E-lombactifs: Evaluation of the Impact a Smartphone Application on Adherence an Exercise Program in Chronic Low Back Pain

Study Overview
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Brief Summary
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The main objective is to assess the impact of smartphone application on adherence to a physical exercise program in chronic low back pain patients. Adherence to a physical exercise program will be assessed at the start of the protocol, at three weeks and six months. A control group will benefit from conventional care in a rehabilitation center and an intervention group will benefit from a conventional care in a rehabilitation center accompanied by education in the use of a smartphone application including physical exercises and information about low back pain. The hypothesis of the search is that adherence is better in intervention group than control group at 6 months due to education in the use of smartphone application.

Official Title
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E-lombactifs: Evaluation of the Impact a Smartphone Application on Adherence an Exercise Program in Chronic Low Back Pain

Conditions
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Chronic Low Back Pain

Intervention / Treatment
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* Other: Education in the use of smartphone app (Mon coach dos)
* Other: conventional care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult People With nonspecific chronic low back pain (according to the definition of the HAS) Covered under the national health insurance Giving informed written consent to participate in the study Exclusion Criteria: Patient who do not meet the diagnostic criteria according to the definition of HAS Behavioral disorders or comprehension difficulties making assessment impossible Patient with a contraindication to physical exercise for medical reasons Patient under guardianship, curatorship or safeguard of justice

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: group application (GA)<br>benefit from conventional care in a rehabilitation center, therapeutic education program and education in the use of the smartphone application mon coach dos | Other: Education in the use of smartphone app (Mon coach dos)<br>* In addition to conventional care and the therapeutic education program, GA will benefit from three education sessions (one per week) on the use of the smartphone app mon coach dos<br>Other: conventional care<br>* conventional care and the therapeutic education program<br>|
| Active Comparator: Groupe conventional care (GCC)<br>benefit from conventional care in a rehabilitation center and therapeutic education program | Other: conventional care<br>* conventional care and the therapeutic education program<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| EARS : exercise adherence rating scale | EARS assess the adherence in physical activity program. | day1 | 
| EARS : exercise adherence rating scale | EARS assess the adherence in physical activity program. | day 15 | 
| EARS : exercise adherence rating scale | EARS assess the adherence in physical activity program. | day 180 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| OSWESTRY questionnaire | Disability is measured by OSWESTRY | day1, day 15, day 180 | 
| EPAP questionnaire | The perceived barriers to and facilitators of physical activity are measured by EPAP | day1, day 15, day 180 | 
| Pain measurment: numeric scale | The pain is measured by numeric scale | day1, day 15, day 180 | 
| 6 minutes' walk test (6MWT) | Aerobic and functional capacities are measured by 6 minutes' walk test (6MWT) | day1, day 15, day 180 | 
| aerobic capacities | aerobic capacities are measured by sub maximal ergocycle test | day1, day 15, day 180 | 
| muscular endurance | the muscular endurance of the erector muscles of the spine is measured by Sorensen test | day1, day 15, day 180 | 
| muscular endurance of the flexor muscles of the spine | the muscular endurance of the flexor muscles of the spine is measured by ITO test | day1, day 15, day 180 | 
| muscular endurance of the extensor of the knee | the muscular endurance of the extensor of the knee is measured by Killy test | day1, day 15, day 180 | 
| Core measurment | Core is measured by plank test | day1, day 15, day 180 | 
| Flexibility on posterior chain | Flexibility on posterior chain is measured by DDS test | day1, day 15, day 180 | 
| Mobility on posterior chain | Mobility on posterior chain is measured by Schober test | day1, day 15, day 180 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Chronic Low Back Pain, Physical activity, Adherence