To the Editor We commend the authors for their randomized clinical trial that investigated the effects of pain neuroscience education combined with cognition-targeted motor control training, compared with best-evidence physiotherapy, on chronic spinal pain.1 The authors found that pain neuroscience education combined with cognition-targeted motor control training is more effective than current best-evidence physiotherapy for improving pain. To ensure that clinicians select interventions that will have a clinically meaningful effect, we ask the authors to clarify (1) the reporting and interpretation of outcome measures and (2) the reporting of protocol deviations.
Skinner IW, Cashin AG, Bagg MK. Clarification of Reporting of Outcome Measures and Protocol Deviations in Report of a Randomized Clinical Trial. JAMA Neurol. 2019;76(3):371–372. doi:10.1001/jamaneurol.2018.3595
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