<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20240916063057N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-10-20</date_registration>
      <primary_sponsor>University of social welfare and rehabilitation sciences</primary_sponsor>
      <public_title>the effect of education in treatment of chronic low back pain</public_title>
      <acronym></acronym>
      <scientific_title>The effect of adding pain neuroscience education on the clinical results of core muscle training using pressure biofeedback in people with chronic low back pain diagnosed with functional instability</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2024-11-17</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>48</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/79217</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: People referring to the Physiotherapy Department of ROFAYDEH Hospital, Department of Low Back Pain School are first examined by the senior researcher (NOT BLIND) according to the Inclusion criteria. If they meet the Inclusion criteria, they are included in the study.) Using the www.sealed envelope.com website with a block size of 4 (block size n=4) a random sequence is made Then, one of the 6 modes AABB, ABAB, ABBA, BBAA, BABA, BAAB will be randomly selected, where A represents the first group and B represents the second group. Then the blind assessor seals using non-transparent envelopes the random sequences generated by the site are placed in envelopes for every 48 people, and people take one of the 48 envelopes without putting them in the order of arrival and enter the study, Blinding description: Therapist doesn't blind to type of treatment and assessment and both groups 
Assessor blind to type of treatment and assessment and both groups
Patient don't blind to type of treatment and groups
Statistics analyzer blind to treatment and  assessment and both groups.</study_design>
      <phase>N/A</phase>
      <hc_freetext>chronic low back pain diagnosed with functional instability.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: core muscle training using pressure biofeedback device along with pain neuroscience education. Intervention 2: Control group: core muscle training using pressure biofeedback device.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
All ethical forms and documents and informed consent in the process of receiving the code of ethics are registered in the proposal

When:
8 months after the publication of the results of the thesis and the publication of the article extracted from the thesis

To whom:
Senior Researcher (Golnaz Sadria)
Ethics Committee of the University of social welfare and Rehabilitation Sciences

Conditions:
It can be retrieved only if the patient's physical condition becomes problematic and for a detailed examination of the information and the treatment process

Where to obtain:
In order to receive the results of the research, the contact numbers of the patients and their communication channels are included in the informed consent form, and after the review and analysis of the data by the senior researcher, the results will be provided to the participants via email or face-to-face meeting.

How to obtain:
First, according to the informed consent form, in which the number of the senior researcher (Golnaz Sadria) is mentioned, contact is made with that number, then after explaining the reason for receiving the documents to the senior researcher and presenting it to the ethics committee of the University of social welfare and rehabilitation science, information After unlocking, the code will be provided to the participant.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Golnaz Sadria</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>kodakyar Ave., daneshjo Blvd.,Evin</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985713871</zip>
        <telephone>+98 21 2218 0083</telephone>
        <email>gl.sdr9019@gmail.com</email>
        <affiliation>University of social welfare and rehabilitation sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Golnaz Sadria</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>kodakyar Ave., daneshjo Blvd.,Evin</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985713871</zip>
        <telephone>+98 21 2218 0083</telephone>
        <email>gl.sdr9019@gmail.com</email>
        <affiliation>University of social welfare and rehabilitation sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>age range 18-40
at least  education level is diploma
prone instability test is positive
Gower’s sign is positive
at least 3 month  patient have  continuous pain in lumbago
there is no obvious symptom in lumbar region (  patients rule out when have these disorder: decrease sensation in specific dermatome , decrease strength in specific myotome of lumbar region , disc herniation ,sacroiliac joint dysfunction  )
at least patient have 3times low back pain during last year
intensity of patient's  pain during Gower’s test in Visual Analogous Scale  should be 3to7
Oswestry disability index  more than 12%
patient can stand and walk without any supportive aid such as cane
patient don't have Rheumatoid and central nervous system disorder
patient don't have any history of tumor, malignancy and spinal malposture
patient don't have any history of abdominal surgery
at least score of MMSE for measuring cognition state should be 27
BMI not more than 30
patient don't get any medications  and exercise therapy during last 3 month</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>40 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>pregnancy
sitting more than 2 hours a day</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Rehabilitation</i_code>
      <i_code>Rehabilitation</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: core muscle training using pressure biofeedback device along with pain neuroscience education</i_keyword>
      <i_keyword>Control group: core muscle training using pressure biofeedback device</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain. Timepoint: pre treatment,immediate after fifteen session,Three months after the end of treatment. Method of measurement: visual analogous scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Disability. Timepoint: pre treatment, immediate after fifteen sessions , Three months after the end of treatment. Method of measurement: Oswestry disability index.</sec_outcome>
      <sec_outcome>Fear of movement. Timepoint: pre treatment, immediate after fifteen sessions , Three months after the end of treatment. Method of measurement: tampa scale.</sec_outcome>
      <sec_outcome>Thickness of transverse abdominis muscle. Timepoint: pre treatment, immediate after fifteen sessions , Three months after the end of treatment. Method of measurement: sonography.</sec_outcome>
      <sec_outcome>Brain wave. Timepoint: pre treatment, immediate after fifteen sessions , Three months after the end of treatment. Method of measurement: neurofeedback.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>University of social welfare and rehabilitation sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2024-09-28</approval_date>
        <contact_name>Ethics committee of social welfare and rehabilitation science</contact_name>
        <contact_address>Koodakyar End, Shahid Shahriari Square,Evin Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
