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| Name | Class |
|---|---|
| The Scientific and Technological Research Council of Turkey | OTHER |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Traditional Exercise Group | Active Comparator | 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 |
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| Synchronous Telerehabilitation Group | Experimental | 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. |
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| Asynchronous Telerehabilitation Group | Experimental | 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. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Face-to-Face Clinic-Based Exercise | Behavioral | The exercise protocol consists of stretching, core stabilization, and motor control exercises for low back pain. Frequency: Performed 3 days a week for 8 weeks, consisting of 2 sets of 10 repetitions (approximately 45-60 minutes per session). It will be delivered face-to-face by a physiotherapist in a clinical environment at Istanbul Aydin University. |
| Measure | Description | Time Frame |
|---|---|---|
| Functional Disability Level | 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. | Baseline and Post-intervention (Week 8) |
| Measure | Description | Time Frame |
|---|---|---|
| Health-Related Quality of Life | Evaluated using the Short Form-36 (SF-36) questionnaire, which measures 8 health domains. Scores range from 0 to 100 for each domain, where higher scores represent a better health-related quality of life. | Baseline and Post-intervention (Week 8) |
| Pain Intensity Assessed via Visual Analog Scale (VAS) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Özge Mine YILMAZ, Ass Prof | Contact | +90 5075091175 | ozgemineyilmaz@aydin.edu.tr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul Aydin University, Faculty of Health Sciences | Istanbul | 34295 | Turkey (Türkiye) |
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| Synchronous Telerehabilitation Exercise | Behavioral | The exercise protocol consists of stretching, core stabilization, and motor control exercises for low back pain. Frequency: Performed 3 days a week for 8 weeks, consisting of 2 sets of 10 repetitions (approximately 45-60 minutes per session). It will be delivered via live, real-time online video sessions supervised by a physiotherapist. |
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| Asynchronous Telerehabilitation Exercise | Behavioral | The exercise protocol consists of stretching, core stabilization, and motor control exercises for low back pain. Frequency: Performed 3 days a week for 8 weeks, consisting of 2 sets of 10 repetitions (approximately 45-60 minutes per session). Participants will be provided with pre-recorded instructional exercise videos and follow the exercises individually at their own convenience. |
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Measured using the Visual Analog Scale (VAS) for low back pain, where participants rate their pain on a 10-centimeter horizontal line. Scores range from 0 to 10, where 0 indicates no pain and 10 indicates the most severe imaginable pain. Higher scores represent worse pain outcomes. |
| Baseline and Post-intervention (Week 8) |
| Patient Satisfaction | Measured using the Physiotherapy and Rehabilitation Patient Satisfaction Questionnaire. Total scores range from 0 to 100 (converted from the multi-item scale), where 0 indicates total dissatisfaction and 100 indicates the highest level of satisfaction. Higher scores mean a better outcome. | Post-intervention (Week 8) |
| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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