Effect of Multidimensional Physiotherapy Based on Biopsychosocial Approach on Clinical Findings and Electroencephalography (EEG) Spectrum in Chronic Nonspecific Low Back Pain: A Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Low Back Pain, Mechanical
- Sponsor
- Iran University of Medical Sciences
- Enrollment
- 70
- Locations
- 2
- Primary Endpoint
- Pain intensity(questionnaire): Numeric Rating Scale
- Status
- Completed
- Last Updated
- 2 years ago
Overview
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.
Investigators
Eligibility Criteria
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
Outcomes
Primary Outcomes
Pain intensity(questionnaire): Numeric Rating Scale
Time Frame: 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
Time Frame: 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).
Change of Pain intensity (questionnaire): Numeric Rating Scale
Time Frame: At 1 month
Self reported pain intensity based on Numeric Rating Scale,that is composed of 0 (no pain at all) to 10 (worst imaginable pain).
Secondary Outcomes
- Change of Forward flexion range of motion (ROM)(At 4 months)
- Kinesiophobia(At 6 weeks, after 12 treatment sessions in 38 days)
- Change of Quality of Life(At 4 months)
- Change of Fear Avoidance Believes(At 4 months)
- Change of Brain function(At 4 months)
- Pain Catastrophizing(At baseline)
- Brain function(At baseline)
- Quality of Life assessment(At baseline)
- Fear Avoidance Believes(At baseline)
- Disability(At baseline)
- Forward flexion range of motion (ROM)(At baseline)
- Change in Quality of Life(At 6 weeks, after 12 treatment sessions in 38 days)
- Change of Pain Catastrophizing(At 4 months)
- Change of Disability(At 4 months)
- Change of Kinesiophobia(At 4 months)