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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
70
Multidimensional physiotherapy based on biopsychosocial approach
Usual evidence based physiotherapy
Iran University of Medical Sciences
Tehran, Iran
School of Rehabilitation Sciences, Iran University of Medical Sciences
Tehran, Iran
Pain intensity(questionnaire): Numeric Rating Scale
Self reported pain intensity based on Numeric Rating Scale,that is composed of 0 (no pain at all) to 10 (worst imaginable pain).
Time frame: At baseline
Change of Pain intensity (questionnaire): Numeric Rating Scale
Self reported pain intensity based on Numeric Rating Scale,that is composed of 0 (no pain at all) to 10 (worst imaginable pain).
Time frame: At 6 weeks, after 12 treatment sessions in 38 days
Change of Pain intensity (questionnaire): Numeric Rating Scale
Self reported pain intensity based on Numeric Rating Scale,that is composed of 0 (no pain at all) to 10 (worst imaginable pain).
Time frame: At 1 month
Change of Pain intensity(questionnaire): Numeric Rating Scale
Self reported pain intensity based on Numeric Rating Scale,that is composed of 0 (no pain at all) to 10 (worst imaginable pain).
Time frame: At 4 months
Quality of Life assessment
Self-reported quality of life based on health service (SF-36) questionnaire, the lower score the more disability and the higher score means the less disability.
Time frame: At baseline
Fear Avoidance Believes
Self reported Fear Avoidance Believes based on Fear Avoidance Believes questionnaire. A higher score indicates more strongly held fear avoidance beliefs.
Time frame: At baseline
Kinesiophobia
Self reported kinesiophobia based on Tampa scale of kinesiophobia. A higher score means more fear of movement.
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Time frame: At baseline
Pain Catastrophizing
Self reported pain Catastrophizing based on Pain Catastrophizing Scale.The scale is a 13 item scale, with each item rated on a 5-point scale: 0 (Not at all) to 4 (all the time).
Time frame: At baseline
Disability
Self reported disability based on Oswestry disability scale Questionnaire. A higher number indicates a greater disability.
Time frame: At baseline
Forward flexion range of motion (ROM)
Forward flexion ROM measure by meter
Time frame: At baseline
Brain function
Relative power and absolute power of the frequency spectrum of EEG
Time frame: At baseline
Change in Quality of Life
Self-reported quality of life based on health service (SF-36) questionnaire, the lower score the more disability and the higher score means the less disability.
Time frame: At 6 weeks, after 12 treatment sessions in 38 days
Change of Fear Avoidance Believes
Self reported Fear Avoidance Believes based on Fear Avoidance Believes questionnaire. A higher score indicates more strongly held fear avoidance beliefs.
Time frame: At 6 weeks, after 12 treatment sessions in 38 days
Kinesiophobia
Change of Self reported kinesiophobia based on Tampa scale of kinesiophobiaA higher score means more fear of movement.
Time frame: At 6 weeks, after 12 treatment sessions in 38 days
Change of Pain Catastrophizing
Self reported pain Catastrophizing based on Pain Catastrophizing Scale
Time frame: At 6 weeks, after 12 treatment sessions in 38 days
Change of Disability
Self reported disability based on Oswestry disability scale Questionnaire. A higher number indicates a greater disability.
Time frame: At 6 weeks, after 12 treatment sessions in 38 days
Change of Forward flexion range of motion (ROM)
Forward flexion ROM measure by meter
Time frame: At 6 weeks, after 12 treatment sessions in 38 days
Change of Brain function
Relative power and absolute power of the frequency spectrum of EEG
Time frame: At 6 weeks, after 12 treatment sessions in 38 days
Change of Quality of Life
Self-reported quality of life based on health service (SF-36) questionnaire, the lower score the more disability and the higher score means the less disability.
Time frame: At 1 months
Change of Fear Avoidance Believes
Self reported Fear Avoidance Believes based on Fear Avoidance Believes questionnaire. A higher score indicates more strongly held fear avoidance beliefs.
Time frame: At 1 months
Change of Kinesiophobia
Self reported kinesiophobia based on Tampa scale of kinesiophobiaA higher score means more fear of movement.
Time frame: At 1 months
Change of Pain Catastrophizing
Self reported pain Catastrophizing based on Pain Catastrophizing Scale.The scale is a 13 item scale, with each item rated on a 5-point scale: 0 (Not at all) to 4 (all the time).
Time frame: At 1 months
Change of Disability
Self reported disability based on Oswestry disability scale Questionnaire. A higher number indicates a greater disability.
Time frame: At 1 months
Change of Forward flexion range of motion (ROM)
Forward flexion ROM measure by meter
Time frame: At 1 months
Change of Brain function
Relative power and absolute power of the frequency spectrum of EEG
Time frame: At 1 months
Change of Quality of Life
Self-reported quality of life based on health service (SF-36) questionnaire, the lower score the more disability and the higher score means the less disability.
Time frame: At 4 months
Change of Fear Avoidance Believes
Self reported Fear Avoidance Believes based on Fear Avoidance Believes questionnaire.A higher score indicates more strongly held fear avoidance beliefs.
Time frame: At 4 months
Change of Kinesiophobia
Self reported kinesiophobia based on Tampa scale of kinesiophobiaA higher score means more fear of movement.
Time frame: At 4 months
Change of Pain Catastrophizing
Self reported pain Catastrophizing based on Pain Catastrophizing Scale.The scale is a 13 item scale, with each item rated on a 5-point scale: 0 (Not at all) to 4 (all the time).
Time frame: At 4 months
Change of Disability
Self reported disability based on Oswestry disability scale Questionnaire. A higher number indicates a greater disability.
Time frame: At 4 months
Change of Forward flexion range of motion (ROM)
Forward flexion ROM measure by meter
Time frame: At 4 months
Change of Brain function
Relative power and absolute power of the frequency spectrum of EEG
Time frame: At 4 months