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

Study Overview
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Brief Summary
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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

Detailed Description
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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.

Official Title
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Norwegian Psychomotor Physiotherapy Versus Cognitive Patient Education and Active Physiotherapy

Conditions
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Physical Disability

Intervention / Treatment
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* Other: Norwegian Psychomotor Physiotherapy
* Other: Cognitive Patient Education and PT


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 67 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Norwegian Psychomotor Physiotherapy<br>NPMP is a body-mind awareness approach, often given in a combination of massage, exercises and conversations. The NPMP is individualized, with duration of 45-60 minutes in each session. As the NPMP is a longitudinal and normally slow process to obtain change, treatment can last up till one year, in the beginning once a week, and after some time once a month. | Other: Norwegian Psychomotor Physiotherapy<br>* 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<br>* Other names: NPMP;|
| Active Comparator: Cognitive Patient Education and PT<br>The comparison group will receive a combination of education about how to manage pain (COPE) followed by active individual physiotherapy.They will receive one session weekly with COPE, given by a physiotherapist, maximum 4 times, followed by active individual Physiotherapy (PT). | Other: Cognitive Patient Education and PT<br>* The comparison group will receive a combination of education about how to manage pain (COPE) followed by active individual physiotherapy.<br>* Other names: COPE- PT;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain | Pain on the Numeric Pain Rating Scale (NPRS) | Change from baseline in pain at 3 months, at 6 months and 12 months. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain | Wellbeing on the Short Form-12 Health Survey (SF-12) | Change from baseline in wellbeing at 3 months, at 6 months and 12 months. | 
| Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain | Sick-leave | Change from baseline in sick-leave at 3 months, at 6 months and 12 months. | 
| Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain | Function on the Shoulder Pain and Disability Inventory (SPADI) | Change from baseline in shoulder function at 3 months, at 6 months and 12 months. | 
| Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain | Function on the Norwegian Functional Assessment Scale (NFAS) | Change from baseline work related function at 3 months, at 6 months and 12 months. | 
| Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain | Neck Disability Index (NDI) | Change from baseline neck function at 3 months, at 6 months and 12 months. | 
| Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain | Global Body Examination-Flexibility (GBE) | Change from baseline flexibility at 6 months. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Musculoskeletal disorders, Psychosomatic, Pain