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Chronic PainPNENCT07252596

Pain Neuroscience Education and Memory

A study testing Pain Neuroscience Education (PNE) in people with Chronic Pain, run by Evidence In Motion.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Brief Summary: The goal of this observational study (case series) is to determine whether Pain Neuroscience Education (PNE) can influence memory function and sensory awareness in adults (18 years and older) experiencing chronic pain lasting more than one year. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Pain
What is being tested?
Pain Neuroscience Education (PNE)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
No sites listed yet
Study dates
Nov 2025to May 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18 and above
  • Chronic pain > 1 year
  • Provide written consent
  • Proficient in reading and understanding English

Who cannot join

  • Not willing to participate in the study
  • Have received PNE as a treatment before

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Adriaan Louw, PT, PhD contact

888-709-7096

adriaan@eimpt.com

About this study

Official title: Pain Neuroscience Education's Effect on Memory and Pain Drawings: An Exploratory Study

Brief Summary:

The goal of this observational study (case series) is to determine whether Pain Neuroscience Education (PNE) can influence memory function and sensory awareness in adults (18 years and older) experiencing chronic pain lasting more than one year.

Read more

The main questions it aims to answer are:

Does a single PNE session improve memory performance, as measured by the Montreal Cognitive Assessment (MoCA)?

Does PNE change sensory awareness, as represented by alterations in body pain drawings using a grid overlay method?

Participants will:

Complete pre-intervention assessments, including:

Numeric Pain Rating Scale (NPRS)

Body chart drawing to map pain area

Montreal Cognitive Assessment (MoCA)

Pain Catastrophization Scale (PCS)

Receive a 10-15 minute standardized PNE session delivered by a licensed clinician trained in pain science

Complete the same assessments immediately after the intervention to identify any changes in memory, sensory awareness, and pain perception

This study aims to explore whether PNE can positively impact cognitive and sensory functions affected by chronic pain, beyond its already-established effects on movement and pain intensity.

Read the detailed description

Detailed Description:

Chronic pain is a complex, multidimensional condition affecting approximately 25% of the global population. It is increasingly understood through the lens of brain-based changes, particularly the dynamic pain connectome, a network of brain regions involved in sensory, cognitive, and emotional processing. Functional reorganization in chronic pain patients may contribute to clinical symptoms beyond pain, such as memory loss, decreased sensory awareness, and altered motor control.

Pain Neuroscience Education (PNE) is an educational intervention that aims to reconceptualize a patient's understanding of pain to reduce fear-avoidance, pain catastrophization, and disability. Systematic reviews have demonstrated its effectiveness in reducing pain and improving movement. Early fMRI studies suggest that PNE may also deactivate pain-related brain areas and normalize brain function.

This case series seeks to explore the impact of a single PNE session on cognitive (memory) and sensory (body perception) outcomes in individuals with chronic pain. Participants (aged 18 and older) who meet inclusion criteria and consent to the study will undergo pre- and post-intervention assessments. These include:

Numeric Pain Rating Scale (NPRS)

Pain body chart (grid overlay method)

Montreal Cognitive Assessment (MoCA)

Pain Catastrophization Scale (PCS)

Following baseline assessments, participants will receive a 10-15 minute individualized PNE session delivered by licensed clinicians trained in advanced pain science. Immediately post-intervention, assessments will be repeated to evaluate changes.

The study aims to contribute to the understanding of how PNE may influence brain-related symptoms associated with chronic pain, specifically memory function and sensory mapping. Findings could provide early evidence to support broader applications of PNE beyond movement-related outcomes.

Conditions
Chronic Pain
Being tested
Pain Neuroscience Education (PNE)
Keywords
pain neuroscience education, Memory, Pain drawing, chronic pain
Medical subject headings
Chronic Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pain Neuroscience Education (PNE)Behavioural

    A 10-15 minute individualized educational session focusing on the neuroscience of pain. The session aims to reconceptualize the patient's understanding of their chronic pain by explaining the underlying biological, cognitive, and emotional mechanisms involved. Clinicians use a standardized checklist of metaphors and teaching tools tailored to the patient's clinical presentation.

Study groups in NCT07252596
Study groupRoleWhat they receive
Pain Neuroscience Education (PNE) InterventionExperimentalParticipants will receive a standardized Pain Neuroscience Education session lasting 10 to 15 minutes, delivered by a clinician trained in advanced pain science. This educational intervention uses metaphors, examples, and images to teach patients about the biology of pain, aiming to reduce pain catastrophizing and improve cognitive and sensory outcomes.
Receives: Behavioral: Pain Neuroscience Education (PNE)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Memory Function (Montreal Cognitive Assessment - MoCA)

    Description: Change in MoCA score to assess improvement or decline in cognitive function, particularly memory, associated with chronic pain. The MoCA is scored out of 30; a change of 2 points or more is considered clinically meaningful.

    Measured: At baseline (prior to the pain neuroscience education session) and immediately after completion of the treatment session

  2. Sensory Awareness (Body Chart Pain Area - Grid Overlay Count)

    Change in the number of grid blocks marked on the body pain chart to quantify alteration in perceived pain area, reflecting somatosensory representation changes.

    Measured: At baseline (prior to the pain neuroscience education session) and immediately after completion of the treatment session

Secondary outcomes (2)
  1. Self-Reported Pain Intensity (Numeric Pain Rating Scale - NPRS)

    Change in pain intensity reported by the patient on an 11-point scale (0-10). The minimal clinically important difference (MCID) is 1.7 points.

    Measured: At baseline (prior to the pain neuroscience education session) and immediately after completion of the treatment session

  2. Pain Catastrophization (Pain Catastrophization Scale - PCS)

    Change in PCS scores assessing catastrophic thinking related to pain on a 13-item, 5-point Likert scale. Higher scores indicate greater catastrophizing.

    Measured: At baseline (prior to the pain neuroscience education session) and immediately after completion of the treatment session

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Nov 2025
  2. Study startNov 2025 (estimated)
  3. Primary completionFeb 2026 (estimated)
  4. Study completionMay 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
This is a single-group assignment observational study (case series) where all participants receive the same intervention (Pain Neuroscience Education). Pre- and post-intervention measurements are taken to evaluate the effects of PNE on memory and sensory awareness in individuals with chronic pain.
Masking
None (open label)
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07252596
Sponsor's protocol ID
PNEMEMORY202510
Acronym
PNE
Status last verified
Nov 2025
First submitted
18 Nov 2025
Last updated
26 Nov 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Sharing IPD requires time, personnel, infrastructure, and data curation, which might not be feasible due to funding or staffing limitations. In addition, the informed consent documents do not include a provision for IPD sharing. Participants have not agreed to data sharing beyond the original study purpose.

Publications

  • Sullivan MJL, Bishop SR, Pivik J. The Pain Catastrophizing Scale: Development and validation. Psychological Assessment

  • Lansdall CJ, McDougall F, Butler LM, Delmar P, Pross N, Qin S, McLeod L, Zhou X, Kerchner GA, Doody RS. Establishing Clinically Meaningful Change on Outcome Assessments Frequently Used in Trials of Mild Cognitive Impairment Due to Alzheimer's Disease. J Prev Alzheimers Dis. 2023;10(1):9-18. doi: 10.14283/jpad.2022.102.

    PubMed 36641605
  • Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005 Apr;53(4):695-9. doi: 10.1111/j.1532-5415.2005.53221.x.

    PubMed 15817019
  • Sanders NW, Mann NH 3rd, Spengler DM. Pain drawing scoring is not improved by inclusion of patient-reported pain sensation. Spine (Phila Pa 1976). 2006 Nov 1;31(23):2735-41; discussion 2742-3. doi: 10.1097/01.brs.0000244674.99258.f9.

    PubMed 17077744
  • Lacey RJ, Lewis M, Jordan K, Jinks C, Sim J. Interrater reliability of scoring of pain drawings in a self-report health survey. Spine (Phila Pa 1976). 2005 Aug 15;30(16):E455-8. doi: 10.1097/01.brs.0000174274.38485.ee.

    PubMed 16103839
  • Matthews M, Rathleff MS, Vicenzino B, Boudreau SA. Capturing patient-reported area of knee pain: a concurrent validity study using digital technology in patients with patellofemoral pain. PeerJ. 2018 Mar 8;6:e4406. doi: 10.7717/peerj.4406. eCollection 2018.

    PubMed 29568700
  • Wand BM, Keeves J, Bourgoin C, George PJ, Smith AJ, O'Connell NE, Moseley GL. Mislocalization of sensory information in people with chronic low back pain: a preliminary investigation. Clin J Pain. 2013 Aug;29(8):737-43. doi: 10.1097/AJP.0b013e318274b320.

    PubMed 23835768
  • Farrar JT, Young JP Jr, LaMoreaux L, Werth JL, Poole MR. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001 Nov;94(2):149-158. doi: 10.1016/S0304-3959(01)00349-9.

    PubMed 11690728
  • Kregel J, Meeus M, Malfliet A, Dolphens M, Danneels L, Nijs J, Cagnie B. Structural and functional brain abnormalities in chronic low back pain: A systematic review. Semin Arthritis Rheum. 2015 Oct;45(2):229-37. doi: 10.1016/j.semarthrit.2015.05.002. Epub 2015 May 16.

    PubMed 26092329
  • Watson JA, Ryan CG, Cooper L, Ellington D, Whittle R, Lavender M, Dixon J, Atkinson G, Cooper K, Martin DJ. Pain Neuroscience Education for Adults With Chronic Musculoskeletal Pain: A Mixed-Methods Systematic Review and Meta-Analysis. J Pain. 2019 Oct;20(10):1140.e1-1140.e22. doi: 10.1016/j.jpain.2019.02.011. Epub 2019 Mar 1.

    PubMed 30831273
  • Suso-Marti L, Cuenca-Martinez F, Alba-Quesada P, Munoz-Alarcos V, Herranz-Gomez A, Varangot-Reille C, Dominguez-Navarro F, Casana J. Effectiveness of Pain Neuroscience Education in Patients with Fibromyalgia: A Systematic Review and Meta-Analysis. Pain Med. 2022 Oct 29;23(11):1837-1850. doi: 10.1093/pm/pnac077.

    PubMed 35587171
  • Krebs-Roubicek E, Osterwalder R. [Gerontopsychiatry--collaboration between inpatient and outpatient care]. Ther Umsch. 1986 Jan;43(1):69-74. No abstract available. German.

    PubMed 3952688
  • Rastegarnia S, St-Laurent M, DuPre E, Pinsard B, Bellec P. Brain decoding of the Human Connectome Project tasks in a dense individual fMRI dataset. Neuroimage. 2023 Dec 1;283:120395. doi: 10.1016/j.neuroimage.2023.120395. Epub 2023 Oct 12.

    PubMed 37832707
  • Smallwood RF, Laird AR, Ramage AE, Parkinson AL, Lewis J, Clauw DJ, Williams DA, Schmidt-Wilcke T, Farrell MJ, Eickhoff SB, Robin DA. Structural brain anomalies and chronic pain: a quantitative meta-analysis of gray matter volume. J Pain. 2013 Jul;14(7):663-75. doi: 10.1016/j.jpain.2013.03.001. Epub 2013 May 17.

    PubMed 23685185
  • Hashmi JA, Baliki MN, Huang L, Baria AT, Torbey S, Hermann KM, Schnitzer TJ, Apkarian AV. Shape shifting pain: chronification of back pain shifts brain representation from nociceptive to emotional circuits. Brain. 2013 Sep;136(Pt 9):2751-68. doi: 10.1093/brain/awt211.

    PubMed 23983029

Questions about this trial

What is this clinical trial studying?

A study testing Pain Neuroscience Education (PNE) in people with Chronic Pain, run by Evidence In Motion.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 26 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Adriaan Louw, PT, PhD (888-709-7096, adriaan@eimpt.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Memory Function (Montreal Cognitive Assessment - MoCA) (time frame: At baseline (prior to the pain neuroscience education session) and immediately after completion of the treatment session). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07252596, which also lists 33 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Nov 2025.

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