Effect of Cognitive Behavioral Therapy on Chronic Low Back Pain With Sensitization
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- The Oswestry disability index
研究概览
简要总结
PURPOSE:
The main objectives of the study are:
- To find the efficacy of using cognitive behavioural therapy on chronic low back pain with central sensitization.
- To assist in planning an ideal physical therapy rehabilitation program for these patients.
BACKGROUND:
Recent research has shown that CLBP is a multifactorial disorder comprising psychosocial factors like pain catastrophization, fear avoidance and central sensitization. Central sensitization has been defined as "An amplification of neural signaling within the central nervous system that elicits pain hypersensitivity", and "increased responsiveness of nociceptive neurons in the central nervous system to their normal or subthreshold afferent input".
Maladaptive behavior, false beliefs and misinformation regarding the cause of the pain are all contributing factors to the chronicity of LBP.
Central sensitization has been attributed to cortical reorganization and amplification of the somatosensory representation of the back causing increased pain and further contributing to the maladaptive behavior and beliefs.
Cognitive behavioral treatment has been an important intervention for psychological disorders for decades and recently has gained a lot of interest as an intervention for chronic pain in general and CLBP in specific.
HYPOTHESES:
It will be hypothesized that: Cognitive behavioural therapy will have a significant effect on centrally sensitized pain intensity and disability.
RESEARCH QUESTION:" Does cognitive behavioral therapy have a significant effect on chronic low back pain with central sensitization"
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 18-
- •Patient must have experienced low back pain for at least 3 months.
- •Patient must have a score above or equal 40 in the Central Sensitization Inventory (CSI) (Neblett R. C., 2013) (Neblett R, 2015) (Neblett H. M., 2016) (R. De Pauw, 2015) (Mayer TG N. R., 2012) .
- •Patient must have a score of 3 and above on the Numerical Pain Rating Scale.
排除标准
- •Patients were excluded if they had taken pain medications on the day of the assessment.
- •Patient who had serious spinal pathologies, such as fractures, tumors or inflammatory diseases, such as ankylosing spondylitis, narrowing of spinal canal and other conditions or severe cardiorespiratory diseases.
- •Uncontrolled mental health condition that prevents successful compliance.
结局指标
主要结局
The Oswestry disability index
时间窗: Upto 24 weeks of treatment
The Oswestry Disability Index (ODI) is one of the most commonly used outcome measures for individuals with low back pain (LBP) (Fairbank JC, 2000) .The ODI shows good construct validity; internal consistency is rated as acceptable; test-retest reliability and responsiveness have been shown to be high; and burden of administration is low. The ODI is a self-administered questionnaire that requires 5 minutes to complete and 1 minute to score.
次要结局
- The fear avoidance beliefs questionnaire(Upto 24 weeks of treatment)
研究者
Marwa Elsayed
Effect of Cognitive Behavioral Therapy on Chronic Low Back Pain with sensitization.
MTI University