Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
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.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Multidimensional physiotherapy | Experimental | Multidimensional physiotherapy based on biopsychosocial, twice a week, 12 sessions |
|
| Usual physiotherapy | Active Comparator | Usual evidence based physiotherapy, twice a week, 12 sessions |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Multidimensional physiotherapy | Other | Multidimensional physiotherapy based on biopsychosocial approach |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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). | 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). | 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). | 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). | At 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | At baseline |
| Fear Avoidance Believes |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Javad Sarrafzadeh | IIran University of Medical Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Iran University of Medical Sciences | Tehran | 1545913487 | Iran | |||
| School of Rehabilitation Sciences, Iran University of Medical Sciences |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38049905 | Derived | Bemani S, Sarrafzadeh J, Dehkordi SN, Talebian S, Salehi R, Zarei J. Effect of multidimensional physiotherapy on non-specific chronic low back pain: a randomized controlled trial. Adv Rheumatol. 2023 Dec 4;63(1):57. doi: 10.1186/s42358-023-00329-9. | |
| 34620205 | Derived | Bemani S, Dehkordi SN, Sarrafzadeh J, Talebian S, Salehi R, Zarei J. Efficacy of a multidimensional versus usual care physiotherapy on pain and electroencephalography (EEG) spectrum in chronic nonspecific low back pain: study protocol for a randomized controlled trial. Trials. 2021 Oct 7;22(1):679. doi: 10.1186/s13063-021-05580-3. |
Not provided
Not provided
All data or results of the present study will present in an article that will be published after completing the study.
8 months after completing the study
Data access requests will be reviewed by the Corresponding Author will be required to sign a Data Access Agreement.
Not provided
Not provided
| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| D010146 | Pain |
| D000092442 | Kinesiophobia |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Usual physiotherapy | Other | Usual evidence based physiotherapy |
|
Self reported Fear Avoidance Believes based on Fear Avoidance Believes questionnaire. A higher score indicates more strongly held fear avoidance beliefs.
| At baseline |
| Kinesiophobia | Self reported kinesiophobia based on Tampa scale of kinesiophobia. A higher score means more fear of movement. | 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). | At baseline |
| Disability | Self reported disability based on Oswestry disability scale Questionnaire. A higher number indicates a greater disability. | At baseline |
| Forward flexion range of motion (ROM) | Forward flexion ROM measure by meter | At baseline |
| Brain function | Relative power and absolute power of the frequency spectrum of EEG | 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. | 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. | 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. | At 6 weeks, after 12 treatment sessions in 38 days |
| Change of Pain Catastrophizing | Self reported pain Catastrophizing based on Pain Catastrophizing Scale | 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. | At 6 weeks, after 12 treatment sessions in 38 days |
| Change of Forward flexion range of motion (ROM) | Forward flexion ROM measure by meter | 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 | 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. | 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. | At 1 months |
| Change of Kinesiophobia | Self reported kinesiophobia based on Tampa scale of kinesiophobiaA higher score means more fear of movement. | 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). | At 1 months |
| Change of Disability | Self reported disability based on Oswestry disability scale Questionnaire. A higher number indicates a greater disability. | At 1 months |
| Change of Forward flexion range of motion (ROM) | Forward flexion ROM measure by meter | At 1 months |
| Change of Brain function | Relative power and absolute power of the frequency spectrum of EEG | 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. | 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. | At 4 months |
| Change of Kinesiophobia | Self reported kinesiophobia based on Tampa scale of kinesiophobiaA higher score means more fear of movement. | 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). | At 4 months |
| Change of Disability | Self reported disability based on Oswestry disability scale Questionnaire. A higher number indicates a greater disability. | At 4 months |
| Change of Forward flexion range of motion (ROM) | Forward flexion ROM measure by meter | At 4 months |
| Change of Brain function | Relative power and absolute power of the frequency spectrum of EEG | At 4 months |
| Tehran |
| Iran |
| D010698 | Phobic Disorders |
| D001008 | Anxiety Disorders |
| D001523 | Mental Disorders |