Advanced International Journal for Research

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Effects of Stabilization Exercises with Sleep Hygiene on Anxiety and Depression in Low Back Pain Patients: An Experimental Study.

Author(s) Dr. Muskan Khazi, Mohammad Akbar Khan, Prof. A.K. Vijay Krishna Kumar
Country India
Abstract Chronic low back pain (CLBP) is commonly defined by symptom duration and frequency, recent scoping and narrative reviews recommend defining CLBP as low back pain present for at least three months and often occurring on at least half the days in the previous six months. CLBP is highly prevalent and frequently associated with functional limitation and reduced quality of life. Large studies and reviews report that anxiety and depressive symptoms are frequent in people with chronic pain, including CLBP, population and clinic samples often find ~20–40% screening positive for anxiety/depression. Poor sleep and CLBP have a bidirectional relationship: long-term poor sleep quality increases the risk of developing chronic and disabling back pain, while persistent pain itself frequently disrupts sleep. Anxiety and depression are also highly comorbid with CLBP and significantly contribute to pain-related disability. Improvements in pain and function following physiotherapy or structured exercise programs are often accompanied by reductions in depressive and anxiety symptoms, suggesting that physical rehabilitation may produce both somatic and psychological benefits. Sleep-hygiene education typically includes guidance on regular sleep-wake schedules, limiting stimulating substances before bedtime, and optimizing the sleep environment. While such education alone can modestly improve sleep metrics, its integration with structured exercise particularly relaxation or moderate physical activity has demonstrated more robust benefits.
Keywords Low Back Pain, Anxiety, Depression, Sleep Hygiene Education, Stabilization Exercises.
Published In Volume 7, Issue 4, July-August 2026
Published On 2026-08-09
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E-ISSN 3048-7641
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