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Publications

Journal Article Ahead of print

PubMed: 41906496 DOI: 10.1080/17581869.2026.2643332

Effectiveness of resistance training and pain reprocessing therapy in female flight attendants with chronic low back pain: a study protocol for a randomized controlled trial.

Pain Manag

Authors: Negin Zolfaghari, Amir Letafatkar, Giacomo Rossettini, Jorge Hugo VillafaƱe, Khadija Ayed, Ismail Laher, Juan Del Coso, Urs Granacher, Hassane Zouhal

Affiliations

  • Department of Biomechanics and Sport Injuries, Kharazmi University, Tehran, Iran.
  • School of Physiotherapy, University of Verona, Verona, Italy.
  • Department of Human Neurosciences, University of Roma "Sapienza Roma", Rome, Italy.
  • Department of Physiotherapy, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, Madrid, Spain.
  • International Institute of Sport Sciences (2I2S), Rennes, France.
  • Faculty of Medicine of Tunis, University Al Manar, Tunis, Tunisia.
  • Faculty of Medicine, Department of Anesthesiology, Pharmacology and Therapeutics, The University of British Columbia, Vancouver, BC, Canada.
  • University of King Juan Carlos, Madrid, Spain.
  • Department of Sport and Sport Science, Exercise and Human Movement Science, University of Freiburg, Freiburg, Germany.

Abstract

INTRODUCTION

This study protocol presents the design of a randomized controlled trial to evaluate the effect of an 8-week multimodal intervention including resistance training alone versus combined resistance training with motor skills training and pain reprocessing therapy on lumbar range of motion (ROM), pain, mental well-being in female flight attendants aged between 20 and 40ā€‰years with chronic low back pain (LBP).

PATIENT AND METHODS

Based on findings from an a priori power analysis, a total of 60 flight attendants diagnosed with LBP will be enrolled and randomly assigned to one of the following experimental groups: (1) resistance training alone, (2) resistance training combined with motor skill exercises, (3) resistance training with pain reprocessing therapy, (4) resistance training with motor skill exercises and pain reprocessing therapy. Participants will be assessed at baseline, after 8ā€‰weeks (post-intervention), and 3ā€‰months post-intervention (follow-up, detraining).

RESULTS

This randomized controlled trial will provide valuable insights into the effectiveness of resistance training alone and in combination with motor skills training and pain reprocessing therapy for managing chronic low back pain in flight attendants.

CONCLUSION

The results of this study may help researchers and physiotherapy practitioners to improve clinical outcomes in female flight attendants with LBP.

CLINICAL TRIAL REGISTRATION NUMBER

The http://www.irct.ir/ identifier is IRCT20220804055617N1 (Registration date 2022-12-17).

MeSH

Exercise, Motor Skills, Low Back Pain, Occupational Health, Exercise Therapy, Pain, Pain Management, Therapeutics, Resistance Training, Back Pain