Status:

UNKNOWN

Combining Physiotherapy Group Exercise With Acceptance and Commitment Therapy in Elderly With Chronic Low Back Pain

Lead Sponsor:

The Hong Kong Polytechnic University

Conditions:

Chronic Low Back Pain

Eligibility:

All Genders

65+ years

Phase:

NA

Brief Summary

This two-armed randomized controlled trial (RCT) aims to investigate the effectiveness of Group Exercise with acceptance and commitment therapy led by physiotherapist (GrExPACT) (experimental interven...

Detailed Description

Sample size: The sample size was calculated with reference to the effect size of 0.052 (partial eta square) being worked out from the primary outcome of Roland Morris Disability Questionnaire obtaine...

Eligibility Criteria

Inclusion

  • Inclusion Criteria
  • Ages ≥ 65;
  • Nonspecific LBP for \> 3 month;
  • Stratified as medium-risk category (i.e., total score ≥ 4 and sub score ≤ to 3) and high-risk category (i.e., total score ≥ 4 and sub score ≥ 4) using the STarT Back Screening Tool;
  • Roland Morris Disability Questionnaire (RMDQ) score ≥ 5 (with reference to the minimal level of detectable change)(30, 31);
  • Able to walk with or without assistive aid and with Modified Functional Ambulatory Category ≥ 6 (32);
  • Able to read Chinese characters;
  • Able to speak and understand Cantonese; and
  • Abbreviated mental test (AMT) ≥ 6 (33).
  • Exclusion Criteria
  • Specific cause of LBP such as tumor, infection, or apparent neurological deficit;
  • Serious uncontrolled co-morbidities or systematic diseases which is contraindicated to exercise;
  • Orthopedic condition like recent fracture require immobilization and not fitting for exercise;
  • Unstable cardiac, pulmonary, metabolic, and psychological disease requiring acute care;
  • Severe cognitive, language or hearing deficits;
  • Spinal surgery in the past 12 months as not to confound with effect of surgery;
  • People who had prior treatment with ACT at any time; or
  • People who had received physiotherapy treatment in the previous 6 months.

Exclusion

    Key Trial Info

    Start Date :

    December 28 2023

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    December 31 2024

    Estimated Enrollment :

    86 Patients enrolled

    Trial Details

    Trial ID

    NCT06148896

    Start Date

    December 28 2023

    End Date

    December 31 2024

    Last Update

    March 7 2024

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    Hong Kong Polytechnic University

    Kowloon, Hong Kong