Effects of a Hybrid Physiotherapy Program Based on Pain Neuroscience Education and Therapeutic Exercise in Individuals With Chronic Persistent Pain and Depressive Disorder: A Prospective Longitudinal Study
This prospective longitudinal pre-post intervention study aims to evaluate the effects of an 8-week physiotherapy program combining face-to-face and asynchronous tele-rehabilitation sessions in individuals with chronic persistent pain and depressive disorder. The intervention is based on pain neuroscience education and therapeutic exercise. Outcomes include pain intensity, psychosocial factors, adherence to treatment, usability of telemedicine, balance, body awareness, and participants' experiences collected through focus groups.
Inclusion Criteria: * Age 45-75 years * User of AFDA and ASAPME * Chronic persistent pain * Written informed consent provided
Exclusion Criteria: * Severe psychiatric disorders (including schizophrenia) * Neurological diseases preventing participation * No internet access * Mini-Mental State Examination score ≤24 * Acute musculoskeletal disorders * Rheumatic diseases * Severe respiratory insufficiency * Inability to understand Spanish * Pregnancy, immunosuppression, transplantation or active oncological condition
[{"measure":"Pain Intensity (Numering Rating Scale)","timeFrame":"Baseline and Week 8"}]