Combined effect of Task Oriented Training and Cognitive Behavior Therapy in improving performance in Low back pain

Phase 2/3

Not yet recruiting

Conditions: Low back pain,

Registration Number: CTRI/2025/06/088726

Lead Sponsor: Sharmistha Mohanty

Brief Summary: Task-oriented Training is a functional, client-centered therapeutic approach that involves practicing meaningful and goal-directed activities aimed at enhancing performance in daily occupations. It is based on principles of motor learning and activity-specific training, offering practical solutions to restore physical function and task participation (Strong, 1998). In recent years, studies have shown that Task-oriented Training improves activity tolerance, reduces functional limitations, and fosters independence in patients with musculoskeletal conditions, including low back pain ( Monticone et al., 2016). Cognitive Behavioral Therapy , on the other hand, is a well established psychological intervention targeting maladaptive beliefs, negative thought patterns, and avoidance behaviors associated with chronic pain. It is particularly effective in reducing fear avoidance, catastrophizing, depression, and anxiety, all of which are prevalent in chronic Low Back Pain populations. Cognitive Behavioral Therapy has been shown to enhance pain coping skills, self-efficacy and participation in occupational activities by addressing the psychosocial barriers that perpetuate disability (Cherkin et al., 2016; Newton-John et al., 1995). Emerging literature suggests that combining physical activity-based interventions like Task-oriented Training and Cognitive Behavioral Therapy may produce superior outcomes in the management of chronic Low Back Pain. Integrating physical rehabilitation with cognitive restructuring strategies addresses both the biomechanical and psychosocial contributors to pain and disability (Pincus et al., 2015; Lindgreen et al., 2016). Such a multidimensional, patient-centered approach is recommended in contemporary pain management guidelines and aligns with the biopsychosocial model of care. Despite the growing body of evidence supporting both Task-oriented Training and Cognitive Behavioral Therapy individually in the management of chronic Low Back Pain, there is limited research examining their combined effectiveness on occupational performance, which is a core outcome of interest in rehabilitation.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 60

Inclusion Criteria

Patients who are diagnosed with Low Back Pain.
Both gender (Male & Female).
The patients age group between 18-65 years.
Participants who can regularly follow interventions.

Exclusion Criteria

Undiagnosed Low Back Pain patient.
Patients having any other neurological disorder.
Patient having cognitive challenges.
Any other medical conditions severe in nature.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Canadian Occupational Performance Measure (COPM)	At baseline and at 4 week of intervention

Secondary Outcome Measures

Name	Time	Method

Trial Locations

Locations (1): Chettinad General Hospital
🇮🇳
Kancheepuram, TAMIL NADU, India
Chettinad General Hospital
🇮🇳Kancheepuram, TAMIL NADU, India
Dr Pankaj Kumar
Principal investigator
9910410156
dean.csot@care.edu.in