Physiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trial.
AuthorsHurley, Deirdre A
Tully, Mark A
van Mechelen, Willem
McDonough, Suzanne M
Boreham, Colin A G
AffiliationUCD School of Public Health, Physiotherapy & Population Science, University College Dublin, Dublin 4, Ireland. email@example.com
MeSHActivities of Daily Living
Clinical Trials as Topic
Interviews as Topic
Low Back Pain
Outcome Assessment (Health Care)
Physical Therapy Modalities
Quality of Life
MetadataShow full item record
CitationPhysiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trial. 2010, 11:70 BMC Musculoskelet Disord
JournalBMC musculoskeletal disorders
AbstractSleep 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.
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).
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.
Current controlled trial ISRCTN54009836.
- A walking programme and a supervised exercise class versus usual physiotherapy for chronic low back pain: a single-blinded randomised controlled trial. (The Supervised Walking In comparison to Fitness Training for Back Pain (SWIFT) Trial).
- Authors: Hurley DA, O'Donoghue G, Tully MA, Moffett JK, van Mechelen W, Daly L, Boreham CA, McDonough SM
- Issue date: 2009 Jul 2
- Physiotherapy for sleep disturbance in people with chronic low back pain: results of a feasibility randomized controlled trial.
- Authors: Eadie J, van de Water AT, Lonsdale C, Tully MA, van Mechelen W, Boreham CA, Daly L, McDonough SM, Hurley DA
- Issue date: 2013 Nov
- The back 2 activity trial: education and advice versus education and advice plus a structured walking programme for chronic low back pain.
- Authors: McDonough SM, Tully MA, O'Connor SR, Boyd A, Kerr DP, O'Neill SM, Delitto A, Bradbury I, Tudor-Locke C, Baxter DG, Hurley DA
- Issue date: 2010 Jul 15
- Effects of preferred-exercise prescription compared to usual exercise prescription on outcomes for people with non-specific low back pain: a randomized controlled trial [ACTRN12608000524392].
- Authors: Slade SC, Keating JL
- Issue date: 2009 Jan 28
- Effectiveness of individualized physiotherapy on pain and functioning compared to a standard exercise protocol in patients presenting with clinical signs of subacromial impingement syndrome. A randomized controlled trial.
- Authors: Kromer TO, de Bie RA, Bastiaenen CH
- Issue date: 2010 Jun 9