Effects of pain education on disability, pain, quality of life, and self-efficacy in chronic low back pain: A randomized controlled trial.

BACKGROUND: Low back pain stands as a prevalent contributor to pain-related disability on a global scale. In addressing chronic low back pain (CLBP), there is a growing emphasis on incorporating psychological strategies into the management process. Among these, pain education interventions strive to reshape pain beliefs and mitigate the perceived threat of pain. This randomized controlled trial sought to assess the effects of pain education on various aspects, including pain levels, disability, quality of life, self-efficacy, and prognostic characteristics in individuals grappling with CLBP. METHODS: The clinical trial, retrospectively registered with the Clinical Trials Registry of India (CTRI/2021/08/035963), employed a two-arm parallel randomized design. Ninety-two participants with CLBP were randomly assigned to either the standard physiotherapy care with a pain education program or the control group. Both groups underwent a 6-week intervention. Assessment of pain intensity (using NPRS), disability (using RMDQ), self-efficacy (using the general self-efficacy scale), and well-being (using WHO 5I) occurred both before and after the 6-week study intervention. FINDINGS: Post-intervention score comparisons between the groups revealed that the pain education intervention led to a significant reduction in disability compared to the usual standard care at 6 weeks (mean difference 8.2, p < 0.001, effect size Cohen d = 0.75), a decrease in pain intensity (mean difference 3.5, p < 0.001, effect size Cohen d = 0.82), and an improvement in the well-being index (mean difference 13.7, p < 0.001, effect size Cohen d = 0.58). CONCLUSION: The findings suggest that integrating a pain education program enhances the therapeutic benefits of standard physiotherapy care for individuals dealing with chronic LBP. In conclusion, the clinical benefits of pain education become apparent when delivered in conjunction with standard care physiotherapy during the management of chronic low back pain.

Mechanism of knowledge management process towards minimizing manufacturing risk under green technology implementation: an empirical assessment.

Given the critical importance of green technology implementation (GTI) is important for production process improvement and an eco-friendly environment. The present study investigates the connection between GTI and the knowledge management (KM) process to minimize manufacturing risk. This research also validates that an assured combination of green implementation and KM can lead to minimizing manufacturing risk. The sample data (153) was taken from those manufacturing companies that utilize green technologies. Smart PLS 3.2.9 analyzes the relationship between certain variables of GTI and the KM process. Furthermore, fuzzy set qualitative comparative analysis (fsQCA) is used for a combined configurational approach to examine manufacturing risk minimization. The study's outcome validated that green implementation positively correlated with KM to minimize production risk. fsQCA approach, KM, and green implementation outcome indicated that production risks are minimized. This study contributes to bridging research gaps in the literature and advances understanding of the interrelationship between green implementation and KM processes to minimize manufacturing risk. In addition, research is vital to combine direct and configurational methodologies to highlight two distinct facets of green implementation and the KM process for minimizing manufacturing risk.

Analysis of knowledge management process towards minimizing supply chain risks under the green technology: a direct and configurational approach.

Adopting green technologies is crucial for a sustainable supply process and organization development. In this construct, the current study analyzes how green technology adoption (GTA) and knowledge management (KM) processes could minimize supply risk in large manufacturing companies. The current study utilizes research techniques based on the resource-based view and contingency theories to minimize supply chain risk. The present study selected green variables (learning, productivity, raw materials, and resource utilization) along with KM processes (acquisition, sharing, and utilization) to investigate these connections to achieve the research objective. The author collected the data (203) from manufacturing firms in Zhengzhou city and used PLS-SEM, fuzzy set qualitative comparative analysis (fsQCA) to examine the study aims. The relationship between the adoption of green technologies and the KM process, which may reduce supply risk, was verified via PLS-SEM. fsQCA is employed as a combined strategy with green technology and the KM dimension to examine supply risk. The study results showed a significant correlation between the KM process's ability to reduce supply risk under the GTA. The results of the fsQCA specify the numerous dimensions of green implementation enablers, and the KM process produced superior results in terms of supply risk minimization. This research contributes to bridging gaps and understanding the interrelationship between green measurement and the supply risk process minimization. The current study provides practical and social justification for enlightening the relationship between GTA and the KM process, aiming to minimize the supply risk. Based on the study outcome and ground information, this study reported limitations and future research direction.

Effect of blood flow restriction training on pressure pain threshold and hand function among adults with persistent neck pain: A study protocol for a randomized controlled trial.

Background: Persistent neck pain is a prevalent musculoskeletal condition that affects the quality of life and functional abilities of individuals. Blood Flow Restriction Training (BFRT) is a novel therapeutic approach that involves restricting blood flow to exercising muscles to enhance strength and function. However, limited research has been conducted on the effects of BFRT on pressure pain threshold and hand function in adults with persistent neck pain. This randomized controlled trial aims to investigate the potential benefits of BFRT as a treatment intervention for this population. Methods: This study will be a prospective 1:1 allocation, parallel group active controlled trail conducted at Physiotherapy Department, Galgotias University. The trial was prospectively registered with the Clinical Trial Registry India CTRI/2023/06/053439. Informed consent will be obtained from all the participants who are eligible to be included in the study. A total of 110 patients with persistent neck pain will be randomly allocated into two groups. The BFRT group will receive supervised training sessions three times a week for eight weeks, performing low-load resistance exercises with blood flow restriction applied using personalized cuff pressure. The control group will receive standard care for neck pain, which may include general advice, manual therapy, and/or home exercises without BFRT. The primary outcome measures will be the pressure pain threshold, assessed using a pressure Algometer, and hand function, evaluated using standardized tests such as Hand Grip Strength and Purdue Peg board Test. Results: The data obtained will be analyzed using appropriate statistical methods, and the significance level will be set at p<0.05. Conclusion: This trial will contribute valuable contribution highlighting the potential benefits of BFR training in improving pressure pain threshold and hand function in adults with persistent neck pain.