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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| tDCS-Group | Experimental | Participants of this arm will receive tDCS and Conventional therapy for 2 weeks. |
|
| CST- Group | Experimental | Participants of this arm will receive CST and Conventional therapy for 2 weeks. |
|
| combination of tDCS and CST | Active Comparator | Participants of this arm will receive CST+ tDCS and Conventional therapy for 2 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Trans cranial Direct Current Stimulation (tDCS) | Device | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Polysomnography | Polysomnographic parameters will be recorded. | changes between baseline to 2 weeks and 6 weeks |
| Pittsburgh sleep quality Index scale. | Qualitative assessment of sleep will be recorded by this scale | changes between baseline to 2 weeks and 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Modified Oswestry disability index | Chronic low back pain-related disability will be recorded | changes between baseline to 2 weeks and 6 weeks |
| NPRS | Pain intensity will be recorded |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Subhasish Chatterjee, MPT | Contact | 8708660994 | subhasishphysio@gmail.com | |
| Vandana Esht, Ph.D | Contact | 8059930235 |
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| Craniosacral therapy (CST) | Other | 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. |
|
| tDCS+ CST | Other | This group will receive tDCS along with CST |
|
| changes between baseline to 2 weeks and 6 weeks |
| ID | Term |
|---|---|
| D020447 | Parasomnias |
| ID | Term |
|---|---|
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D001523 | Mental Disorders |
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