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IRCT20150503022068N4 IRCT 2021-08-25 Kharazmi University Comparison of the effect of online and face-to-face cognitive exercises in people with non-specific chronic low back pain Comparison of the effect of online and face-to-face cognitive exercises in people with non-specific chronic low back pain 2021-06-02 anticipated 66 Complete https://irct.ir/trial/56532 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients will be randomly assigned to 1 of 3 treatments, the samples will be determined in a simple random method using a random number table of Software Allocation Random software. Randomization and allocation sequence for concealment will be done by the person not involved in the research. The ratio of sample allocation will be 1: 1 and will be divided into 2 experimental groups and 1 control group, Blinding description: in this study, the outcome assessor will be blinded of the process of randomization and division of individuals into two experimental groups and control group. Another researcher(blinded to the baseline assessment) will proceed with training according to the group assignment. A blinded outcome assessor who does not know the hypothesis and study methods, measures outcome at baseline and12 weeks post intervention. N/A Non specific low back pain. Intervention 1: Intervention group: 3 online sessions of pain neuroscience education, followed by 15 online sessions of education and exercises of motor control _cognition. The intervention will be done in three phases. The first phase is pain education. Each education session lasts 3 sessions of 30 to 60 minutes for each patient and will be online. In pain education sessions, information about the nature of pain will be targeted to reduce fear avoidance and avoidance beliefs and behaviors, thereby promoting self-efficacy. Also, the training is done using different teaching aids such as pictures and expressing metaphors and examples. The second phase of cognition-targeted motor control training with the aim of recognizing the movements in this stage is designed for different people in the same way. Exercises with at least 10 repetitions and 10 seconds of contraction will be done at home for 2 sets. The third phase is cognition-targeted dynamic and functional exercises with the aim of recognizing. Becomes. The progress of the exercises goes to the exercises in which the patient feels fear in performing those movements. In this stage, the exercises are designed for each person separately because the feeling of pain is different in each patient and in each activity, and the training of the exercises in this stage will be online. Remind the therapist during all three stages, if necessary, to teach neuroscience. Challenges and reassures patients that the exercise provided is safe. In this group, interventions are done with Skype or Whats App (depending on availability). Intervention 2: Intervention group: 3 face to face sessions of pain neuroscience education, followed by 15 face to face sessions of education and exercises of motor control _cognition. The intervention will be done in three phases. The first phase is pain education. Each education session lasts 3 sessions of 30 to 60 minutes for each patient and will be online. In pain education sessions, information about the nature of pain will be targeted to reduce fear avoidance and avoidance beliefs and behaviors, thereby promoting self-efficacy. Also, the training is done using different teaching aids such as pictures and expressing metaphors and examples. The second phase of cognition-targeted motor control training with the aim of recognizing the movements in this stage is designed for different people in the same way. Exercises with at least 10 repetitions and 10 seconds of contraction will be done at home for 2 sets. The third phase is cognition-targeted dynamic and functional exercises with the aim of recognizing. Becomes. The progress of the exercises goes to the exercises in which the patient feels fear in performing those movements. In this stage, the exercises are designed for each person separately because the feeling of pain is different in each patient and in each activity, and the training of the exercises in this stage will be face to face. Remind the therapist during all three stages, if necessary, to teach neuroscience. Challenges and reassures patients that the exercise provided is safe. Intervention 3: Control group: 3 sessions education for back and lumbar care and 15 sessions of common exercises for low back pain. Each education session will last 3 sessions of 30 to 60 minutes. The learning objectives of this training include: Acquiring biomedical knowledge focused on back pain. And 15 sessions of common low back pain exercises will last 30 to 40 minutes. Yes - There is a plan to make this available What will be shared: Only part of the data, such as dependent variables, The average of all samples, can be shared in scientific articles. When: Access period starts 3 months after the results are published To whom: Personal information is confidential and General outcomes in paper form Available to everyone. Conditions: General outcomes in paper form Available to everyone. Where to obtain: Gelareh Alamouti Phone: 09107161695 Email: gelarehalamooti@gmail.com How to obtain: 3 months after the publication of the results, the applicant can have the data by sending an email Comments:
public Gelareh Alamouti
Center for Human Movement Sciences Kharazmi University Mirdamad, Sout Razan Street, Hesari Street ,Keshvari Sport complex Tehran, Iran
Tehran Iran (Islamic Republic of) 439815875 +98 21 2222 8001 gelarehalamooti@gmail.com Kharazmy University scientific Gelareh Alamouti
Center for Human Movement Sciences Kharazmi University Mirdamad, Sout Razan Street, Hesari Street ,Keshvari Sport complex Tehran, Iran
Tehran Iran (Islamic Republic of) 439815875 +98 21 2222 8001 gelarehalamooti@gmail.com Center for Human Movement Sciences Kharazmi University Iran (Islamic Republic of) Iran (Islamic Republic of) At least time for low back pain is 12 weeks and 3 days a week. Pain should be determined at the discretion of a physician and also using the Quebec questionnaire. People are in the medium risk group according to the Start Back tool Score 14% or more on the Oswestry Disability Index Has a pain intensity equal to or greater than 4 on a numerical rating scale The pain is between the last rib and the gluteal Have not taken any new medication or people who do not need medication during the 6 weeks before and while studying Body mass index less than or equal to 30 Women and men 25 to 55 years 25 years 55 years Both Pregnant women People with a history of lumbar tumors People with inflammatory disease of the spine that is mentioned in their medical history or has been diagnosed by a doctor Participate in exercise therapy courses for the treatment of low back pain in the past year Having any fractures and surgery in the lumbar and dorsal spine M54.5 Low back pain Treatment - Other Treatment - Other Treatment - Other Intervention group: 3 online sessions of pain neuroscience education, followed by 15 online sessions of education and exercises of motor control _cognition. The intervention will be done in three phases. The first phase is pain education. Each education session lasts 3 sessions of 30 to 60 minutes for each patient and will be online. In pain education sessions, information about the nature of pain will be targeted to reduce fear avoidance and avoidance beliefs and behaviors, thereby promoting self-efficacy. Also, the training is done using different teaching aids such as pictures and expressing metaphors and examples. The second phase of cognition-targeted motor control training with the aim of recognizing the movements in this stage is designed for different people in the same way. Exercises with at least 10 repetitions and 10 seconds of contraction will be done at home for 2 sets. The third phase is cognition-targeted dynamic and functional exercises with the aim of recognizing. Becomes. The progress of the exercises goes to the exercises in which the patient feels fear in performing those movements. In this stage, the exercises are designed for each person separately because the feeling of pain is different in each patient and in each activity, and the training of the exercises in this stage will be online. Remind the therapist during all three stages, if necessary, to teach neuroscience. Challenges and reassures patients that the exercise provided is safe. In this group, interventions are done with Skype or Whats App (depending on availability). Intervention group: 3 face to face sessions of pain neuroscience education, followed by 15 face to face sessions of education and exercises of motor control _cognition. The intervention will be done in three phases. The first phase is pain education. Each education session lasts 3 sessions of 30 to 60 minutes for each patient and will be online. In pain education sessions, information about the nature of pain will be targeted to reduce fear avoidance and avoidance beliefs and behaviors, thereby promoting self-efficacy. Also, the training is done using different teaching aids such as pictures and expressing metaphors and examples. The second phase of cognition-targeted motor control training with the aim of recognizing the movements in this stage is designed for different people in the same way. Exercises with at least 10 repetitions and 10 seconds of contraction will be done at home for 2 sets. The third phase is cognition-targeted dynamic and functional exercises with the aim of recognizing. Becomes. The progress of the exercises goes to the exercises in which the patient feels fear in performing those movements. In this stage, the exercises are designed for each person separately because the feeling of pain is different in each patient and in each activity, and the training of the exercises in this stage will be face to face. Remind the therapist during all three stages, if necessary, to teach neuroscience. Challenges and reassures patients that the exercise provided is safe. Control group: 3 sessions education for back and lumbar care and 15 sessions of common exercises for low back pain. Each education session will last 3 sessions of 30 to 60 minutes. The learning objectives of this training include: Acquiring biomedical knowledge focused on back pain. And 15 sessions of common low back pain exercises will last 30 to 40 minutes. Pain. Timepoint: Before and after the intervention. Method of measurement: Numerical pain rating scale. Disability. Timepoint: Before and after the intervention. Method of measurement: Oswestry Disability Index. Function. Timepoint: Before and after the intervention. Method of measurement: McGill tests and Luomajoki motor control tests. Psychological factors. Timepoint: Before and after the intervention. Method of measurement: Tampa scale- Dass21 questioner- Fear Avoidance Belief Questionnaire- Self-Efficacy Questionnaire- Pain Catastrophizing Scale. Health status. Timepoint: Before and after the intervention. Method of measurement: Asking questions. Kharazmi University Approved 2021-08-23 Ethics Committee of Sports Science Research Institute Motahhari St. - Mir Emad St. - Fifth Alley Tehran Tehran Iran (Islamic Republic of)