OBJECTIVE: To determine the feasibility of a randomized controlled trial investigating the effectiveness of physiotherapy for sleep disturbance in chronic low back pain (CLBP) (≥12wks). DESIGN: Randomized controlled trial with evaluations at baseline, 3 months, and 6 months. SETTING: Outpatient physiotherapy department in an academic teaching hospital. PARTICIPANTS: Participants with CLBP were randomly assigned to a walking program (n=20; mean age ± SD, 46.4±13.8y), supervised exercise class (n=20; mean age ± SD, 41.3±11.9y), or usual physiotherapy (n=20; mean age ± SD, 47.1±14.3y). The 3-month evaluation was completed by 44 participants (73%), and 42 (70%) participants completed the 6-month evaluation. INTERVENTIONS: Participants received a physiotherapy-delivered 8-week walking program, an 8-week group supervised exercise class (1 class/wk), or 1-to-1 usual physiotherapy (advice, manual therapy, and exercise). MAIN OUTCOME MEASURES: Sleep was assessed by the self-reported Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Pittsburgh Sleep Diary, and objective actigraphy. RESULTS: Groups were comparable at baseline. Most (95%, n=57) of the participants had sleep disturbance. The acceptability of actigraphy was excellent at baseline (58 of 60 participants), but dropped at 3 months (26 of 44 participants). There were improvements on the PSQI and ISI in all groups at 3 and 6 months, with predominantly medium effect sizes (Cohen d=0.2-0.5). CONCLUSIONS: The high prevalence of sleep disturbance indicated the feasibility of good recruitment in future trials. The PSQI would be a suitable screening tool and outcome measure alongside an objective nonobtrusive sleep outcome measure. The effectiveness of physiotherapy for sleep disturbance in CLBP warrants investigation in a fully powered randomized controlled trial.
OBJECTIVE: To determine the feasibility of a randomized controlled trial investigating the effectiveness of physiotherapy for sleep disturbance in chronic low back pain (CLBP) (≥12wks). DESIGN: Randomized controlled trial with evaluations at baseline, 3 months, and 6 months. SETTING: Outpatient physiotherapy department in an academic teaching hospital. PARTICIPANTS: Participants with CLBP were randomly assigned to a walking program (n=20; mean age ± SD, 46.4±13.8y), supervised exercise class (n=20; mean age ± SD, 41.3±11.9y), or usual physiotherapy (n=20; mean age ± SD, 47.1±14.3y). The 3-month evaluation was completed by 44 participants (73%), and 42 (70%) participants completed the 6-month evaluation. INTERVENTIONS: Participants received a physiotherapy-delivered 8-week walking program, an 8-week group supervised exercise class (1 class/wk), or 1-to-1 usual physiotherapy (advice, manual therapy, and exercise). MAIN OUTCOME MEASURES: Sleep was assessed by the self-reported Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Pittsburgh Sleep Diary, and objective actigraphy. RESULTS: Groups were comparable at baseline. Most (95%, n=57) of the participants had sleep disturbance. The acceptability of actigraphy was excellent at baseline (58 of 60 participants), but dropped at 3 months (26 of 44 participants). There were improvements on the PSQI and ISI in all groups at 3 and 6 months, with predominantly medium effect sizes (Cohen d=0.2-0.5). CONCLUSIONS: The high prevalence of sleep disturbance indicated the feasibility of good recruitment in future trials. The PSQI would be a suitable screening tool and outcome measure alongside an objective nonobtrusive sleep outcome measure. The effectiveness of physiotherapy for sleep disturbance in CLBP warrants investigation in a fully powered randomized controlled trial.
Authors: Anna M Polaski; Amy L Phelps; Thomas J Smith; Eric R Helm; Natalia E Morone; Kimberly A Szucs; Matthew C Kostek; Benedict J Kolber Journal: Pain Med Date: 2021-02-23 Impact factor: 3.750
Authors: Christina M Dieli-Conwright; Kerry S Courneya; Wendy Demark-Wahnefried; Nathalie Sami; Mary K Norris; Frank S Fox; Thomas A Buchanan; Darcy Spicer; Leslie Bernstein; Debu Tripathy Journal: Sleep Date: 2021-10-11 Impact factor: 5.849
Authors: Stephan Milosavljevic; Lynne Clay; Brenna Bath; Catherine Trask; Erika Penz; Sam Stewart; Paul Hendrick; G David Baxter; Deirdre A Hurley; Suzanne M McDonough Journal: BMC Public Health Date: 2015-02-13 Impact factor: 3.295
Authors: Vânia Tie Koga Ferreira; Almir Vieira Dibai-Filho; Alessandra Kelly de Oliveira; Cid André Fidelis de Paula Gomes; Elizabete Santos Melo; Ana Maria de Almeida Journal: J Phys Ther Sci Date: 2015-05-26
Authors: Eric J Roseen; Hanna Gerlovin; Alexandra Femia; Jae Cho; Suzanne Bertisch; Susan Redline; Karen J Sherman; Robert Saper Journal: J Gen Intern Med Date: 2019-10-30 Impact factor: 5.128
Authors: Sander De Groote; Lisa Goudman; Ronald Peeters; Bengt Linderoth; Peter Van Schuerbeek; Stefan Sunaert; Mats De Jaeger; Ann De Smedt; José De Andrés; Maarten Moens Journal: Neuroimage Clin Date: 2019-11-12 Impact factor: 4.881