Psychological Variables in Physiotherapy Treatment of Low Back Pain: A Comparison of Group and Individual Treatment
Low Back Pain
|Study Design:||Observational Model: Cohort
Time Perspective: Prospective
|Official Title:||Psychological Variables in Physiotherapy Treatment for LBP: a Comparison Between Individual and Gruop Treatment|
- lumbar functional status [ Time Frame: at first and last visit and after 6 months ] [ Designated as safety issue: Yes ]participants are asked to fill the LFSQ - lumbar functional status questionnaire before and after tretment completion and after 6 months
- patients' perception on how they have been helped [ Time Frame: in two weeks after the last visit ] [ Designated as safety issue: Yes ]data for this outcome measure will be collected through a telephone interview
- level of pain = NRPS [ Time Frame: before and after treatment and after 6 months ] [ Designated as safety issue: Yes ]self perception of patients' level of pain will be collected through the NRPSQ=numeric rate pain scale questionnaire
- fear avoidance beliefs = FABS [ Time Frame: before and after last treatment and after 6 months ] [ Designated as safety issue: Yes ]FABS Questionnaire will be used to assess the level of fear of physical activity
|Study Start Date:||April 2014|
|Estimated Study Completion Date:||December 2017|
|Estimated Primary Completion Date:||April 2017 (Final data collection date for primary outcome measure)|
Treatment in the 'Individual group therapy' will include physiotherapy protocols usually used by physiotherapist working at Maccabi Healthcare Services (Exercises, Modalities, Maual therapy and Back Care education)
Participants in group therapy will receive 6-8 group treatments (6-12 pateints per group) which will also include exercises and back-care education. No intervention will be done by the investigator.Therapists will use protocols commonly used in Maccabi Healthcate Services.
200 patients with LBP looking for physiotherapy treatment in 15 clinics at Maccabi Healthcare Service in Israel will be recruited. (100 after competion individual therapy, 100 after competion of group therapy). As part of the regular routine in these clinics, patients will be asked to fill the LFSQ, a questionnaire which deals with their back functional status, their level of pain and fear avoidance of physical activity before and after treatment. In the present study, patients will be asked to fill the LFSQ again, 6 months after treatment completion. In two weeks from treatment completion, patients will be interviewed on the telephone. The interview will focuse on their sensation of how they have been helped. It will include an open-ended question and 18 closed questions.
The main study variables will include: participants' perception of functional status, level pain, level of fear avoidance of physical activity, patient-therapist bonding, and helpful therapeutic impacts (client's sense of how she or he has been helped).
Please refer to this study by its ClinicalTrials.gov identifier: NCT02138071
|Maccabi Healthcare Services|
|Principal Investigator:||Marina Sigal, MD||Maccabi Health Service|