Effect of Self-Compassion Training Combined With Core Stability Exercise For Patients With Non-Specific Chronic Low Back Pain: Study Protocol For A Randomized Controlled Trial

2021 ◽  
Author(s):  
Fuming Zheng ◽  
Weihui Xiao ◽  
Jiajia Yang ◽  
Shufeng Liu ◽  
Yiyi Zheng ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Effective Treatment ◽  
Treatment Option ◽  
Chronic Low Back Pain ◽  
Chronic Back Pain ◽  
Core Stability ◽  
Low Back ◽  
Self Compassion ◽  
Average Pain

Abstract Background: Non-specific chronic low back pain (NCLBP) has a high incidence, which has a significant impact on a patient's body and mind, and is a common condition affecting people's quality of life. Core Stability Exercise (CSE) is a modestly effective treatment for NCLBP; however, NCLBP has only been shown to be a useful treatment option in the short-term. Many clinical practice guidelines recommend the use of a biopsychosocial framework to guide management of NCLBP. Self-Compassion Training（SCT）is a promising psychotherapy treatment option for NCLBP; however, there is still a lack of research on CSE combined with SCT. In this study, we will seek to determine whether CSE combined with SCT is an effective treatment option for patients with NCLBP compared to CSE alone.Methods: In this study, we will randomize 60 adults with NCLBP to a combined SCT and CSE arm or a CSE alone arm (30 participants per group). Both interventions will consist of four weekly 1.5-hour group sessions of CSE supplemented by home practice. The combined group protocol also includes 2 hours of SCT before CSE. Interviewers masked to the treatment assignments will assess outcomes at 4 and 12 weeks post-randomization. The primary outcomes will be back pain disability (based on the Roland-Morris Disability Questionnaire) and Pain intensity (NRS; average pain, worst pain, average pain) at 12 weeks.Discussion: If SCT is found to enhance the effectiveness of CSE for patients with chronic back pain, the results of the study may promote the development of mind–body therapies for chronic low back pain.Trial registration: The trial was prospectively registered with the Chinese Clinical Trials Registry Number:ChiCTR2100042810 .Registered on 21 Jan 2021.

scholarly journals Effective Treatment of Chronic Low Back Pain in Humans Reverses Abnormal Brain Anatomy and Function

2011 ◽  
Vol 31 (20) ◽  
pp. 7540-7550 ◽  
Author(s):  
D. A. Seminowicz ◽  
T. H. Wideman ◽  
L. Naso ◽  
Z. Hatami-Khoroushahi ◽  
S. Fallatah ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Effective Treatment ◽  
Chronic Low Back Pain ◽  
Brain Anatomy ◽  
Low Back ◽  
And Function ◽  
Abnormal Brain

Disability in chronic low back pain

2018 ◽  
Author(s):  
Rakesh Jain ◽  
Shailesh Jain
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Psychological Factors ◽  
Chronic Back Pain ◽  
Low Back ◽  
Biopsychosocial Approach ◽  
Pain Disability ◽  
Behavioural Performance

The landmark paper discussed in this chapter, ‘Pain-related fear is more disabling than pain itself: Evidence on the role of pain-related fear in chronic back pain disability’, published by Crombez et al. in 1999, investigates the issue of disability in chronic low back pain and explores the role of psychological factors in disability. The paper reports on three independent chronic low back pain studies in which behavioural performance and the degree of reported disability were correlated with psychological factors such as catastrophization, negative affect, anxiety, and pain-related fear (e.g. fear of re-injury). In a counterintuitive finding, pain-related fear was more disabling that the pain itself. This paper thus highlighted the need to assess and address the psychological domains of pain; it also validated three questionnaires that are important in the pain field, and established a biopsychosocial approach to understanding, explaining, and treating chronic low back pain.

scholarly journals Pain Self-Management Strategies of Chronic Back Pain Sufferers in Thailand: A Qualitative Study (A Doctoral Project)

2021 ◽  
Vol 15 (1) ◽  
pp. 85-92
Author(s):  
Petcharat Rujipong ◽  
Kannika Kantaruksa ◽  
Nonglak Chaloumsuk ◽  
Chanchai Yothayai
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Chronic Back Pain ◽  
Management Strategies ◽  
University Hospital ◽  
Self Management ◽  
Rank Test ◽  
Chronic Lower Back Pain ◽  
Low Back

Background: Chronic low back pain is among the most common chronic musculoskeletal disorders worldwide. It is prevalent in Thailand, affecting up to 30% of the general population, with much higher rates among manual labourers. Pain self-management, including education, exercise, medication and other components, is an effective strategy for reducing pain intensity and disability rates for chronic low back pain sufferers. Objective: To investigate pain self-management strategies among chronic lower back pain sufferers in Thailand. Methods: The study design was a qualitative interview-based technique. The study setting was an orthopaedic outpatient department at a university hospital in Northern Thailand. Participants (n = 19) were selected based on recruitment criteria, and data was collected using demographic forms and in-depth interviews. Thematic analysis was used for qualitative analysis, with Wilcoxon signed-rank test used to assess changes in pain levels. Results: Participants used a combination of pain self-management modalities, including exercise, modified food consumption, increased rest, herbal treatments, hot and cold compression, Thai massage, and acupressure, along with psychological and spiritual coping tools like meditation and making merit. Ability to use these interventions was dependent on medical support from practitioners as well as social and other support. A small, but significant, mean difference in pain was also observed. Conclusion: Findings point to the possibility that there are significant cultural differences in pain self-management modalities and their effectiveness.

scholarly journals Double-blind, pragmatic, randomized placebo-controlled trial of 8-week self-administered at-home behavioral skills-based virtual reality (VR) for chronic low back pain (during COVID-19) (Preprint)

2020 ◽  
Author(s):  
Beth Darnall ◽  
Laura Garcia ◽  
Brandon Birckhead ◽  
Parthasarathy Krishnamurthy ◽  
Ian Mackey ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Low Back Pain ◽  
User Satisfaction ◽  
Pain Catastrophizing ◽  
Controlled Trial ◽  
Low Back ◽  
Average Pain Intensity ◽  
Average Pain

BACKGROUND Chronic low back pain is the most prevalent chronic pain condition worldwide and access to behavioral pain treatment is limited. Virtual reality (VR) is an immersive technology that may provide effective behavioral therapeutics for chronic pain. OBJECTIVE To conduct a double-blind, parallel arm, single cohort, remote, randomized placebo-controlled trial for a self-administered behavioral skills-based VR program in community-based individuals with self-reported chronic low back pain during the COVID-19 pandemic. METHODS A national online convenience sample of individuals with self-reported non-malignant low back pain > 6 months duration and with average pain intensity > 4/10 was enrolled and randomized 1:1 to one of two 56-day VR programs: (1) EaseVRx (pain relief skills immersive VR program); or (2) Sham VR (2D nature content delivered in a VR headset). Objective device use data and self-reported data were collected. The primary outcomes were change in average pain intensity and pain-related interference with activity, stress, mood, and sleep (baseline to end-of-treatment at day 56). Secondary outcomes were global impression of change and change in physical function, sleep disturbance, pain self-efficacy, pain catastrophizing, pain acceptance, pain medication use, and user satisfaction. Analytic methods included intention-to-treat and a mixed-model framework. RESULTS The study sample was 179 adults (female: 77%; Caucasian: 91%; at least some college education: 92%; mean age: 51.5 years, SD=13.1; average pain intensity: 5/10, SD=1.2; back pain duration >5 years: 67%). No group differences were found for any baseline variable or treatment engagement. User satisfaction ratings were higher for EaseVRx vs. Sham VR (p<0.0001). Both groups improved significantly for all five primary outcomes; EaseVRx was superior to Sham VR for all primary outcomes except pain-related sleep interference. For EaseVRx, large pre-post effect sizes ranged from 1.06-1.3 and met moderate to substantial clinical importance for reduced pain intensity and pain-related interference with activity, mood, and stress. A greater proportion of participants in the EaseVRx group achieved > 30% reduction in pain intensity (EaseVRx: 65.5%; Sham VR: 40.5%), and 46% of EaseVRx achieved >50% reduction in pain. Physical function and sleep disturbance significantly improved for both treatment groups with superior improvements found for EaseVRx (p=0.0019 and p=.0353, respectively). Pain catastrophizing, pain self-efficacy, prescription opioid use (morphine milligram equivalent; MME) did not reach statistical significance for either group. Use of over-the-counter analgesic use was reduced for EaseVRx (p<0.01) but not for Sham VR. CONCLUSIONS EaseVRx had high user satisfaction and superior and clinically meaningful symptom reduction for average pain intensity and pain-related interference with activity, mood, and stress compared to sham VR. Additional research is needed to determine durability of treatment effects and to characterize mechanisms of treatment effects. Home-based VR may expand access to effective and on-demand non-pharmacologic treatment for chronic low back pain. CLINICALTRIAL ClinicalTrials.gov, NCT04415177 https://clinicaltrials.gov/ct2/show/NCT04415177 INTERNATIONAL REGISTERED REPORT RR2-25291

Well-described exercises for chronic low back pain in Life Science Literature: A systematic review

2021 ◽  
pp. 1-14
Author(s):  
Emanuela Pieri ◽  
Francesca Bonetti ◽  
Leonardo Pellicciari ◽  
Fabio Scipioni
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Chronic Back Pain ◽  
Science Literature ◽  
Low Back ◽  
Therapeutic Exercise ◽  
Intervention Description ◽  
Methodological Evaluation

BACKGROUND: Therapeutic exercise (TE) is recommended in multimodal treatment for patients with non-specific chronic back pain (cLBP). OBJECTIVE: The aim of this study is to identify an exercise or a spectrum of exercises, well described and reproducible by the clinician, for cLBP patients. METHODS: Systematic review by researching in the databases MEDLINE, EMBASE, PEDro, CINAHL, and Scopus. Evidence from Randomized Controlled Trials (RCTs) supported the TE in patients with non-specific cLBP, provided that it was well described and could be repeated by another therapist. Methodological evaluation was performed using the PEDro scale and only studies with a score of ⩾ 6 were included. The assessment of the intervention description was carried out with the TIDieR checklist. The risk of bias was examined. RESULTS: Twenty-one articles were included in this systematic review. The defective description and the poorly reporting of the intervention makes it more difficult for the clinician to include the TE into clinical practice. CONCLUSIONS: The findings of this study showed that the reporting of the intervention in high quality RCT on chronic low back pain is low, threatening the external validity of the results.

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