The Effect of Telerehabilitation in Patients With Chronic Low Back Pain
Condition: Chronic Low-back Pain
MeSH terms: Back Pain; Low Back Pain
Study type: Interventional

Summary: 
      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.
    

Detailed 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.
    

Intervention name(s): Telerehabilitation; Conventional Rehabilitation
Intervention type(s): Other; Other
Intervention description(s): The home exercise program includes the following exercises:
Lumbar region and lower extremity stretching exercises;
Exercises to strengthen the abdominal muscles;
Exercises to strengthen the lumbar muscles;
Bridging, spine mobility exercise, McKenzie extension, and Williams flexion exercises
A web-based telerehabilitation platform (Fizyoweb) will be used to deliver the exercise program. Using the Fizyoweb web application, exercises will be presented to the patients in the form of audio-video and detailed instructions with explanations. The exercise program to be given will be prescribed specifically with slight changes according to the patient's condition. The exercise protocol will be the same as in the conventional rehabilitation group. Patients will be asked to do the exercises once a day for 8 weeks and 10 repetitions each.; The home exercise program, which will be given with conventional rehabilitation, will be educated to the patient in the clinic on the first day. Exercise information form including explanation and picture of the exercises will be given to the patients. The exercise program to be given will be prescribed specifically with slight changes according to the patient's condition. Patients will be asked to do the exercises once a day for 8 weeks and 10 repetitions each.
The home exercise program includes the following exercises:
Lumbar region and lower extremity stretching exercises;
Exercises to strengthen the abdominal muscles;
Exercises to strengthen the lumbar muscles;
Bridging, spine mobility exercise, McKenzie extension, and Williams flexion exercises
Other intervention name(s): TR; CR
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: A double-blind randomized controlled trial
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Chronic Low-back Pain; Telerehabilitation; Pain; Quality of Life; Motivation; Expectation; Patient Satisfaction