Effects of Low Back Pain Knowledge-Related Education on Attitudes and Knowledge in Patients With Low Back Pain
Effects of Low Back Pain Knowledge-Related Education on Attitudes and Knowledge in Patients With Low Back Pain
Low back pain (LBP) is the leading musculoskeletal condition in burden of disease and years
 lived with disability. This high ranking is in large part due to the high prevalence of LBP.
 LBP is not only mechanically related to spinal pathophysiology (i.e., postural alterations,
 articular stiffness, or muscle weakness), but may also be influenced by psychosocial factors
 such as attitudes and beliefs. Multidisciplinary rehabilitation programs, which include
 biopsychosocial management, resulted in a better outcome. The aim of this project is to
 determine if the change in LBP-related knowledge and attitudes toward LBP are correlated with
 the change in LBP-related pain, disability, fear avoidance, and emotional states of
 depression, anxiety, and stress after three months. The second aim is to investigate the
 effect of adding LBP knowledge related education sessions to standard physical therapy
 treatment on patients' LBP knowledge, attitudes toward LBP, LBP-related pain, disability,
 fear avoidance, and emotional symptoms in comparison to standard physical therapy alone.
Low back pain (LBP) is the leading musculoskeletal condition in burden of disease and years
 lived with disability. This high ranking is in large part due to the high prevalence of LBP.
 LBP is not only mechanically related to spinal pathophysiology (i.e., postural alterations,
 articular stiffness, or muscle weakness), but may also be influenced by psychosocial factors
 such as attitudes and beliefs. Multidisciplinary rehabilitation programs, which include
 biopsychosocial management, resulted in a better outcome. The aim of this project is to
 determine if the change in LBP-related knowledge and attitudes toward LBP are correlated with
 the change in LBP-related pain, disability, fear avoidance, and emotional states of
 depression, anxiety, and stress after three months. Secondly, the investigators will
 investigate the effect of adding LBP knowledge related education sessions to standard
 physical therapy treatment on patients' LBP knowledge, attitudes toward LBP, LBP-related
 pain, disability, fear avoidance, and emotional symptoms in comparison to standard physical
 therapy alone. 74 patients with LBP receiving standard physical therapy service for the first
 time will be interviewed and their knowledge and attitude about LBP will be collected at the
 baseline. After 3 months, the LBP related pain, emotional symptoms, and LBP disability will
 be collected. The patients will be allocated to "Experimental group" consist of 37 patients
 will take education sessions in addition to standard physical therapy for 12 sessions or
 "control group" consist of 37 patients take just standard physical therapy for the same
 number of sessions without education. Participants will be assessed at baseline and at 3
 months follow up. Outcome measures include Arabic version of the Back Pain Attitudes
 (Back-PAQ), Low Back Pain Knowledge (LKQ) Questionnaires, Arabic version of Oswestry
 Disability Index (ODI) to assess the function, Visual Analogue Scale for pain intensity,
 Depression Anxiety Stress Scales (DASS-21) for emotional states, and Fear-Avoidance Beliefs
 Questionnaire (FABQ) for fear avoidance beliefs. Spearman correlation coefficient r will be
 used to investigate the correlation between change in LBP knowledge and attitude, and change
 in pain, disability, fear avoidance and emotional symptoms after three months. Independent
 sample t-test will be used to compare the knowledge, attitude, VAS, ODI, FABQ, and DASS-
 between the experimental group and control group.
Inclusion Criteria:

 -  Patients reported persistent LBP of more than 3/10 in the last 12 weeks.

 Exclusion Criteria:

 -  Subjects with acute low back pain, "red flags" indicating signs of serious pathology,
 previous back surgery, pregnancy, specific rheumatological diseases, spodylolysis or
 spondylolisthesis, spinal tumor or spinal fracture, mental disorders, or neurological
 diseases will be excluded.