Effect of Multidimensional Physiotherapy in Chronic Nonspecific Low Back Pain

Effect of Multidimensional Physiotherapy Based on Biopsychosocial Approach on Clinical Findings and Electroencephalography (EEG) Spectrum in Chronic Nonspecific Low Back Pain: A Randomized Controlled Trial

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.

Inclusion Criteria:

• Age between 18-50
• Low back pain for 3 months or more
• Disability based on Oswestry Disability Index (ODI) between 20-60
• Fear of movement based on Tampa scale of kinesiophobia >37
• Minimum level of education
• Native Persian speaking

Exclusion Criteria:

• Any evidence of e specific medical diagnosis
• Rheumatoid disease,fibromyalgia, neuropathy, progressive neurological disease
• History of headache, dizziness, nausea, epilepsy, migraines and mental disorder
• Beck's Anxiety Inventory> 26
• Beck's Depression Inventory II> 29
• Pregnancy
• Having other therapies during the present research