Chronic Low-back Pain, Sleep Disturbance
Conditions
Brief summary
Sleep problems in patients with CLBP are a very common complication and is the most neglected part of the management. Though previous literature suggested that sleep problems need to be managed in patients with CLBP, no physical therapy or manual therapy techniques has been checked for their efficacy to manage the same. Therefore, there is a need to check the efficacy of various physical therapy and manual therapy techniques so that sleep problems associated with CLBP can be managed effectively by physical means. The main purpose of the study is to check the efficacy of tDCS and CST to improve sleep, pain and quality of life in patients with CLBP.
Interventions
Active tDCS will be applied for 20 minutes with 2 mA intensity. Anode will be placed at left dorsolateral prefrontal cortex and cathode will be placed at the right cerebellar cortex.
OTHERCraniosacral therapy (CST)
Craniosacral therapy will be given to all the participants which includes release of all major diaphragm, frontal lift, parietal lift, occipital lift, CV4 and dural tube rocking.
OTHERtDCS+ CST
This group will receive tDCS along with CST
Sponsors
Maharishi Markendeswar University (Deemed to be University)
Study design
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
1. People with chronic low back pain (more than 3 months) 2. Both males and females. 3. 18-50 years 4. Able to follow verbal commands.
Exclusion criteria
1. Diagnosed with primary sleep disorders 2. Pregnancy 3. Taking any medication for a psychological disorder 4. Acute or subacute LBP 5. Diagnosed with any other systemic disorder. 6. Spinal tumour. 7. Radicular pain and nerve root compression. 8. Severe spinal stenosis, spondylolisthesis, fibromyalgia. 9. Unstable angina and other cardiovascular disorders. 10. Malignancy. 11. History of other systemic and inflammatory disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Polysomnography | changes between baseline to 2 weeks and 6 weeks | Polysomnographic parameters will be recorded. |
| Pittsburgh sleep quality Index scale. | changes between baseline to 2 weeks and 6 weeks | Qualitative assessment of sleep will be recorded by this scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Modified Oswestry disability index | changes between baseline to 2 weeks and 6 weeks | Chronic low back pain-related disability will be recorded |
| NPRS | changes between baseline to 2 weeks and 6 weeks | Pain intensity will be recorded |
Contacts
Primary ContactSubhasish Chatterjee, MPT
Backup ContactVandana Esht, Ph.D
Outcome results
None listed