NCT03529474

Psychology and Physiotherapy Approach of Chronic Pain in Patients With Hemophilia

Nonpharmacological Approach of Chronic Pain in Patients With Hemophilia: a Combined Approach From Psychology and Physiotherapy

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 19 (actual)
• Sponsor: Instituto de Investigacion Sanitaria La Fe · Academic / Other
• Sex: Male
• Age: 18 Years – 60 Years
• Healthy volunteers: Not accepted

Summary

This study evaluates the clinical impact of a combined protocol with cognitive-behavioral intervention and physiotherapy adjuvant to the standard medical treatment in patients with haemophilia that suffer from chronic pain

Detailed description

The purpose of this study is to improve the perception of the experience of chronic pain, as well as functionality and quality of life in hemophilic patients with chronic pain Secondary objectives are: * to change the perception that the patient has of their pain, to improve the coping strategies and to increase the perception of self-efficacy of patients in pain management. * to increase the resources that allow a better self-regulatory of emotional, cognitive and competential of the pain experience, reverting in the emotional state of patients, particularly in levels of anxiety and depression. * to improve functional capacity and musculoskeletal status. * to improve quality of life. * to determine whether changes / improvements are maintained over time 3 months after finishing the program

Conditions

• Haemophilia

Interventions

Type	Name	Description
OTHER	Psychology and Physiotherapy group	Psychological program: 4 sessions,2 hours each,4 months * Psychoeducation.Influence of psychological factors on chronic pain: modulators of pain experience. Biopsychosocial model of pain. * Training techniques of psychological management of pain:Diaphragmatic Breathing and Progressive Muscle Relaxation to control vicious circle pain-tension-pain. * Kinesiophobia. Rational regulation of the activity level:Cognitive therapy (management of irrational believes about pain) and Organisation of time and reinforcement activities. Physiotherapy program:3 sessions per week,1 hour per session,4 months: * Aerobic exercise:walking, cycling * Warm-up: active ROM exercises of inferior and superior extremities (ISE) * Progressive resistance training with elastic bands of ISE * Stretching of ISE
OTHER	Placebo comparator: control group	Control group Normal daily activities Usual daily activities

Timeline

• Start date: 2018-03-14
• Primary completion: 2019-03-15
• Completion: 2019-03-15
• First posted: 2018-05-18
• Last updated: 2019-06-10

Locations

1 site across 1 country: Spain