Biopsychosocial Model-based Care Versus Routine Physical Therapy in Chronic Back Pain

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Chronic low back pain (CLBP) is a multifactorial condition influenced by physical, psychological, and social factors. Conventional physical therapy primarily targets biomechanical impairments, often neglecting psychosocial contributors that perpetuate chronic pain and disability. This randomized comparative clinical trial aims to evaluate the effectiveness of Biopsychosocial (BPS) model-based care versus routine physical therapy on pain, disability, psychosocial outcomes, and inflammatory response among adults with CLBP. A total of \_\_\_ participants with CLBP (≥12 weeks) will be randomly allocated into two groups: Routine Physical Therapy Group - receiving baseline hot pack and TENS, stretching (hamstring, gluteal, iliopsoas, and lumbar extensors), and strengthening/stabilization exercises (planks, abdominal bracing, gluteal isometrics, and bridging). BPS Model-Based Care Group - receiving the same baseline treatment plus Maitland mobilization (Grade I-II central PA), sciatic nerve slider, abdominal bracing, graded functional activity, cognitive behavioral therapy (CBT), pain neuroscience education (PNE), guided imagery, and group-based functional exercise therapy. Primary outcome measures include Pain Self-Efficacy, Oswestry Disability Index (ODI), and C-Reactive Protein (CRP). A secondary variable, Perceived Social Support, will assess the social component of recovery. This study hypothesizes that the BPS model-based care will produce superior improvements in pain self-efficacy, functional disability, and inflammatory markers compared to routine therapy, supporting the integration of biopsychosocial rehabilitation in chronic low back pain management.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 25
Maximum Age: 60
Healthy Volunteers: f
View:

• Diagnosed with non-specific chronic low back pain (pain persisting for more than 12 weeks).

• Pain intensity score of ≥3 on the Visual Analog Scale (VAS).

• Able to read and understand the study instructions and questionnaires (e.g., SF-36, Oswestry Disability Index).

• Not undergoing any current structured physiotherapy or psychological treatment specifically for low back pain.

Locations
Other Locations
Pakistan
University of Lahore
RECRUITING
Lahore
Contact Information
Primary
Muhammad Tariq, BSPT, tDPT
muhammad.tariq@ubas.edu.pk
+923454190056
Time Frame
Start Date: 2025-11-04
Estimated Completion Date: 2026-06-15
Participants
Target number of participants: 80
Treatments
Experimental: Group A (Biopsychosocial group)
Participants allocated to the Biopsychosocial Model-Based Care group will receive a structured, multimodal physical therapy program that integrates physical, psychological, and social components of rehabilitation. The protocol is designed to address not only musculoskeletal impairments but also cognitive, emotional, and behavioral factors that influence chronic low back pain (CLBP).~Each session will last approximately 45 minutes, conducted three times per week for the four weeks under the supervision of a licensed physiotherapist trained in the BPS approach.
Active_comparator: Group B ( Routine Physical Therapy)
Participants in the Routine Physical Therapy group will receive a standardized physical therapy program designed to address the physical and functional components of chronic low back pain (CLBP). This approach represents standard clinical practice focused primarily on pain reduction, muscle flexibility, and core stabilization, without formal incorporation of psychological or social interventions.~Each treatment session will last 45 minutes, administered three times per week for the 4 weeks by a qualified physiotherapist.
Related Therapeutic Areas
Sponsors
Leads: Lahore University of Biological and Applied Sciences

This content was sourced from clinicaltrials.gov