ELUCIDATING THE EFFECT OF MULTIMODAL THERAPY (MMT) ALONE AND MMT ALONG WITH COGNITIVE BEHAVIORAL THERAPY (CBT) ON DISABILITY IN PATIENTS OF CHRONIC LOW BACK PAIN (CLBP).

Background: Low back pain (LBP) is considered one of the leading global public health issues. It contributes to significant disability and limits participation in regular work activities and the social life of people. The World Health Organization (WHO), stated an estimate that people around 619 million all around the globe have been or are going through low back pain. Most individuals hold the capability to recover within 12 weeks while a significant number of people progress towards chronic low back pain which is further marked by persistent pain and disability. Material & Methods: A randomized controlled trial involved two intervention arms which was performed at the Akhtar Saeed Physiotherapy Clinic in Lahore, Pakistan. The people who participated in the study were split into two groups: Group A received only Multimodal Therapy (MMT), whereas Group B was treated with a combination of MMT and Cognitive Behavioral Therapy (CBT). Each group included equal participants.Results: The mean difference in MODI scores was 8.66 (95% CI = 6.20-11.12, P < 0.001) for Group A and 17.24 (95% CI = 15.15-19.32, P < 0.001) for Group B which highlighted the effectiveness of the combination treatment of CBT & MMT in reducing disability than MMT alone.Conclusions: The results indicated a significant mean difference in group B. The mean difference suggests that the combination of CBT & MMT is more effective in reducing disability as measured by MODI than MMT alone.KEYWORDS: Cognitive behavioraltherapy, multimodal therapy, Low back pain, Keel start back tool