Comparison of the Effectiveness of Traditional, Synchronous, and Asynchronous Telerehabilitation Approaches in Chronic Nonspecific Low Back Pain in Office Workers
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- Functional Disability Level
研究概览
简要总结
Chronic Nonspecific Low Back Pain (NLBP) is a common condition that occurs without a specific underlying pathology, resulting in muscle tension, pain, and a decreased quality of life. Office workers are particularly at risk due to prolonged sitting, ergonomic errors, and low physical activity. While exercise therapy is a primary approach for management, low adherence rates often limit its effectiveness. Telerehabilitation (remote, technology-supported physiotherapy) stands out for its potential to increase access and support continuity of care.
This study is a randomized controlled trial that will be conducted with 45 office workers aged 18-65 diagnosed with chronic NLBP. Participants will be randomly assigned to three parallel groups: traditional exercise (brochure-based), synchronous telerehabilitation (live sessions), and asynchronous telerehabilitation (pre-recorded videos). The intervention protocol will be implemented for 8 weeks. Evaluations will be performed before and after the 8-week period using the Visual Analog Scale (VAS) for pain intensity, Oswestry Disability Index (ODI) for functional disability, Short Form-36 (SF-36) for health-related quality of life, and a Patient Satisfaction Questionnaire.
The aim of this study is to compare the effects of traditional, synchronous, and asynchronous telerehabilitation approaches on pain, disability, quality of life, and satisfaction to determine the most effective management model for office workers with chronic nonspecific low back pain.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being an office worker aged between 18 and 65 years.
- •Diagnosed with chronic non-specific low back pain (symptoms persisting for more than 3 months).
- •Volunteering to participate in the study and signing the informed consent form.
- •Having a computer, smartphone, or tablet with a stable internet connection capable of supporting video calls.
排除标准
- •- History of spinal surgery, structural spinal deformities (e.g., severe scoliosis), or specific causes of low back pain (e.g., disc herniation with severe radiculopathy, spinal stenosis, spondylolisthesis).
- •Diagnosis of systemic, rheumatological, neurological, or inflammatory diseases affecting the musculoskeletal system.
- •Serious cardiovascular or pulmonary conditions that contraindicate physical exercise.
- •Currently receiving active physical therapy or regular medical intervention for low back pain elsewhere.
- •Pregnancy.
研究组 & 干预措施
Traditional Exercise Group
Participants will receive a standard physiotherapy program including stretching, core stabilization, and motor control exercises for low back pain, delivered face-to-face by a physiotherapist in a clinical environment at Istanbul Aydın University
干预措施: Face-to-Face Clinic-Based Exercise (Behavioral)
Synchronous Telerehabilitation Group
Participants will participate in the same exercise program (stretching, core stabilization, and motor control exercises) via live, real-time online video sessions supervised by a physiotherapist.
干预措施: Synchronous Telerehabilitation Exercise (Behavioral)
Asynchronous Telerehabilitation Group
Participants will be provided with pre-recorded instructional exercise videos containing the same program. They will follow and perform the exercises individually at their own convenience.
干预措施: Asynchronous Telerehabilitation Exercise (Behavioral)
结局指标
主要结局
Functional Disability Level
时间窗: Baseline and Post-intervention (Week 8)
Evaluated using the Oswestry Disability Index (ODI) to measure functional disability related to low back pain. The questionnaire consists of 10 items, and the total score is expressed as a percentage ranging from 0% to 100%. A score of 0% indicates no disability, while 100% represents the highest possible level of functional disability. Higher percentages mean a worse functional outcome.
次要结局
- Health-Related Quality of Life(Baseline and Post-intervention (Week 8))
- Pain Intensity Assessed via Visual Analog Scale (VAS)(Baseline and Post-intervention (Week 8))
- Patient Satisfaction(Post-intervention (Week 8))
研究者
Özge Mine Yilmaz
Ass Prof (Project Coordinator)
Istanbul Aydın University