Physiotherapy Theory and Practice
2019

Culture-sensitive and standard pain neuroscience education improves pain, disability, and pain cognitions in first-generation Turkish migrants with chronic low back pain: a pilot randomized controlled trial (Article)

Orhan C. , Lenoir D. , Favoreel A. , Van Looveren E. , Yildiz Kabak V. , Mukhtar N.B. , Cagnie B. , Meeus M.*
  • a Department of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey, Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
  • b Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium, Department of Physiotherapy, Human Physiology and Anatomy (KIMA), Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium, Pain in Motion International Research Group, Belgium
  • c Department of Physiotherapy, De Sleep Health Center, Ghent, Belgium
  • d Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium, Department of Physiotherapy, Human Physiology and Anatomy (KIMA), Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium, Pain in Motion International Research Group, Belgium
  • e Department of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey, Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
  • f Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
  • g Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
  • h Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium, Pain in Motion International Research Group, Belgium, Department of Rehabilitation Sciences and Physiotherapy, University of Antwerp, Wilrijk, Belgium

Abstract

Purpose: To compare the effectiveness of culture-sensitive and standard pain neuroscience education (PNE) on pain knowledge, pain intensity, disability, and pain cognitions in first-generation Turkish migrants with chronic low back pain (CLBP). Methods: Twenty-nine Turkish first-generation migrants with CLBP were randomly assigned to the culture-sensitive (n = 15) or standard PNE (n = 14) groups. Primary (pain knowledge, pain intensity, and disability) and secondary outcomes (pain beliefs, catastrophization, and fear of movement) were evaluated at baseline, immediately after the second session of PNE (week 1), and after 4 weeks. Results: There was a significant main effect of time in pain knowledge (p < .001), pain intensity (p = .03), disability (p = .002), organic and psychological pain beliefs (p = .002, p = .01), catastrophization (p = .002), and fear of movement (p = .02). However, no significant difference was found between groups in terms of all outcome measures (p > .05). Conclusions: Both PNE programs resulted in improvements in knowledge of pain, pain intensity, perceived disability, and pain cognitions. Nevertheless, the superiority of the culture-sensitive PNE approach could not be proved. Therefore, maybe migrants who are living in the host country for longer length of time do not need culturally adapted therapies due to cultural integration, while these adaptations might be essential for the recent migrants or the autochthonous population in Turkey. Further research is required to investigate the effects of culture-sensitive PNE alone or in combination with physiotherapy interventions in recent migrants or Turkish natives with CLBP. © 2019, © 2019 Taylor & Francis Group, LLC.

Author Keywords

Education Migrants culture Low back pain neurophysiology

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85068548014&doi=10.1080%2f09593985.2019.1639231&partnerID=40&md5=71ff04aebe8c8a35b17899f0440d634d
DOI: 10.1080/09593985.2019.1639231
ISSN: 09593985
Original Language: English