Efficacy of Two Physiotherapy's Approaches in Chronic Low Back Pain: Is Addressing Psychosocial Factors Beneficial?
Low Back Pain, Recurrent
About this trial
This is an interventional treatment trial for Low Back Pain, Recurrent focused on measuring Chronic low back pain, Psychosocial factors, Physiotherapy, Interventions
Eligibility Criteria
Inclusion Criteria:
- Non-specific chronic low back pain (> 3 months)
- High level of psychosocial factors (a high level using the Start Back Screening Tool, i.e., cut-off of at least 4 points (total score) and at least 4 points (sub-score with questions 5 to 9)).
Exclusion Criteria:
- Non-musculoskeletal conditions causing low back pain (e.g., neoplasia, infection)
- Neuropathic conditions (e.g., radiculopathy).
- Currently in litigation with paying agencies
Sites / Locations
- Cirris (Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale)
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Usual care in physiotherapy
Psychologically-informed physiotherapy intervention
The usual care group will receive interventions recommended by clinical guidelines: education on the nature of LBP, advice to stay active and to continue usual activities, specific exercise programs combined with orthopedic manual therapy.
The psychologically-informed physiotherapy group will receive the control intervention enhanced with specific interventions targeting psychosocial factors (e.g., positive reinforcement, mindfulness-based stress reduction, diaphragmatic breathing, graded exposure). Most of these techniques are efficient to mitigate the impact of psychological factors such as anxiety and fear of movement. To standardize the psychologically-informed physiotherapy approach, physiotherapists will receive a two-day training course by a physiotherapist expert with this approach in chronic pain conditions (Alain Gaumond).