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Remote Exercise Programs in Chronic Low Back Pain

H

Hacettepe University

Status

Completed

Conditions

Low Back Pain

Treatments

Other: Telerehabilitation
Other: Face to Face Exercise

Study type

Interventional

Funder types

Other

Identifiers

NCT05082649
KA-21024

Details and patient eligibility

About

Low back pain is a common problem that affects many people at some point in their lives. These people constitute a big part of the disease burden due to their recurrent complaints. About 45% of individuals with chronic low back pain seek medical attention. This situation makes chronic low back pain the second reason for individuals to apply to the hospital.

Exercise therapy is the first option that comes to mind in the management of low back pain. It is seen that exercise therapy both reduces the intensity of pain and reduces the recurrence rate of complaints. When the literature is examined, it is observed that among the exercise models, stabilization exercises can provide more benefits than general exercises in reducing pain and improving disability. The COVID-19 pandemic causes disruptions in face-to-face rehabilitation services. The development of telemedicine and telerehabilitation services, whose popularity is increasing with the advancing technology, gained momentum with these disruptions. With telerehabilitation, long-term treatments tailored to the needs of the patients can be offered, the cost is low, and the patients can exercise at home, on their own, at their own pace, whenever they want. These reasons make telerehabilitation stand out especially during the pandemic period. The aim of the study planned in this context is to investigate short and long-term results of remote and face-to-face exercise training on function and disease symptoms for individuals with chronic low back pain.

Enrollment

42 patients

Sex

All

Ages

18 to 55 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Having low back pain for more than 3 months,
  • Pain intensity of 3 or more according to VAS,
  • literate,
  • A smartphone user,
  • Own a smartphone
  • Individuals who are able to understand the exercises (total score >21 on the Montreal Cognitive Assessment Scale (MOCA)) will be included in the study.

Exclusion criteria

  • Those who have been diagnosed with cervical or lumbar region pathologies,
  • Cervical rapiculopathy, thoracic outlet syndrome,
  • Having a malignant condition,
  • Having systemic diseases such as neurological, psychological, cardiovascular, rheumatological and loss of function due to these diseases,
  • History of previous surgery on the spine and upper extremity,
  • Acute infection,
  • Individuals who do not agree to participate in the study and do not give written consent will be excluded from the study.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

42 participants in 2 patient groups

Telerehabilitation
Experimental group
Description:
Remotely (with video) progressive spinal stabilization exercises.
Treatment:
Other: Telerehabilitation
Face to Face Exercises
Active Comparator group
Description:
Face to face (in clinic) progressive spinal stabilization exercises.
Treatment:
Other: Face to Face Exercise

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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