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<p>Chronic low back pain (CLBP) significantly impairs quality of life and increases mortality among older adults, making its effective management essential for healthy aging. This quasi-randomized trial compared Pain Neuroscience Education emphasizing physical activity (PNE-PA) with traditional biomechanical treatments (BM) in older women with CLBP over 12 weeks. Community-dwelling women aged 65–90 years with CLBP were assigned to either group based on recruitment timing, using a double-blinded design. PNE-PA aimed to reduce pain-related fear by educating patients about pain neuroscience and encouraging physical activity. Outcomes included physical function, pain intensity, self-reported disability and psychological factors. Analyses used intention-to-treat and bootstrap resampling methods. Between-group differences were assessed using mean differences, 95% confidence intervals (CI), and Cohen’s d. The PNE-PA group (<i>n</i> = 24) showed significantly greater improvements than the BM group (<i>n</i> = 18) in Chair Stand Test (95% CI: 1.53&#xa0;to&#xa0;7.76, d = 0.88), step count (95% CI: 475.97&#xa0;to&#xa0;2550.42, d = 0.87), pain catastrophizing (95% CI: -10.64 to&#xa0;-1.95, d = -0.87), and fear-avoidance beliefs (95% CI: -7.40 to&#xa0;-0.14, d = -0.65). These findings suggest that Pain Neuroscience Education emphasizing physical activity was associated with better physical and psychological outcomes among older women with chronic low back pain.</p>

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Pain neuroscience education with physical activity improves physical and psychological outcomes in older women with chronic low back pain

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月7日

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  • Teppei Abiko,
  • Shin Murata,
  • Hiroaki Iwase,
  • Koji Nonaka,
  • Kunihiko Anami,
  • Yuki Kikuchi,
  • Katsuyuki Madoba,
  • Kayoko Shiraiwa

摘要

Chronic low back pain (CLBP) significantly impairs quality of life and increases mortality among older adults, making its effective management essential for healthy aging. This quasi-randomized trial compared Pain Neuroscience Education emphasizing physical activity (PNE-PA) with traditional biomechanical treatments (BM) in older women with CLBP over 12 weeks. Community-dwelling women aged 65–90 years with CLBP were assigned to either group based on recruitment timing, using a double-blinded design. PNE-PA aimed to reduce pain-related fear by educating patients about pain neuroscience and encouraging physical activity. Outcomes included physical function, pain intensity, self-reported disability and psychological factors. Analyses used intention-to-treat and bootstrap resampling methods. Between-group differences were assessed using mean differences, 95% confidence intervals (CI), and Cohen’s d. The PNE-PA group (n = 24) showed significantly greater improvements than the BM group (n = 18) in Chair Stand Test (95% CI: 1.53 to 7.76, d = 0.88), step count (95% CI: 475.97 to 2550.42, d = 0.87), pain catastrophizing (95% CI: -10.64 to -1.95, d = -0.87), and fear-avoidance beliefs (95% CI: -7.40 to -0.14, d = -0.65). These findings suggest that Pain Neuroscience Education emphasizing physical activity was associated with better physical and psychological outcomes among older women with chronic low back pain.