Assessing the Efficacy of Multimodal Therapy Alone Versus the Combination of Cognitive Behavioral Therapy Along with Multimodal Therapy in the Treatment of Chronic Low Back Pain Patients Efficacy of MMT Alone Versus MMT with CBT in CLBP
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Abstract
Background: Chronic Low Back Pain (CLBP) is a major public health concern worldwide, significantly impacting individuals' quality of life and contributing to disability and economic burdens. Traditional treatments often focus on physical aspects, but integrating Cognitive Behavioural Therapy (CBT) with Multimodal Therapy (MMT) has shown promise in addressing both the physical and psychological aspects of CLBP.
Objective: This study aims to compare the effectiveness of MMT alone versus MMT combined with CBT in improving pain, functional ability, and disability levels among CLBP patients.
Methods: A randomized controlled trial was conducted involving male and female participants diagnosed with CLBP. Participants were divided into two groups: one receiving MMT alone and the other receiving MMT combined with CBT. Outcomes were measured using the Knee to Side Bend Test (KSTB), Numeric Pain Rating Scale (NPRS), and Modified Oswestry Disability Index (MODI) before and after the interventions. The study included a total of 108 participants (54 males and 54 females). Statistical analysis was performed to assess between-group and within-group differences.
Results: The findings revealed that the group receiving MMT combined with CBT showed significantly greater improvements across all measured outcomes compared to the MMT alone group. Specifically, participants in the MMT with CBT group exhibited a more substantial reduction in pain levels (NPRS), greater improvements in functional ability (KSTB), and a more pronounced decrease in disability levels (MODI). The differences between the groups were statistically significant (p < 0.001), indicating that the addition of CBT to MMT enhances the treatment's effectiveness.
Conclusion: The study concludes that integrating CBT with MMT is more effective in managing CLBP than MMT alone. The combined approach addresses both the physical and psychological aspects of chronic pain, leading to better overall patient outcomes. These findings support the adoption of a multidisciplinary approach in the treatment of CLBP, particularly for patients with persistent pain. Further research is recommended to explore the long-term benefits and cost-effectiveness of this combined therapy.
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