动物理治疗(NPMP)作为一种既定的治疗方法已有50多年历史,尽管主要应用于斯堪的纳维亚国家,且通常适用于患有广泛且持久的肌肉骨骼疼痛和/或身心障碍的患者。很少有研究调查NPMP的疗效,也没有针对个体进行过系统的随机临床试验(RCT)。

方法/设计:这是一项实用的单盲RCT研究方案,将在挪威的一个城市开展。参与者将被整群随机分组,分别接受NPMP或认知患者教育结合主动个体化物理治疗(COPE-PT)。干预措施将反映常规护理,并由两种治疗方法的五名经验丰富的物理治疗师在物理治疗诊所进行。

讨论

本研究结果可能会为我们了解NPMP对患有持久广泛肌肉骨骼疼痛和/或颈部及肩部疼痛的患者的疗效做出重要贡献。

试验注册

该研究已在ClinicalTrials.gov注册(2015年6月9日,NCT02482792)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3de/4974790/953cdf214b5d/12891_2016_1159_Fig1_HTML.jpg

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