Clinical trial NCT05082649: Remote Exercise Programs in Chronic Low Back Pain
Official title: Investigation of Short and Long Term Results of Remote and Face-to-Face Exercise Education Programme for Chronic Low Back Pain Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Low Back Pain
Keywords: spinal stabilization exercise
tele-rehabilitation
low back pain
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2021-10-19
Enrollment: 42
Sex: ALL
Minimum age (years): 18
Maximum age (years): 55
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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.


Eligibility criteria: 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.

Primary outcomes:
measure: Evaluation of Trunk Range of Motion
timeFrame: 15 minutes, through study completion, an average of 8 weeks, and 6th months after treatment, change from baseline trunk range of motion at 8 weeks and 6th months
measure: Evaluation of Gait Parameters - Time Characteristics 1
timeFrame: 15 minutes, through study completion, an average of 8 weeks, and 6th months after treatment, change from baseline time-distance gait parameters at 8 weeks and 6th months
measure: Evaluation of Gait Parameters - Time Characteristics 2
timeFrame: 15 minutes, through study completion, an average of 8 weeks, and 6th months after treatment, change from baseline time-distance gait parameters at 8 weeks and 6th months
measure: Evaluation of Gait Parameters - Distance Characteristics
timeFrame: 15 minutes, through study completion, an average of 8 weeks, and 6th months after treatment, change from baseline time-distance gait parameters at 8 weeks and 6th months
measure: Evaluation of Functional Capacity Level
timeFrame: 10 minutes, through study completion, an average of 8 weeks, and 6th months after treatment, change from baseline functional capacity level at 8 weeks and 6th months
measure: Evaluation of Pain Intensity
timeFrame: 5 minutes, through study completion, an average of 8 weeks, and 6th months after treatment, change from baseline pain intensity level at 8 weeks and 6th months
Secondary outcomes:
measure: Evaluation of Quality of Life
timeFrame: 5 minutes, through study completion, an average of 8 weeks, and 6th months after treatment, change from baseline quality of life at 8 weeks and 6th months
measure: Evaluation of Exercise Adaptation
timeFrame: 5 minutes, through study completion, an average of 8 weeks, and 6th months after treatment, change from baseline exercise adaptation at 8 weeks and 6th months
measure: Evaluation of Pain Catastrophization
timeFrame: 5 minutes, through study completion, an average of 8 weeks, and 6th months after treatment, change from baseline pain catastrophizing scale score at 8 weeks and 6th months
measure: Evaluation of Disability
timeFrame: 5 minutes, through study completion, an average of 8 weeks, and 6th months after treatment, change from baseline ODI score at 8 weeks and 6th months
measure: Evaluation of Media and Social Media Usage Situations with Technological Tools
timeFrame: 15 minutes, through study completion, an average of 8 weeks, and 6th months after treatment, change from baseline score at 8 weeks and 6th months
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Hacettepe University
state: Altındağ
Study officials:
References: