Pain management · 2026
Effectiveness of standard and culturally adapted pain neuroscience education for Hausa chronic neck pain: randomized controlled trial protocol.
Протокол клинического исследованияСтатьяНазвание и аннотация: Перевод в очереди
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Kaka Bashir, Ahmad Sani, Umar Lawan, Abdulahi Umar, Mukhtar Nazir B, Oluwaleke Sokunbi G
Аннотация
BACKGROUND: Chronic nonspecific neck pain is a significant cause of disability among Hausa-speaking populations in northern Nigeria. While pain neuroscience education (PNE) is effective, previous local studies were limited.
AIM: This study aims to compare the effectiveness of translated standard PNE versus a culturally adapted PNE version for this population.
METHODS: A single-blind randomized controlled trial will enroll 69 adults with chronic neck pain into three groups. All participants will receive 8 weeks of structured neck exercises (SNE), a standard physiotherapy regimen for chronic neck pain in the region focusing on range of motion, strengthening, and postural correction. Two groups will receive additional weekly sessions of either Standard Translated PNE or Culturally Adapted PNE, while the third group will receive Structured Neck Exercises only. Primary (neck-related disability) and secondary outcomes (pain intensity, pain comprehension, psychological factors, fear-avoidance beliefs and quality of life) will be measured at baseline, 4, 8, and 12 weeks.
DISCUSSION: It is hypothesized that the culturally adapted PNE will yield superior outcomes due to its enhanced relevance and comprehension. The findings are expected to inform the development of effective, culturally tailored pain management strategies in sub-Saharan Africa, thereby advancing musculoskeletal care in the region.
CLINICAL TRIAL REGISTRATION: The Pan African Clinical Trial Registry (https://pactr.samrc.ac.za/) identifier is PACTR202503884900037.
AIM: This study aims to compare the effectiveness of translated standard PNE versus a culturally adapted PNE version for this population.
METHODS: A single-blind randomized controlled trial will enroll 69 adults with chronic neck pain into three groups. All participants will receive 8 weeks of structured neck exercises (SNE), a standard physiotherapy regimen for chronic neck pain in the region focusing on range of motion, strengthening, and postural correction. Two groups will receive additional weekly sessions of either Standard Translated PNE or Culturally Adapted PNE, while the third group will receive Structured Neck Exercises only. Primary (neck-related disability) and secondary outcomes (pain intensity, pain comprehension, psychological factors, fear-avoidance beliefs and quality of life) will be measured at baseline, 4, 8, and 12 weeks.
DISCUSSION: It is hypothesized that the culturally adapted PNE will yield superior outcomes due to its enhanced relevance and comprehension. The findings are expected to inform the development of effective, culturally tailored pain management strategies in sub-Saharan Africa, thereby advancing musculoskeletal care in the region.
CLINICAL TRIAL REGISTRATION: The Pan African Clinical Trial Registry (https://pactr.samrc.ac.za/) identifier is PACTR202503884900037.