Does Integrating Pain Neuroscience Education With Physiotherapy Enhance Outcomes in Chronic Plantar Fasciitis Patients?-Study Protocol for Randomized Clinical Trial.

IF 1.8 Q3 REHABILITATION

Physiotherapy Research International Pub Date : 2025-04-01 DOI:10.1002/pri.70047

Riya Kalra, Kanu Goyal, Manu Goyal

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引用次数: 0

Abstract

Background: Chronic Plantar Fasciitis (CPF) is commonly associated with elevated levels of anxiety and pain catastrophizing. Pain Neuroscience Education (PNE) has shown promise in addressing these psychological components, but high-quality evidence assessing its combined impact with physiotherapy for CPF is limited.

Purpose: This study evaluates the potential benefits of incorporating Pain Neuroscience Education alongside Physiotherapy for managing Chronic Plantar Fasciitis.

Methods: A randomized controlled trial will recruit 160 participants between the ages of 18 and 44, all diagnosed with Chronic Plantar Fasciitis (CPF). Participants will be randomly and equally divided into two groups: a conventional physiotherapy group undergoing 45-min sessions of standard physiotherapy, and an experimental group receiving the same physiotherapy regimen supplemented with a weekly 15-min Pain Neuroscience Education (PNE) session. The outcome measures will include the Numeric Rating Scale (NRS) for assessing morning first-step pain, the Foot Function Index (FFI) for evaluating foot and ankle function, the Pain Catastrophizing Scale (PCS) for measuring catastrophic thinking, the Tampa Scale for Kinesiophobia (TSK) for fear of movement, and the Y-Balance Test for dynamic balance assessment. Data will be collected at baseline, after 3 weeks, and at 6 weeks.

Results: Data normality will be checked using the Kolmogorov-Smirnov test. Depending on the data distribution, between-group differences will be analyzed using either the independent t-test or Mann-Whitney U test, and within-group changes will be assessed using the paired t-test or Wilcoxon signed-rank test.

Discussion: The findings of this trial are expected to shed light on the additional benefits of integrating Pain Neuroscience Education with conventional physiotherapy in the management of Chronic Plantar Fasciitis.

Trial registration: This study was registered with the CTRI registry. The trial number is CTRI/2024/03/064616.

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将疼痛神经科学教育与物理治疗相结合是否能提高慢性足底筋膜炎患者的预后？-随机临床试验研究方案。

背景：慢性足底筋膜炎（CPF）通常与焦虑水平升高和疼痛灾难化有关。疼痛神经科学教育（PNE）在解决这些心理因素方面显示出了希望，但评估其与物理治疗对CPF联合影响的高质量证据有限。目的：本研究评估将疼痛神经科学教育与物理治疗结合治疗慢性足底筋膜炎的潜在益处。方法：一项随机对照试验将招募160名年龄在18至44岁之间的参与者，所有被诊断为慢性足底筋膜炎（CPF）。参与者将随机平均分为两组：常规物理治疗组接受45分钟的标准物理治疗，实验组接受相同的物理治疗方案，并辅以每周15分钟的疼痛神经科学教育（PNE）课程。结果测量将包括用于评估早晨第一步疼痛的数值评定量表（NRS），用于评估足部和脚踝功能的足部功能指数（FFI），用于测量灾难性思维的疼痛灾难量表（PCS），用于评估运动恐惧的坦帕运动恐惧症量表（TSK），以及用于评估动态平衡的Y-Balance测试。将在基线、3周后和6周时收集数据。结果：使用Kolmogorov-Smirnov检验检验数据的正态性。根据数据分布，组间差异将使用独立t检验或Mann-Whitney U检验进行分析，组内变化将使用配对t检验或Wilcoxon符号秩检验进行评估。讨论：该试验的结果有望阐明将疼痛神经科学教育与传统物理治疗结合起来治疗慢性足底筋膜炎的额外益处。试验注册：本研究已在CTRI注册中心注册。试验号为CTRI/2024/03/064616。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Research International REHABILITATION-

CiteScore

3.30

自引率

5.90%

发文量

期刊介绍： Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.