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CTRI Number  CTRI/2022/01/039608 [Registered on: 20/01/2022] Trial Registered Prospectively
Last Modified On: 10/02/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of Pain Education and Physiotherapy Exercises on Pain, Disability and Fear of Movement in Patients with Low Back Pain : A Randomized Controlled Trial 
Scientific Title of Study   Effect of Pain Education and Conventional Physiotherapy exercises on Pain, Disability and Kinesiophobia in Patients with Chronic Non-Specific Low Back Pain : A Randomized Controlled Trial. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Deeba Shaikh 
Designation  junior resident 
Affiliation  MGM INSTITUTE OF PHYSIOTHERAPY 
Address  OPD NO 1 ,MUSCULOSKELETAL DEPARTMENT, MGM REHABILITATION AND FITNESS CENTRE , AURANGABAD

Aurangabad
MAHARASHTRA
431003
India 
Phone  8149497832  
Fax    
Email  deeba.zilch@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr kapil garg 
Designation  Associate professor 
Affiliation  MGM INSTITUTE OF PHYSIOTHERAPY 
Address  DEPARTMENT OF MUSCULOSKELETAL SCIENCES, MGM INSTITUTE OF PHYSIOTHERAPY

Aurangabad
MAHARASHTRA
431003
India 
Phone  9027612715  
Fax    
Email  gargkapil9855@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Deeba Shaikh 
Designation  junior resident 
Affiliation  MGM INSTITUTE OF PHYSIOTHERAPY 
Address  DEPARTMENT OF MUSCULOSKELETAL SCIENCES, MGM INSTITUTE OF PHYSIOTHERAPY

Aurangabad
MAHARASHTRA
431003
India 
Phone  8149497832  
Fax    
Email  deeba.zilch@gmail.com  
 
Source of Monetary or Material Support  
MGM INSTITUTE OF PHYSIOTHERAPY 
 
Primary Sponsor  
Name  MGM Institute of PHYSIOTHERAPY 
Address  N6 CIDCO AURANGABAD 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DEEBA SHAIKH  MGM REHABILITATION AND FITNESS CENTRE  OPD NO 1 ,MUSCULOSKELETAL DEPARTMENT, MGM REHABILITATION AND FITNESS CENTRE,C building ,MGM CAMPUS,N6,AURANGABAD 431001
Aurangabad
MAHARASHTRA 
8149497832

deeba.zilch@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
MGMIOPInstitutionalEthicsCommittee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M629||Disorder of muscle, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  core stability exercises and pain neurosciences education 45 to 50 minutes,3 sessions per week FOR 4 WEEKS.  This will be a 45 to 50 minutes session and will be given for 3 sessions per week. The first week patient will be treated in the Opd and the rest three weeks, home protocol will be taken via video conference. 1.Heat i.e hot pack will be given for 10 minutes per day and 3 sessions per week. 2.stretching 3.core stability exercise  
Comparator Agent  Pain neurosciences education – 20 to 30 minutes TWICE IN ONE MONTH  Pain neurosciences education – this will be 20 to 30 minutes session given on the 1st and 13th day of intervention 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1. Low back pain of non-specific origin for 3 months or more.
2. VAS score ranges from 2 to 7.
3. PCS score from 18-30(25-75% affection)
4. Willingness to participate. 
 
ExclusionCriteria 
Details  1.Patients on pain medication
2.Presence of congenital or acquired deformities of the spine and lower limb.
3.Recent surgeries, fracture or injuries to the spine in the past 1 year.
4.Neurological deficits
5.Spondylolisthesis , spondylosis , spondylitis , stenosis , degenerative
disease, sciatica.
6.Potts spine
7.Systemic illness 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 

1.Pain Catastrophization
2.Disability
3.Kinesiophobia 
At Baseline and at 4 weeks i.e at the end of intervention 
 
Secondary Outcome  
Outcome  TimePoints 
1.Pain   At Baseline and at 4 weeks i.e at the end of intervention 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "60"
Final Enrollment numbers achieved (India)="60" 
Phase of Trial   N/A 
Date of First Enrollment (India)   31/01/2022 
Date of Study Completion (India) 13/07/2022 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="1"
Days="1" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  

Background: The prevalence of low back pain in todays world is quite high among young adults due to prolonged sedentary sitting work and abnormal posturing. There are many pharmaceutical and therapeutic management present for managing the pain but very few literature is present on improving the psychosocial factors that are affected due to this pain suffering. Thus with this background , this study will be helpful in finding the effect of psychosocial counselling on pain perception and quality of life in general. 

AIM - To determine the effect of pain neuro physiological education along with therapeutic exercises on pain, disability and kinesiophobia in patients with non specific low back pain.

Methodology : Interventional study will be conducted with 60 participants randomly allocated to experimental group (n=30) and control group (n=30). Experimental group will receive 4 weeks of exercise session(1 week in opd and rest home program) and 2 pain neurosciences education sessions one at the initiation of protocol and one on the 12th day. Control group will receive 4 weeks of exercise program with one week in opd and rest 3 at home.

 
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