- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04938739
Effect of Cognitive Behavioral Therapy in Patients With Chronic Nonspecific Low Back Pain
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Dokki, Egypt, 34518
- Outpatient clinic - Faculty of Physical Therapy - Cairo University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Thirty patients with non-specific chronic low back pain from both sexes will be included.
- Subjects with normal body mass index (18 to 25).
- The age of patients range from 20 to 35 years.
- Duration of pain more than 3 months up to 2 years.
- Normal cognition score 26 or above according to MoCA Scale.7. Highly educated at least high school.
Exclusion Criteria:
The patients will be excluded if they have any of the followings:
- Lumbar canal stenosis.
- Lumbar discogenic lesions.
- Any inflammatory arthritis, tumors, infection involving the lumbar spine.
- Patients with decreased range of motion secondary to congenital anomalies, muscular contracture or bony block.
- Previous lumbar surgery or trauma.
- Subjects with a history of any neurologic disease.
- Cauda equina Syndrome.
- Patients suffering from psychological, cognitive or emotional disturbance.
- Patients who had previously participated in cognitive behavioral therapy.
- Deafness and blindness.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Cognitive Behavioral therapy
to modify any erroneous beliefs about pain and disability and to promote coping strategies and self-efficacy through a graded activity.
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The first 6 sessions: the cognitive part was explained with the support of a PowerPoint presentation using diagrams, images, and texts. The therapist explained the lumbar engine behavior, the neurophysiologic basis of pain, the importance of the participant's involvement in the treatment (e.g., coping and motivation), and the maintenance of good ergonomics which was aimed at modifying the physiologic response to the pain system. The second 12 sessions: concepts viewed in the first session were revised; as well, the operant and respondent parts were explained.
Each session will include 10 minutes of aerobic activity (walking or stationary bicycle), followed by five types of muscle stretches and eight types of ground exercises aimed at strengthening the lumbar muscles responsible for stabilization.
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Active Comparator: Home program exercises
Patients in both groups carried out exercise therapy for six weeks.
There will be an educational session for each patient to make sure the exercises will be done successfully and supervision once per week.
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Each session will include 10 minutes of aerobic activity (walking or stationary bicycle), followed by five types of muscle stretches and eight types of ground exercises aimed at strengthening the lumbar muscles responsible for stabilization.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Assessing the change in pain intensity
Time Frame: Baseline and 6 weeks post-intervention
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Assessment via using visual analogue scale A tool used to help a person rate the intensity of certain sensations and feelings, such as pain.
The visual analog scale for pain is a straight line with one
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Baseline and 6 weeks post-intervention
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Assessing the change in back function
Time Frame: Baseline and 6 weeks post-intervention
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Assessment via using Oswestry Low Back Pain Disability Index It is a 10-item self assessing questionnaire; each item contains 6 levels of answers that can be scored from 0 to 5.
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Baseline and 6 weeks post-intervention
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Assessing the change in anxiety related to pain
Time Frame: Baseline and 6 weeks post-intervention
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Assessment via using pain anxiety symptom scale (PASS) is a 20-item self-report scale that measures components of pain-related anxiety, including cognitive anxiety, escape and avoidance, fearful appraisals of pain, and physiological anxiety.
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Baseline and 6 weeks post-intervention
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Manar Abdelgalil, Abdelgalil, Horus University in Egypt
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Manis_MSc
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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