Health Condition 1: M00-M99- Diseases of the musculoskeletal system and connective tissue
Conditions
Interventions
Intervention1: Stratified Biopsychosocial Physiotherapy: Individualized rehabilitation based on biopsychosocial risk stratification including pain neuroscience education, graded activity, graded expos
Sponsors
Integral University
Eligibility
Inclusion criteria
Inclusion criteria: Adults aged 18 60 years with chronic nonspecific low back pain persisting for at least three months and a pain intensity score of 3 or higher on the Numerical Pain Rating Scale will be eligible for inclusion. Participants must be able to understand instructions in either Hindi or English, be medically stable and capable of participating in supervised physiotherapy and exercise interventions, and be willing to provide written informed consent. Eligible participants should also demonstrate psychosocial and/or central sensitization-related features identified during screening and be available for all scheduled follow-up assessments.
Exclusion criteria
Exclusion criteria: Previous spinal surgery. Serious spinal pathology including fracture, malignancy, infection, or inflammatory spinal disease. Radiculopathy with progressive neurological deficits. Pregnancy. Severe cardiorespiratory disorders contraindicating exercise. Severe psychiatric illness limiting participation. Diagnosed neurological disorders affecting mobility or balance. Current participation in another structured rehabilitation programme. Cognitive impairment preventing understanding of instructions. Presence of red flag symptoms requiring urgent medical or surgical management.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Oswestry Disability Index (ODI) scoreTimepoint: Baseline, 8 weeks , 3 months, and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain intensity measured using the Numerical Pain Rating Scale (NPRS)Timepoint: Baseline, 8 weeks, 3 months, and 6 months;Fear-Avoidance Beliefs Questionnaire (FABQ) scoreTimepoint: Baseline, 8 weeks , 3 months, and 6 months;Pain Self-Efficacy Questionnaire (PSEQ) scoreTimepoint: Baseline, 8 weeks , 3 months, and 6 months;Central Sensitization Inventory (CSI) scoreTimepoint: Baseline, 8 weeks , 3 months, and 6 months;Health-related quality of life (WHOQOL-BREF)Timepoint: Baseline, 8 weeks , 3 months, and 6 months;Physical activity participation (IPAQ-SF)Timepoint: Baseline, 8 weeks , 3 months, and 6 months;Work participation and occupational status (work absenteeism and return-to-work status)Timepoint: Baseline, 8 weeks , 3 months, and 6 months;Healthcare utilization (physician visits, imaging, medication use, injections, additional rehabilitation services)Timepoint: 3 months, and 6 months;Adherence to supervised and home-based rehabilitation programmeTimepoint: Throughout the 8-week intervention period;Proportion of participants achieving clinically meaningful improvement in pain and disabilityTimepoint: 8 weeks, 3 months, and 6 months | — |
Countries
India
Contacts
Public ContactG Shankar Ganesh
Composite Regional Centre for Skill Development, Rehabilitation and Empowerment of Persons with Disabilities
Outcome results
None listed