Physiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trial

<p>Abstract</p> <p>Background</p> <p>Sleep disturbance is becoming increasingly recognised as a clinically important symptom in people with chronic low back pain (CLBP, low back pain >12 weeks), associated with physical inactivity and depression. Current research and...

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Main Authors: van Mechelen Willem, Tully Mark A, Guerin Suzanne, Lonsdale Chris, Kelly Clare, O'Donoghue Grainne, Eadie Jennifer, Hurley Deirdre A, McDonough Suzanne M, Boreham Colin AG, Heneghan Conor, Daly Leslie
Format: Article
Language:English
Published: BMC 2010-04-01
Series:BMC Musculoskeletal Disorders
Online Access:http://www.biomedcentral.com/1471-2474/11/70
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author van Mechelen Willem
Tully Mark A
Guerin Suzanne
Lonsdale Chris
Kelly Clare
O'Donoghue Grainne
Eadie Jennifer
Hurley Deirdre A
McDonough Suzanne M
Boreham Colin AG
Heneghan Conor
Daly Leslie
author_facet van Mechelen Willem
Tully Mark A
Guerin Suzanne
Lonsdale Chris
Kelly Clare
O'Donoghue Grainne
Eadie Jennifer
Hurley Deirdre A
McDonough Suzanne M
Boreham Colin AG
Heneghan Conor
Daly Leslie
author_sort van Mechelen Willem
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Sleep disturbance is becoming increasingly recognised as a clinically important symptom in people with chronic low back pain (CLBP, low back pain >12 weeks), associated with physical inactivity and depression. Current research and international clinical guidelines recommend people with CLBP assume a physically active role in their recovery to prevent chronicity, but the high prevalence of sleep disturbance in this population may be unknowingly limiting their ability to participate in exercise-based rehabilitation programmes and contributing to poor outcomes. There is currently no knowledge concerning the effectiveness of physiotherapy on sleep disturbance in people with chronic low back pain and no evidence of the feasibility of conducting randomized controlled trials that comprehensively evaluate sleep as an outcome measure in this population.</p> <p>Methods/Design</p> <p>This study will evaluate the feasibility of a randomised controlled trial (RCT), exploring the effects of three forms of physiotherapy (supervised general exercise programme, individualized walking programme and usual physiotherapy, which will serve as the control group) on sleep quality in people with chronic low back pain. A presenting sample of 60 consenting patients will be recruited in the physiotherapy department of Beaumont Hospital, Dublin, Ireland, and randomly allocated to one of the three groups in a concealed manner. The main outcomes will be sleep quality (self-report and objective measurement), and self-reported functional disability, pain, quality of life, fear avoidance, anxiety and depression, physical activity, and patient satisfaction. Outcome will be evaluated at baseline, 3 months and 6 months. Qualitative telephone interviews will be embedded in the research design to obtain feedback from a sample of participants' about their experiences of sleep monitoring, trial participation and interventions, and to inform the design of a fully powered future RCT. Planned analysis will explore trends in the data, effect sizes and clinically important effects (quantitative data), and thematic analysis (qualitative data).</p> <p>Discussion</p> <p>This study will evaluate the feasibility of a randomised controlled trial exploring the effects of three forms of physiotherapy (supervised general exercise programme, individualized walking programme and usual physiotherapy, which will serve as the control group) on sleep quality in people with chronic low back pain.</p> <p>Trial Registration</p> <p>Current controlled trial ISRCTN54009836</p>
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spelling doaj.art-f7265b2ae4da4050aa36c9cc9e16f7d52022-12-21T23:30:00ZengBMCBMC Musculoskeletal Disorders1471-24742010-04-011117010.1186/1471-2474-11-70Physiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trialvan Mechelen WillemTully Mark AGuerin SuzanneLonsdale ChrisKelly ClareO'Donoghue GrainneEadie JenniferHurley Deirdre AMcDonough Suzanne MBoreham Colin AGHeneghan ConorDaly Leslie<p>Abstract</p> <p>Background</p> <p>Sleep disturbance is becoming increasingly recognised as a clinically important symptom in people with chronic low back pain (CLBP, low back pain >12 weeks), associated with physical inactivity and depression. Current research and international clinical guidelines recommend people with CLBP assume a physically active role in their recovery to prevent chronicity, but the high prevalence of sleep disturbance in this population may be unknowingly limiting their ability to participate in exercise-based rehabilitation programmes and contributing to poor outcomes. There is currently no knowledge concerning the effectiveness of physiotherapy on sleep disturbance in people with chronic low back pain and no evidence of the feasibility of conducting randomized controlled trials that comprehensively evaluate sleep as an outcome measure in this population.</p> <p>Methods/Design</p> <p>This study will evaluate the feasibility of a randomised controlled trial (RCT), exploring the effects of three forms of physiotherapy (supervised general exercise programme, individualized walking programme and usual physiotherapy, which will serve as the control group) on sleep quality in people with chronic low back pain. A presenting sample of 60 consenting patients will be recruited in the physiotherapy department of Beaumont Hospital, Dublin, Ireland, and randomly allocated to one of the three groups in a concealed manner. The main outcomes will be sleep quality (self-report and objective measurement), and self-reported functional disability, pain, quality of life, fear avoidance, anxiety and depression, physical activity, and patient satisfaction. Outcome will be evaluated at baseline, 3 months and 6 months. Qualitative telephone interviews will be embedded in the research design to obtain feedback from a sample of participants' about their experiences of sleep monitoring, trial participation and interventions, and to inform the design of a fully powered future RCT. Planned analysis will explore trends in the data, effect sizes and clinically important effects (quantitative data), and thematic analysis (qualitative data).</p> <p>Discussion</p> <p>This study will evaluate the feasibility of a randomised controlled trial exploring the effects of three forms of physiotherapy (supervised general exercise programme, individualized walking programme and usual physiotherapy, which will serve as the control group) on sleep quality in people with chronic low back pain.</p> <p>Trial Registration</p> <p>Current controlled trial ISRCTN54009836</p>http://www.biomedcentral.com/1471-2474/11/70
spellingShingle van Mechelen Willem
Tully Mark A
Guerin Suzanne
Lonsdale Chris
Kelly Clare
O'Donoghue Grainne
Eadie Jennifer
Hurley Deirdre A
McDonough Suzanne M
Boreham Colin AG
Heneghan Conor
Daly Leslie
Physiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trial
BMC Musculoskeletal Disorders
title Physiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trial
title_full Physiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trial
title_fullStr Physiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trial
title_full_unstemmed Physiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trial
title_short Physiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trial
title_sort physiotherapy for sleep disturbance in chronic low back pain a feasibility randomised controlled trial
url http://www.biomedcentral.com/1471-2474/11/70
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