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Table 3 Fundamental principles of the two interventions

From: 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

Norwegian Psychomotor Physiotherapy (NPMP)

Cognitive Patient Education and active individual Physiotherapy (COPE-PT)

NPMP is specialization at post-graduate master level for physiotherapists

COPE is taught to PTs during a 3 days course

Key elements in NPMP

The education program has three basic elements

 • Readjust posture

 • Reduction of what the patients

 • Harmonize muscle tension

 • perceive as threatening inputs to the brain

 • Harmonize breathing

 • Targeting the patients’ own understanding of the pain

 • Harmonize movements

 • Exposure to the threatening inputs

 • Body awareness

 • Each treatment session last 45–60 min

 • Each education session last 30 min

 • Once a week or every second week

 • Education once a week for 4 times

 • For 3–6 months

 • Followed by active, individualized physiotherapy according to pain problems once a week or every second week

 • For 3–6 months