Chronic low back pain
Conditions
Interventions
Participants are randomly assigned to either exposure in vivo or behavioural graded activity. Through exposure in vivo participants are motivated to perform activities, through which fear of movement/
Sponsors
University of Maastricht, Department of Medical Clinical and Experimental Psychology
Eligibility
Inclusion criteria
Inclusion criteria: Criteria for acceptance in the study are: 1. Non-specific low back pain; 2. Duration of pain disability 3 months or more; 3. Age between 18-65 years; 4. Substantial pain-related fear (Tampa Scale for Kinesiophobia > 33).
Exclusion criteria
Exclusion criteria: Exclusion criteria are: 1. No consent; 2. Illiteracy; 3. Pregnancy; 4. Substance abuse; 5. Involvement in any litigation concerning disability income; 6. Specific medical disorders and cardiovascular diseases, preventing participation at physical exercise; 7. Low back pain attributable to recognizable pathology (e.g. infection, tumor, osteoporosis, rheumatoid arthritis, fracture, or inflammatory process, prolapsed intervertebral disc); 8. Psychopathology: pretest criteria applied to a standardized test, the SCL-90 and Beck Depression Inventory; 9. Patients with restricted disability due to their back pain (Roland Disability Questionnaire score < 4).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the (cost-)effectiveness of a graded exposure in vivo treatment as compared to behavioural graded activity in patients with chronic low back pain who report substantial pain-related fear. Primary outcome measures: functional disability, generic functional status. | — |
Secondary
| Measure | Time frame |
|---|---|
| Physical activity level. | — |
Contacts
Public ContactMaaike Leeuw
University Maastricht (UM), Department of Medical Clinical and Experimental Psychology, P.O.Box 616
Outcome results
None listed