Date of Completion

2023

Document Type

Thesis

Degree Name

Bachelor of Science in Physical Therapy

Keywords

Neuroscience Education, Low Back Pain

Abstract

The purpose of this case study is to describe the effects of Pain Neuroscience Education (PNE) and traditional patient education as to pain, kinesiophobia, and function among 40–59-yearold individuals with chronic low back pain. The study introduces PNE as an alternative method of patient education in treating chronic pain, particularly, low back pain. To determine changes as to pain, kinesiophobia, and function, the Pain Numerical Scale, Tampa Scale of Kinesiophobia, and Oswestry Disability Index were utilized as outcome measures. The study involved 4 individuals who were diagnosed with spondyloarthropathy and radiculopathy presenting with chronic LBP, equally allocated into the PNE and TPE group. Each group received 4 sessions of patient education through Zoom, where a pre- and post-tests were given containing the outcome measures of the study. The results of the tests were interpreted and analytically described individually to determine any changes in beliefs after the provision of interventions. In the PNE group, both participants experienced a decrease in pain levels and kinesiophobia, while ADL tolerance showed varying results. In contrast, the TPE group showed a decrease in pain levels, and an increase in ADL tolerance, however, showed varying results as to kinesiophobia. Despite these results, no significant differences were noted as the differences of the scores did not reach the minimal clinically important difference (MCID) of the respective outcome measures to support significant changes. Regardless, PNE should not be discredited as it holds promise in reducing pain and increasing functionality among patients with chronic low back pain and may be integrated to the Philippine health care delivery system as an alternative patient education approach when treating chronic pain.

First Advisor

Russell H. Faelnar

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