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Additional Effects of Pain Neuroscience Education With Standard Pre-operative Physiotherapy on Post-laminectomy Pain and Disability.

RecruitingNAAges 35 Years - 60 YearsAllFoundation University Islamabad
NCT07801586 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

This randomized controlled trial investigates whether adding Pain Neuroscience Education (PNE) to standard pre-operative physiotherapy improves outcomes after lumbar laminectomy. Chronic low back pain often involves central sensitization, where the nervous system continues amplifying pain signals even after the structural problem is surgically corrected, contributing to persistent neuropathic pain and disability after spine surgery. The study will enroll 44 male and female patients aged 35-60 scheduled for elective one- or two-level lumbar laminectomy, with a pre-surgical waiting period of at least three weeks. Participants will be randomized into two equal groups. The experimental group will receive a three-week "nervous system priming" program: three 45-minute sessions combining PNE (explaining pain biology and neuroplasticity through culturally adapted metaphors) with standard exerci

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📋 Eligibility rules (as published)
Inclusion Criteria: * Male and female patients * Adults aged 35-60 years. * Scheduled for elective, primary 1- or 2-level lumbar laminectomy/decompression for radiculopathy due to stenosis or herniation. * A pre-surgical waiting period of at least 3 weeks. * Able to understand and provide informed consent in Urdu/English. Exclusion Criteria: * Severe cognitive impairment * Unstable medical conditions * Lower limb or spinal fractures or severe joint deformities * Previous lumbar spine surgery. * Cauda equina syndrome or other surgical emergencies. * Major systemic illness (e.g., uncontrolled cardiovascular disease, cancer) or psychiatric disorder that would limit participation. * Non-ambulatory status prior to surgery * Significant Neural deficit after surgery
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What it tests

  • Experimental Group - Pain Neuroscience Education + Standard Pre-operative Protocol
  • Control Group - Standard Pre-Operative Care
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Where

1 site
Foundation University College of Physical Therapy
Islamabad, Pakistan
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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