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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

机译:文化敏感和标准疼痛神经科学教育提高了第一代土耳其移民的痛苦,残疾和疼痛认知,慢性低腰疼痛:试点随机对照试验

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摘要

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 .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.
机译:目的:比较文化敏感和标准疼痛神经科学教育(PNE)对患有慢性腰痛(CLBP)的第一代土耳其移民的疼痛知识、疼痛强度、残疾和疼痛认知的有效性。方法:29名患有CLBP的土耳其第一代移民被随机分为培养敏感组(n=15)和标准PNE组(n=14)。主要结果(疼痛知识、疼痛强度和残疾)和次要结果(疼痛信念、灾难化和运动恐惧)在基线检查时、第二次PNE治疗后(第1周)和4周后进行评估。结果:疼痛知识的时间主效应显著(p.05)。结论:两个PNE项目都提高了对疼痛、疼痛强度、感知残疾和疼痛认知的认识。然而,对文化敏感的PNE方法的优越性无法得到证明。因此,由于文化融合,居住在东道国时间较长的移民可能不需要文化适应疗法,而这些适应可能对最近的移民或土耳其的本地人口至关重要。需要进一步研究,以调查文化敏感PNE单独或与物理疗法干预相结合对新近移民或患有CLBP的土耳其人的影响。

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