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Chronic lumbosacral discogenic pain is a common and debilitating condition that significantly affects the quality of life of patients. Traditional treatments often focus on pain management, but a holistic approach combining physical exercises and psychological therapy can offer more sustainable relief.
The Godelieve Denis-Struf (GDS) method has been shown to improve posture, mobility, and muscular imbalances in patients with musculoskeletal pain. Cognitive Behavioral Therapy (CBT) is another effective intervention that addresses the psychological factors contributing to chronic pain. With the rise of digital health solutions, smartphone applications have emerged as convenient tools to deliver these therapeutic methods. This study explores the combined effects of GDS exercises and CBT via a smartphone health app for individuals suffering from chronic lumbosacral discogenic pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group (transcutaneous electrical nerve stimulation) | Experimental |
| |
| Godelieve Denis-Struf | Active Comparator |
| |
| Godelieve Denis-Struf + Cognitive Behavioral Therapy | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Control Group (transcutaneous electrical nerve stimulation) | Combination Product | Control Group will consist of 20 sessions of 30 min, applied twice per week over a period of 3 months including transcutaneous electrical nerve stimulation, and standardized exercises for LBP through smart phone application. |
| Measure | Description | Time Frame |
|---|---|---|
| The Oswestry Disability Index (ODI) | The Oswestry Disability Index (ODI) is a questionnaire used to assess the impact of low back pain on a person's daily life. It consists of 10 sections, each with six statements, and patients select the statement that best describes their situation. Each section is scored from 0 to 5, with 0 indicating no disability and 5 indicating the worst imaginable disability. The total score is then calculated and can be expressed as a percentage, with a higher score indicating greater disability | 18 Months |
| SF-36 (Short Form 36) | The SF-36 (Short Form 36) is a questionnaire used to assess health-related quality of life, encompassing both physical and mental well-being. It consists of 36 items that evaluate eight health domains: physical functioning, role limitations due to physical health, bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems, and mental health. Scores for each domain range from 0 to 100, with higher scores indicating better health | 18 Months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rehabilitation Centers in Punjab | Lahore | Punjab Province | Pakistan |
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|
| Godelieve Denis-Struf | Combination Product | Experimental Group will receive 20 sessions of 30 min applied twice per week over a period of 3 months of GDS treatment through smart phone application. |
|
| Godelieve Denis-Struf + Cognitive Behavioral Therapy | Combination Product | Experimental Group 2 will receive 20 sessions of 45 min applied twice per week over a period of 3 months of GDS along CBT treatment through smart phone application. |
|
| ID | Term |
|---|---|
| D035061 | Control Groups |
| D004561 | Transcutaneous Electric Nerve Stimulation |
| D015928 | Cognitive Behavioral Therapy |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
| D008722 | Methods |
| D004599 | Electric Stimulation Therapy |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D000698 | Analgesia |
| D000760 | Anesthesia and Analgesia |
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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