The purpose of this study is to evaluate the effects of combining Pain Neuroscience Education (PNE) with spinal manipulation for individuals suffering from chronic low back pain. Participants will be randomly assigned to one of two groups: one group will receive the combined intervention (neuroscience education plus spinal manipulation), while the control group will receive spinal manipulation alone.
The primary goal of the researchers is to investigate whether this combined approach can help patients change their health locus of control-shifting from an external belief (that their health depends on external factors or clinicians) to an internal belief (that they have control over their own recovery and pain management). The total study period will last 3 months, consisting of 4 weeks of intervention followed by an 8-week follow-up period to assess long-term changes in pain intensity, disability, and health beliefs.
Both sexes.
Aged between 18 and 60 years.
Diagnosed with non-specific chronic low back pain (lasting 3 months or longer).
Functional disability score of 4 points or higher on the Roland-Morris Disability Questionnaire.
Pregnant women.
Main area of pain is not located in the lumbar spine.
Main pain is located in the leg.
Less than 6 months post-surgery in the lumbar spine, lower limbs, or abdominal region.
Centro Universitário Augusto Motta
Lead sponsor
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.
Collaborator