The effects of pain neurocience education (PNE) and pilates methods in adults and elderly, associated with use of heathe lth educational cards and applications, treatment with Nonspecific Chronic Low Back Pain (NSCLBP)

Abstract

Chronic pain is the most common symptom reported throughout the life cycle, and the most prevalent is Nonspecific Chronic Low Back Pain. This clinical condition may negatively influence the living conditions of adults and the elderly, as it decreases functional capacity and autonomy, generates suffering and discomfort, as well as increases spending on health services and work absenteeism. Given the impairment that Nonspecific Chronic Low Back Pain can cause the population, this study is necessary because it seeks to verify the influence of Pain Neuroscience Education (PNE) associated with the Pilates method in pain management, and whether the use of educational health applications and guidance booklet help in the management of individuals' pain and in treatment adherence and satisfaction. It also aims to verify the differences that occurred during interventions in different age groups. It is an experimental study of longitudinal character, with qualitative and quantitative approach. Persons from 18 to 75 years old who have nonspecific chronic low back pain for more than six months will be selected. Participants will be divided into three groups at random according to the forms of interventions addressed. Subsequently, for pain management analysis, they will be divided into two age ranges, from 18 to 59 years old and 60 to 75 years old. Volunteers will be assessed before and after intervention by the instruments: Brief Pain Inventory, Attitude to Pain Inventory, Tampa Scale for Kinesiophobia, Catastrophic Thought Scale, and Spitzer Quality of Life Index. There will be three PNE sessions and 16 Pilates sessions, twice a week, and the guidance booklet and pain education application will be applied. Thus, it is expected that, after the intervention, it can be said how much the mobile application helps in the understanding of PNE and which intervention is capable of modifying the understanding of pain, the beliefs regarding pain and contributing to adherence and satisfaction with treatment in different age groups.