{"title":"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。","authors":"Riya Kalra, Kanu Goyal, Manu Goyal","doi":"10.1002/pri.70047","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Purpose: </strong>This study evaluates the potential benefits of incorporating Pain Neuroscience Education alongside Physiotherapy for managing Chronic Plantar Fasciitis.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Discussion: </strong>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.</p><p><strong>Trial registration: </strong>This study was registered with the CTRI registry. The trial number is CTRI/2024/03/064616.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70047"},"PeriodicalIF":1.8000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Does Integrating Pain Neuroscience Education With Physiotherapy Enhance Outcomes in Chronic Plantar Fasciitis Patients?-Study Protocol for Randomized Clinical Trial.\",\"authors\":\"Riya Kalra, Kanu Goyal, Manu Goyal\",\"doi\":\"10.1002/pri.70047\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Purpose: </strong>This study evaluates the potential benefits of incorporating Pain Neuroscience Education alongside Physiotherapy for managing Chronic Plantar Fasciitis.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Discussion: </strong>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.</p><p><strong>Trial registration: </strong>This study was registered with the CTRI registry. The trial number is CTRI/2024/03/064616.</p>\",\"PeriodicalId\":47243,\"journal\":{\"name\":\"Physiotherapy Research International\",\"volume\":\"30 2\",\"pages\":\"e70047\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physiotherapy Research International\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1002/pri.70047\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Research International","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/pri.70047","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
Does Integrating Pain Neuroscience Education With Physiotherapy Enhance Outcomes in Chronic Plantar Fasciitis Patients?-Study Protocol for Randomized Clinical Trial.
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.
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.
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