The Effect of Telerehabilitation in Patients With Chronic Low Back Pain

Marmara University

Status: Completed

Conditions: Chronic Low-back Pain

Treatments: Other: Conventional Rehabilitation; Other: Telerehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT04567758

09.2020.518

Details and patient eligibility

About

Telerehabilitation enables patients to easily adapt to home exercise programs and to be monitored remotely by their clinicians. The aim of this study is to investigate the effectiveness of the home exercise program, which is integrated into 8-week remote asynchronous video telerehabilitation sessions, on clinical status in terms of pain, functionality, quality of life parameters, as well as patient expectation, motivation, and satisfaction levels.

Full description

Low back pain is symptomatic pathology in the region between the twelve ribs and lower gluteal line defined as the lumbar region and sometimes accompanied by radicular symptoms spreading to the lower extremity, but it is not considered as a pathology alone. They are evaluated and treated on the basis of symptom duration, potential cause, the presence or absence of radicular symptoms, and the corresponding anatomical or radiographic abnormalities. Exercise is considered an essential element in the management of physical therapy and rehabilitation in patients with chronic low back pain. However, it has been found in the studies that improvements after physical therapy and rehabilitation applications are not preserved in the long term, and recurrence of chronic low back pain is common. In order to prevent this, physiotherapists need to follow their patients for a long time and to participate in the rehabilitation process. With a more cost-effective treatment model such as telerehabilitation, patients can be followed up more efficiently during home exercise. The aim of this study is to investigate the effectiveness of the home exercise program, which is integrated into 8-week remote asynchronous video telerehabilitation sessions, on clinical status in terms of pain, functionality, quality of life parameters, as well as patient expectation, motivation, and satisfaction levels.

Enrollment: 50 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Male and female patients aged 18-65
• Patients who have complained of low back pain for at least 3 months
• Pain and numbness that does not spread to the legs

Exclusion criteria

• Patients with cognitive disorders or communications problems to complete assessments or treatment interventions.
• Individuals who have undergone surgical operations on the spine and/or extremities
• Specific pathological conditions (e.g. malignancy, fracture, systemic rheumatoid disease)
• Orthopedic and neurological problems that prevent evaluation and/or treatment
• Complaints of pain and numbness spreading to the lower extremities
• Individuals with a diagnosed psychiatric illness
• Individuals who have received physiotherapy in the last 6 months
• Individuals who use another treatment method during the study
• Individuals with musculoskeletal pain in any other part of the body during work
• Pregnancy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

Telerehabilitation (TR) Group

Experimental group

Description:

The TR group will be followed up through the video-based exercise software within the 8-week home exercise program.

Treatment:

Other: Telerehabilitation

Conventional Rehabilitation (CR) Group

Active Comparator group

Description:

The CR group will be trained face-to-face with conventional methods before the 8-week home exercise program, and an exercise program will be prescribed with a visual information form.

Treatment:

Other: Conventional Rehabilitation