Status:
NOT_YET_RECRUITING
Effectiveness of a Pain Neuroscience Education and Therapeutic Exercise Program Delivered by Primary Care Physiotherapists to Patients With Chronic Nociplastic Spinal Pain
Lead Sponsor:
Distrito de Atención Primaria Sevilla
Collaborating Sponsors:
Junta de Andalucia
Conditions:
Chronic Pain (Back / Neck)
Eligibility:
All Genders
18-70 years
Phase:
NA
Brief Summary
The main objective of the project is to evaluate the effectiveness, in terms of quality of life, of a therapy based on an Active Coping Protocol for Non-Cancer Chronic Pain in the Primary Care setting...
Eligibility Criteria
Inclusion
- Users of the Public Health System of Andalusia, registered in the User Database (BDU) of the Sevilla Health District.
- Ages between 18 and 70.
- Chronic lumbar pain lasting more than 3 months, likely due to central sensitization (likely nociplastic pain).
- The diagnosis of Central Sensitization will be made according to the most recent algorithm published by Nijs et al. in Lancet.
Exclusion
- Oncological pain (pain related to cancer)
- Spinal fracture or spinal surgery in the previous year.
- Neurological cognitive impairment that prevents understanding of pain neuroeducation (if in doubt, the Minimental Test will be performed, requiring a minimum score of 25)
- Physical conditioning deficit that prevents the execution of the Physical --Education program (minimum requirement: normal execution time of \<10 seconds for the timed "Up and Go" test).
- Pregnancy
- Cauda equina syndrome
- Chronic fatigue syndrome
- Fibromyalgia
- Complex Regional Pain Syndrome
- Clinical conditions that may aggravate chronic spinal pain.
- Associated pathologies that prevent the performance of a physical exercise program (myopathies and neurological disorders).
- Currently undergoing alternative therapies.
- The presence of pain in other anatomical regions, apart from spinal pain, is not a reason for exclusion.
Key Trial Info
Start Date :
September 1 2025
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 31 2026
Estimated Enrollment :
135 Patients enrolled
Trial Details
Trial ID
NCT07133607
Start Date
September 1 2025
End Date
December 31 2026
Last Update
September 11 2025
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