Effect of biopsychosocial comprehensive chronic pain management physiotherapy Practice protocol in patients with Chronic Musculoskeletal Pain - a randomised trial

Effect of biopsychosocial comprehensive chronic pain management physiotherapy Practice protocol in patients with Chronic Musculoskeletal Pain - a randomised trial | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Effect of biopsychosocial comprehensive chronic pain management physiotherapy Practice protocol in patients with Chronic Musculoskeletal Pain - a randomised trial THANGAMANI RAMALINGAM ALAGAPPAN, Sudipta Tamaal Roy This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-3446502/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background Chronic musculoskeletal pain (CMP) is a common condition treated by health care professionals including physiotherapists with increasing prevalence and causing disability and reduced quality of life. However, most of the treatments used are mainly biomedical yielding constrained outcomes and not in line with current clinical practice guidelines, which suggest the use of a biopsychosocial approach as the first-line treatment. A physiotherapy practice protocol based on neuro pain education, cognitive behaviour modification and self-management strategies is developed, which will be evaluated through a clinical trial and could transform the physiotherapy primary care practice according to the recommendations of the clinical practice guidelines. Methods A Randomised, single-centre clinical trial will be carried out to compare the effect of a Comprehensive chronic musculoskeletal Pain management (CCPM) which consists of 16 sessions weekly twice for 8 weeks Neuroscience Education program (4 sessions, 4 hrs)cognitive behaviour modification program(6 sessions,6 hrs),self-management strategies(4 sessions, 4 hrs) and revision of the program (2sessions, 2 hrs) along with usual care physiotherapy treatment for thrice weekly for 8weeks, with standardised physiotherapy thrice weekly for 8 weeks as control group. The study aims to evaluate the effect of CCPM intervention on central sensitisation, as well as on Fear avoidance, pain, disability, and pain self-efficacy The outcome variables will be measured at the beginning of the intervention and after 8 weeks Discussion The management of CMP pain can be improved by taking a multidisciplinary and holistic approach. However, the current healthcare system poses constraints to accessibility. It is necessary for physiotherapy practices to adopt a multi-dimensional pathway of treatment that considers all the bio-psychosocial factors during treatment sessions, rather than just following a bio-model pathway of management. Trial registration : CTRI/2023/05/053340 [Registered on: 31/05/2023] - Trial Registered Prospectively [https://ctri.nic.in/Clinicaltrials/main1.php?EncHid=96706.77723 ] Chronic Musculoskeletal pain Pain neuroscience education Cognitive behaviour modification Self-management strategies Treatment protocol Physiotherapy care Full Text Supplementary Files 1.THERAPISTMANUAL.pdf 2.PRINTPATIENTSCREENINGFORMCCPM1page150copies.pdf 4.CCPMsessionworkbookdatacollection.pdf 5.PATIENTINFORMATIONBOOKLET.pdf 6.annexure4.4ATRENGLISHinformedconsentformenglish1.pdf 8.ATRENGLISHparticipantinformation.pdf Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-3446502","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":273424184,"identity":"305e7ce2-6a1c-4bca-873e-e423395d777a","order_by":0,"name":"THANGAMANI RAMALINGAM 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However, most of the treatments used are mainly biomedical yielding constrained outcomes and not in line with current clinical practice guidelines, which suggest the use of a biopsychosocial approach as the first-line treatment. 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