Clinical trial NCT02482792: Norwegian Psychomotor Physiotherapy in Patients With Long-lasting Musculoskeletal Pain.
Official title: Norwegian Psychomotor Physiotherapy Versus Cognitive Patient Education and Active Physiotherapy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Physical Disability
Keywords: Musculoskeletal disorders
Psychosomatic
Pain
Lead sponsor: University of Bergen
Sponsor class: OTHER
Collaborators: name: Norwegian Fund for Postgraduate Training in Physiotherapy
First posted: 2015-06-26
Enrollment: 128
Sex: ALL
Minimum age (years): 18
Maximum age (years): 67
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain
timeFrame: Change from baseline in pain at 3 months, at 6 months and 12 months.
Secondary outcomes:
measure: Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain
timeFrame: Change from baseline in wellbeing at 3 months, at 6 months and 12 months.
measure: Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain
timeFrame: Change from baseline in sick-leave at 3 months, at 6 months and 12 months.
measure: Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain
timeFrame: Change from baseline in shoulder function at 3 months, at 6 months and 12 months.
measure: Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain
timeFrame: Change from baseline work related function at 3 months, at 6 months and 12 months.
measure: Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain
timeFrame: Change from baseline neck function at 3 months, at 6 months and 12 months.
measure: Efficacy of Norwegian Psychomotor Physiotherapy in Patients With Long-lasting pain
timeFrame: Change from baseline flexibility at 6 months.
Other outcomes:
Locations:
city: Bergen
country: Norway
facility: Department of Global Public Health and Primary Care, UiB
state: Hordaland
Study officials:
affiliation: University of Bergen
name: Alice Kvåle, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Dragesund T, Kvale A. 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. BMC Musculoskelet Disord. 2016 Aug 5;17:325. doi: 10.1186/s12891-016-1159-8.