Actively Recruiting
Biopsychosocial Model-based Care Versus Routine Physical Therapy in Chronic Back Pain
Led by Lahore University of Biological and Applied Sciences · Updated on 2026-03-09
80
Participants Needed
1
Research Sites
31 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Chronic low back pain (CLBP) is a multifactorial condition influenced by physical, psychological, and social factors. Conventional physical therapy primarily targets biomechanical impairments, often neglecting psychosocial contributors that perpetuate chronic pain and disability. This randomized comparative clinical trial aims to evaluate the effectiveness of Biopsychosocial (BPS) model-based care versus routine physical therapy on pain, disability, psychosocial outcomes, and inflammatory response among adults with CLBP. A total of \_\_\_ participants with CLBP (≥12 weeks) will be randomly allocated into two groups: Routine Physical Therapy Group - receiving baseline hot pack and TENS, stretching (hamstring, gluteal, iliopsoas, and lumbar extensors), and strengthening/stabilization exercises (planks, abdominal bracing, gluteal isometrics, and bridging). BPS Model-Based Care Group - receiving the same baseline treatment plus Maitland mobilization (Grade I-II central PA), sciatic nerve slider, abdominal bracing, graded functional activity, cognitive behavioral therapy (CBT), pain neuroscience education (PNE), guided imagery, and group-based functional exercise therapy. Primary outcome measures include Pain Self-Efficacy, Oswestry Disability Index (ODI), and C-Reactive Protein (CRP). A secondary variable, Perceived Social Support, will assess the social component of recovery. This study hypothesizes that the BPS model-based care will produce superior improvements in pain self-efficacy, functional disability, and inflammatory markers compared to routine therapy, supporting the integration of biopsychosocial rehabilitation in chronic low back pain management.
CONDITIONS
Official Title
Biopsychosocial Model-based Care Versus Routine Physical Therapy in Chronic Back Pain
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Diagnosed with non-specific chronic low back pain lasting more than 12 weeks
- Pain intensity score of at least 3 on the Visual Analog Scale
- Ability to read and understand study instructions and questionnaires
- Not currently receiving structured physiotherapy or psychological treatment for low back pain
You will not qualify if you...
- History of specific spinal pathology such as spinal fracture, tumor, infection, or inflammatory diseases like ankylosing spondylitis
- Presence of neurological deficits such as radiculopathy or cauda equina syndrome
- Previous lumbar spine surgery
- Current major psychiatric illness that may affect participation
- Pregnancy or within 6 months postpartum
- Ongoing treatment with systemic corticosteroids or medications affecting musculoskeletal health
- Participation in another clinical trial within the past 3 months
- Any other medical condition deemed to contraindicate participation by the investigator
AI-Screening
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Trial Site Locations
Total: 1 location
1
University of Lahore
Lahore, Punjab Province, Pakistan, 05450
Actively Recruiting
Research Team
M
Muhammad Tariq, BSPT, tDPT
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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