Effectiveness of Web-Based Exercise Programs in the Management of Non-Specific Low Back Pain: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Pain Reduction (Numeric Pain Rating Scale, NPRS)
研究概览
简要总结
This study evaluates the effectiveness of a web application-based exercise program (delivered via Physitrack) for managing non-specific low back pain (NSLBP) compared to traditional home exercise programs. The trial focuses on whether web-based delivery can improve pain, function, quality of life, and adherence, providing evidence for digital rehabilitation as a practical alternative to conventional physiotherapy.
详细描述
Non-specific low back pain (NSLBP) is a prevalent condition associated with pain, functional limitations, and reduced quality of life. Access to in-person physiotherapy can be limited by geographic, financial, or time-related constraints. Web-based exercise programs offer an accessible alternative by delivering personalized exercises, educational content, reminders, and self-monitoring tools via digital platforms.
This study aims to investigate whether a structured web application-based exercise program can improve outcomes for adults with NSLBP compared to traditional home exercises. The trial addresses gaps in current evidence regarding the effectiveness of telerehabilitation, patient engagement, and delivery modes, and seeks to determine if digital interventions can serve as a viable complement or alternative to conventional physiotherapy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 18-45 years diagnosed with non-specific low back pain (NSLBP) for 6 weeks to <12 months.
- •Self-reported pain intensity ≥3 on a 0-10 Numeric Pain Rating Scale (NPRS).
- •Evidence of functional limitation (Oswestry Disability Index or Roland-Morris Disability Questionnaire).
- •Access to a smartphone, tablet, or computer with internet connectivity.
- •Ability and willingness to participate in telerehabilitation programs.
排除标准
- •Specific causes of low back pain (herniated disc with radiculopathy, spinal stenosis, spondylolisthesis, fractures, infections, malignancy).
- •Neurological deficits (e.g., severe motor weakness, progressive neurological symptoms).
- •Severe psychiatric or cognitive disorders interfering with participation.
- •History of spinal surgery within the last year.
- •Severe comorbidities contraindicating exercise (e.g., uncontrolled diabetes, cardiovascular disease).
- •Pregnant or planning pregnancy during the study period.
- •Active substance or alcohol abuse.
- •Participation in other structured rehabilitation or physical therapy programs within the last 3 months.
研究组 & 干预措施
Web-Based Exercise Program
Participants complete an 8-week web-based exercise program via Physitrack. Sessions last 30-45 minutes, twice per week, focusing on core strengthening, spinal mobility, posture correction, and pain reduction. Exercises progress weekly from basic core engagement to advanced trunk control and integration.
干预措施: Web-Based Therapeutic Exercise Program (Behavioral)
Traditional Home Exercise Program
Participants complete a 6-week traditional home exercise program. Sessions last 30-40 minutes, focusing on flexibility, basic trunk and core strengthening, balance, and ergonomic practice. Exercises progress weekly, emphasizing pain relief, trunk mobility, and functional strength.
干预措施: Traditional Home Exercise Program (Behavioral)
结局指标
主要结局
Pain Reduction (Numeric Pain Rating Scale, NPRS)
时间窗: Baseline and 6 weeks after intervention
Change in self-reported low back pain intensity from baseline to 6 weeks, measured using the Numeric Pain Rating Scale (NPRS), where 0 = no pain and 10 = worst imaginable pain. Participants report their average pain over the past 24 hours.
次要结局
- Patient Satisfaction Questionnaire (PSQ)(6 weeks end of intervention)
- Functional Disability (Oswestry Disability Index, ODI)(Baseline and 6 weeks after intervention)
- Quality of Life (Short Form Health Survey, SF-36)(Baseline and 6 weeks after intervention)
- Proprioception (Joint Position Sense Test, JPS)(Baseline and 6 weeks after intervention)
研究者
Yağmur Mustafaoğlu
PT, MSc (Cand.)
Medipol University