]>
IRCT20240325061364N1 IRCT 2025-05-21 The University of Kharazmi Effect of self-compassion exercises combined with motor control exercises on chronic non-specific low back pain. Effect of motor control exercises combined with self-compassion based on mindfulness training on pain, disability, psychological factors and lumbopelvic kinematic during lifting in patients with chronic nonspecific low back pain. 2025-04-13 anticipated 90 Complete https://irct.ir/trial/82637 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Following the baseline examination, by using the method on the website http://randomizer.org/ (Social Psychology Network, Connecticut, USA), participants are randomly assigned into the two experimental groups (motor control_ self-compassion and motor control) and control group. This site uses the random. Math method in the programming language, JavaScript is used as the main method for generating random numbers. The allocation concealment is done using a computer-generated block randomization table, where the number 1 will be defined for the motor control training group with self-compassion training, the number 2 for the motor control training group, and the number 3 for the control group. Then the random number sequence will be placed in opaque and sealed envelopes. Also, the treatment will be continued by the researcher according to the group assignment. Finally, the results will be evaluated before the interventions and eight weeks after the interventions, Blinding description: In this study, the patients was blind to the process of randomization and assignment of individuals into experimental and control groups. During the intervention, participants will only be familiar with the members of their own therapy group. Each group will receive the treatment at different times to prevent contact between participants from the two groups. N/A non specific chronic low back pain. Intervention 1: Intervention group: Participants in this group will engage in 24 sessions of motor control exercises over 8 weeks, with each session lasting 30 minutes, supervised by two movement science specialists. This protocol is designed to facilitate patient rehabilitation by improving spinal and pelvic girdle control and coordination through motor learning principles such as segmentation and simplification. The first phase of treatment involves assessing posture, movement patterns, and muscle activation patterns based on symptoms (reduced activation of deep lumbopelvic muscles) to design personalized exercises tailored to each individual’s needs. If therapeutic goals are achieved in the first phase, the second phase will incorporate more functional activities aimed at improving coordination in both static and dynamic conditions. As movement improves, the duration and number of repetitions will be gradually increased. Intervention 2: Intervention Group: Participants in this group will engage in 8 sessions of Mindfulness-Based Self-Compassion training over 8 weeks, facilitated by two clinical psychologists. Each session of the Mindfulness-Based Self-Compassion protocol focuses on a specific topic. The first session introduces and provides a general overview of self-compassion. The second session offers foundational information about mindfulness. In the third week, the application of self-compassion in various life aspects, including chronic pain, will be discussed. Week four helps participants develop a compassionate inner voice in various situations. The fifth week emphasizes living according to core values. In week six, coping skills for dealing with difficult emotions will be taught. Week seven focuses on managing and facing challenging interpersonal relationships. In the final session, the discussion will revolve around how to connect with one’s positive aspects and life, accompanied by gratitude. Between the fourth and fifth sessions, a half-day session lasting 4 hours will be held, involving various types of meditation, restorative yoga, and mindful eating in complete silence. The self-compassion approach, which includes self-kindness during moments of pain and suffering, leads to improvements in pain-related functioning, disability, and increased brain awareness, altering the pain processing mechanism. It also enhances psychological variables (reducing stress, anxiety, pain catastrophizing, increasing self-efficacy, life satisfaction, and sleep quality) in patients with chronic low back pain. Intervention 3: Control group: It does not receive any intervention and is evaluated to compare the changes made in the other two groups. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Data collection has not yet been completed.
public Amir LetafatKar
Tehran, Mirdamad Street, Hesari Street, Keshvari Sports Complex, Kharazmi University Movement Sciences Center
Tehran Iran (Islamic Republic of) 1571914911 +98 21 2222 8001 letafatkaramir@yahoo.com The University of Kharazmi scientific Amir LetafatKar
Tehran, Mirdamad Street, Hesari Street, Keshvari Sports Complex, Kharazmi University Movement Sciences Center
Tehran Iran (Islamic Republic of) 1571914911 +98 21 2222 8001 letafatkaramir@yahoo.com The University of Kharazmi Iran (Islamic Republic of) Persian-native (female and male) primary complaint backpain (more than 3 months, experienced between L1 and the gluteal fold without pathoanatomical cause) confirmed by an orthopedic specialist. 18 years 69 years Both Previous spinal surgery and neurological signs Specific spinal pathology Conditions that may be uncontrolled for self-compassion meditation (psychosis, major depression or anxiety) pregnancy M54.5 Low back pain Treatment - Other Behavior Other Intervention group: Participants in this group will engage in 24 sessions of motor control exercises over 8 weeks, with each session lasting 30 minutes, supervised by two movement science specialists. This protocol is designed to facilitate patient rehabilitation by improving spinal and pelvic girdle control and coordination through motor learning principles such as segmentation and simplification. The first phase of treatment involves assessing posture, movement patterns, and muscle activation patterns based on symptoms (reduced activation of deep lumbopelvic muscles) to design personalized exercises tailored to each individual’s needs. If therapeutic goals are achieved in the first phase, the second phase will incorporate more functional activities aimed at improving coordination in both static and dynamic conditions. As movement improves, the duration and number of repetitions will be gradually increased. Intervention Group: Participants in this group will engage in 8 sessions of Mindfulness-Based Self-Compassion training over 8 weeks, facilitated by two clinical psychologists. Each session of the Mindfulness-Based Self-Compassion protocol focuses on a specific topic. The first session introduces and provides a general overview of self-compassion. The second session offers foundational information about mindfulness. In the third week, the application of self-compassion in various life aspects, including chronic pain, will be discussed. Week four helps participants develop a compassionate inner voice in various situations. The fifth week emphasizes living according to core values. In week six, coping skills for dealing with difficult emotions will be taught. Week seven focuses on managing and facing challenging interpersonal relationships. In the final session, the discussion will revolve around how to connect with one’s positive aspects and life, accompanied by gratitude. Between the fourth and fifth sessions, a half-day session lasting 4 hours will be held, involving various types of meditation, restorative yoga, and mindful eating in complete silence. The self-compassion approach, which includes self-kindness during moments of pain and suffering, leads to improvements in pain-related functioning, disability, and increased brain awareness, altering the pain processing mechanism. It also enhances psychological variables (reducing stress, anxiety, pain catastrophizing, increasing self-efficacy, life satisfaction, and sleep quality) in patients with chronic low back pain. Control group: It does not receive any intervention and is evaluated to compare the changes made in the other two groups. Pain. Timepoint: 2 weeks before intervention, 2 weeks after intervention (12th week). Method of measurement: Using a visual analog pain scale or pain ruler (scale 0 to 10). Disability. Timepoint: 2 weeks before intervention, 2 weeks after intervention (12th week). Method of measurement: Using the Persian translation of the Roland Morris Disability Questionnaire. Fear-avoidance beliefs. Timepoint: 2 weeks before intervention, 2 weeks after intervention (12th week). Method of measurement: Using the Persian translation of the 16-item Fear Avoidance Beliefs Questionnaire. Catastrophic pain. Timepoint: 2 weeks before intervention, 2 weeks after intervention (12th week). Method of measurement: Using the Persian translation of the Catastrophizing Pain Scale. Fear of movement. Timepoint: 2 weeks before intervention, 2 weeks after intervention (12th week). Method of measurement: Using the Persian translation of the Tampa Scale of Kinesiophobia. Range of motion of the lumbar flexion relative to the pelvis during forward bending and lifting. Timepoint: 2 weeks before intervention, 2 weeks after intervention (12th week). Method of measurement: Using a 3D motion capture device while bending forward and lifting a load at their chosen speed for up to 5 repetitions. Range of motion of the lumbar flexion relative to the hip while bending forward and lifting a load. Timepoint: 2 weeks before intervention, 2 weeks after intervention (12th week). Method of measurement: Using a 3D motion capture device while bending forward and lifting a load at their chosen speed for up to 5 repetitions. Range of motion of hip flexion relative to the pelvis during forward bending and lifting. Timepoint: 2 weeks before intervention, 2 weeks after intervention (12th week). Method of measurement: Using a 3D motion capture device while bending forward and lifting a load at their chosen speed for up to 5 repetitions. Angular velocity of the lumbopelvic during forward bending and lifting of a load. Timepoint: 2 weeks before intervention, 2 weeks after intervention (12th week). Method of measurement: Using a 3D motion capture device while bending forward and lifting a load at their chosen speed for up to 5 repetitions. No governmental fund has been received for this study, and it is conducted by researchers. Approved 2024-03-03 Sport Sciences Research Institute No. 3, Fifth Alley, Mir Emad St., Ostad Motahari St., Tehran Tehran Tehran Iran (Islamic Republic of)