Sleep problems in patients with CLBP are a very common complication and is the most neglected part of the management. Though previous literature suggested that sleep problems need to be managed in patients with CLBP, no physical therapy or manual therapy techniques has been checked for their efficacy to manage the same. Therefore, there is a need to check the efficacy of various physical therapy and manual therapy techniques so that sleep problems associated with CLBP can be managed effectively by physical means. The main purpose of the study is to check the efficacy of tDCS and CST to improve sleep, pain and quality of life in patients with CLBP.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
60
Active tDCS will be applied for 20 minutes with 2 mA intensity. Anode will be placed at left dorsolateral prefrontal cortex and cathode will be placed at the right cerebellar cortex.
Craniosacral therapy will be given to all the participants which includes release of all major diaphragm, frontal lift, parietal lift, occipital lift, CV4 and dural tube rocking.
This group will receive tDCS along with CST
Polysomnography
Polysomnographic parameters will be recorded.
Time frame: changes between baseline to 2 weeks and 6 weeks
Pittsburgh sleep quality Index scale.
Qualitative assessment of sleep will be recorded by this scale
Time frame: changes between baseline to 2 weeks and 6 weeks
Modified Oswestry disability index
Chronic low back pain-related disability will be recorded
Time frame: changes between baseline to 2 weeks and 6 weeks
NPRS
Pain intensity will be recorded
Time frame: changes between baseline to 2 weeks and 6 weeks
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