title: Study protocol for Norwegian Psychomotor Physiotherapy versus Cognitive Patient Education in combination with active individualized physiotherapy in patients with long-lasting musculoskeletal pain - a randomized controlled trial.
abstract: Norwegian Psychomotor Physiotherapy (NPMP) has been an established treatment approach for more than 50 years, although mostly in the Scandinavian countries, and is usually applied to patients with widespread and long-lasting musculoskeletal pain and/or psychosomatic disorders. Few studies have been investigating outcome of NPMP and no randomized clinical trials (RCT) have been systematically tried out on individuals.
  
  
  
  This is a study protocol for a pragmatic, single blinded RCT, which will take place in a city of Norway. The participants will be block randomized either to receive NPMP or Cognitive Patient Education in combination with active individualized physiotherapy (COPE-PT). The intervention will reflect usual care and will be conducted in physiotherapy clinics by five experienced physiotherapists in each of the two treatment approaches.
  
  
  
  The findings of the present study may give an important contribution to our knowledge of the outcome of NPMP, on patients with long-lasting widespread musculoskeletal pain and/or pain located to the neck and shoulder region.
  
  
  
  The study has been registered with ClinicalTrials.gov (June 9 th 2015, NCT02482792).
authors: Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway. tove.dragesund@uib.no.
authors: Tove
authors: 0000-0001-7576-9111
authors: T
authors: Dragesund
authors: Department of Occupational therapy, Physiotherapy and Radiography, Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway.
authors: Alice
authors: A
authors: Kvåle
mesh_terms: D000223:Adaptation, Psychological; D003071:Cognition; D006801:Humans; D059352:Musculoskeletal Pain / Q000523:psychology / Q000628:therapy*; D019547:Neck Pain / Q000523:psychology / Q000628:therapy*; D009664:Norway; D010147:Pain Measurement; D010353:Patient Education as Topic; D059825:Physical Therapists; D026741:Physical Therapy Modalities / Q000523:psychology*; D057285:Precision Medicine / Q000379:methods*; D011597:Psychomotor Performance; D020069:Shoulder Pain / Q000628:therapy*; D016037:Single-Blind Method; D016896:Treatment Outcome