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

Hdl Handle:
http://hdl.handle.net/10147/223256
Title:
Physiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trial
Authors:
Hurley, Deirdre A; Eadie, Jennifer; O'Donoghue, Grainne; Kelly, Clare; Lonsdale, Chris; Guerin, Suzanne; Tully, Mark A; van Mechelen, Willem; McDonough, Suzanne M; Boreham, Colin AG; Heneghan, Conor; Daly, Leslie
Citation:
BMC Musculoskeletal Disorders. 2010 Apr 16;11(1):70
Issue Date:
16-Apr-2010
URI:
http://dx.doi.org/10.1186/1471-2474-11-70; http://hdl.handle.net/10147/223256
Abstract:
Abstract Background 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. Methods/Design 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). Discussion 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. Trial Registration Current controlled trial ISRCTN54009836
Item Type:
Journal Article

Full metadata record

DC FieldValue Language
dc.contributor.authorHurley, Deirdre A-
dc.contributor.authorEadie, Jennifer-
dc.contributor.authorO'Donoghue, Grainne-
dc.contributor.authorKelly, Clare-
dc.contributor.authorLonsdale, Chris-
dc.contributor.authorGuerin, Suzanne-
dc.contributor.authorTully, Mark A-
dc.contributor.authorvan Mechelen, Willem-
dc.contributor.authorMcDonough, Suzanne M-
dc.contributor.authorBoreham, Colin AG-
dc.contributor.authorHeneghan, Conor-
dc.contributor.authorDaly, Leslie-
dc.date.accessioned2012-05-11T13:16:12Z-
dc.date.available2012-05-11T13:16:12Z-
dc.date.issued2010-04-16-
dc.identifier.citationBMC Musculoskeletal Disorders. 2010 Apr 16;11(1):70-
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2474-11-70-
dc.identifier.urihttp://hdl.handle.net/10147/223256-
dc.description.abstractAbstract Background 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. Methods/Design 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). Discussion 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. Trial Registration Current controlled trial ISRCTN54009836-
dc.titlePhysiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trial-
dc.typeJournal Article-
dc.language.rfc3066en-
dc.rights.holderHurley et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2012-05-10T15:10:54Z-
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