Low Back Pain, Mechanical
Conditions
Keywords
Pain, Disability, Pain catastrophising, Quality of life, Fear of movement, Chronic non specific low back pain
Brief summary
This study compares the effect of multidimensional physiotherapy to usual evidence-based physiotherapy in the treatment of chronic nonspecific low back pain in adults. Half of the participants will receive multidimensional physiotherapy based on biopsychosocial approach while the other half will receive usual evidence based physiotherapy.
Detailed description
multidimensional physiotherapy treatment include: psychoeducation based on cognitive behavioral therapy (CBT), education, graded exposure, postural correction exercise, lifestyle change, and electrotherapy. usual evidence-based physiotherapy include: electrotherapy, education, and trunk general exercises.
Interventions
OTHERMultidimensional physiotherapy
Multidimensional physiotherapy based on biopsychosocial approach
OTHERUsual physiotherapy
Usual evidence based physiotherapy
Sponsors
Iran University of Medical Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Age between 18-50 * Low back pain for 3 months or more * Disability based on Oswestry Disability Index (ODI) between 20-60 * Fear of movement based on Tampa scale of kinesiophobia \>37 * Minimum level of education * Native Persian speaking
Exclusion criteria
* Any evidence of e specific medical diagnosis * Rheumatoid disease,fibromyalgia, neuropathy, progressive neurological disease * History of headache, dizziness, nausea, epilepsy, migraines and mental disorder * Beck's Anxiety Inventory\> 26 * Beck's Depression Inventory II\> 29 * Pregnancy * Having other therapies during the present research
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity(questionnaire): Numeric Rating Scale | At baseline | Self reported pain intensity based on Numeric Rating Scale,that is composed of 0 (no pain at all) to 10 (worst imaginable pain). |
| Change of Pain intensity (questionnaire): Numeric Rating Scale | At 6 weeks, after 12 treatment sessions in 38 days | Self reported pain intensity based on Numeric Rating Scale,that is composed of 0 (no pain at all) to 10 (worst imaginable pain). |
| Change of Pain intensity(questionnaire): Numeric Rating Scale | At 4 months | Self reported pain intensity based on Numeric Rating Scale,that is composed of 0 (no pain at all) to 10 (worst imaginable pain). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Catastrophizing | At baseline | Self reported pain Catastrophizing based on Pain Catastrophizing Scale.The scale is a 13 item scale, with each item rated on a 5-point scale: 0 (Not at all) to 4 (all the time). |
| Disability | At baseline | Self reported disability based on Oswestry disability scale Questionnaire. A higher number indicates a greater disability. |
| Forward flexion range of motion (ROM) | At baseline | Forward flexion ROM measure by meter |
| Brain function | At baseline | Relative power and absolute power of the frequency spectrum of EEG |
| Change in Quality of Life | At 6 weeks, after 12 treatment sessions in 38 days | Self-reported quality of life based on health service (SF-36) questionnaire, the lower score the more disability and the higher score means the less disability. |
| Change of Fear Avoidance Believes | At 6 weeks, after 12 treatment sessions in 38 days | Self reported Fear Avoidance Believes based on Fear Avoidance Believes questionnaire. A higher score indicates more strongly held fear avoidance beliefs. |
| Quality of Life assessment | At baseline | Self-reported quality of life based on health service (SF-36) questionnaire, the lower score the more disability and the higher score means the less disability. |
| Change of Disability | At 6 weeks, after 12 treatment sessions in 38 days | Self reported disability based on Oswestry disability scale Questionnaire. A higher number indicates a greater disability. |
| Change of Forward flexion range of motion (ROM) | At 6 weeks, after 12 treatment sessions in 38 days | Forward flexion ROM measure by meter |
| Change of Brain function | At 6 weeks, after 12 treatment sessions in 38 days | Relative power and absolute power of the frequency spectrum of EEG |
| Change of Quality of Life | At 1 months | Self-reported quality of life based on health service (SF-36) questionnaire, the lower score the more disability and the higher score means the less disability. |
| Change of Kinesiophobia | At 1 months | Self reported kinesiophobia based on Tampa scale of kinesiophobiaA higher score means more fear of movement. |
| Change of Pain Catastrophizing | At 6 weeks, after 12 treatment sessions in 38 days | Self reported pain Catastrophizing based on Pain Catastrophizing Scale |
| Fear Avoidance Believes | At baseline | Self reported Fear Avoidance Believes based on Fear Avoidance Believes questionnaire. A higher score indicates more strongly held fear avoidance beliefs. |
| Kinesiophobia | At baseline | Self reported kinesiophobia based on Tampa scale of kinesiophobia. A higher score means more fear of movement. |
Countries
Iran
Outcome results
None listed