About this trial
Mechanical low back pain is one of the most common musculoskeletal disorders affecting daily activities and quality of life. Home exercise programs are frequently recommended in the management of low back pain; however, adherence to these programs is often limited. Mobile health applications may enhance adherence by providing exercise demonstrations, reminders, and monitoring tools.
The aim of this study is to investigate the effects of a mobile application-supported home exercise program on posture, balance, pain, and functional status in individuals with mechanical low back pain. Participants with chronic mechanical low back pain will be randomly assigned to two groups. Both groups will receive the same home exercise program. The control group will receive the exercises in printed format, while the experimental group will follow the program through the E-Exercise mobile application that includes exercise videos, reminders, and progress tracking.
Participants will be evaluated before the intervention and after six weeks of exercise training. Outcome measures will include flexibility, posture, balance, pain intensity, and functional disability. The results of this study may contribute to improving adherence to home exercise programs and promoting the use of digital health technologies in physiotherapy practice.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Individuals aged between 18 and 65 years
Diagnosis of chronic mechanical low back pain lasting longer than 3 months
Ability to use a smartphone or mobile device
Willingness to participate in the study and provide informed consent
Disqualifiers
Cauda equina syndrome
Long-term corticosteroid use
Presence of focal neurological deficits associated with disability
Previous spinal surgery
Trial design
Parallel
Treatments tested in this trial
Mobile Application-Supported Home Exercise Program
BehavioralParticipants will follow a home exercise program through the E-Exercise mobile application. The application provides video demonstrations of exercises, reminder notifications, and an exercise tracking feature. Participants will perform the exercises three times per week for six weeks. The exercises are designed by a physiotherapist and aim to improve flexibility, posture, balance, pain, and functional status.
Printed Home Exercise Program
BehavioralParticipants will receive a printed version of the same home exercise program explained by a physiotherapist. Participants will perform the exercises at home three times per week for six weeks without mobile application support.
Treatment groups
Trial outcomes
Primary outcomes
Pain Intensity Measured by Visual Analog Scale (VAS)
Pain intensity will be assessed using a 10-cm Visual Analog Scale, where 0 indicates no pain and 10 indicates worst possible pain.
Secondary outcomes
Flexibility Measured by Sit and Reach Test (cm)
Flexibility will be assessed using the Sit and Reach Test to evaluate hamstring and lower back flexibility. Results will be recorded in centimeters.
Postural Alignment Measured by PostureScreenLite Mobile Application
Postural alignment will be evaluated using the PostureScreenLite mobile application. Standardized photographs from anterior, posterior, and lateral views will be analyzed to determine postural deviation angles.
Postural Balance Measured by Bertec Balance System (Center of Pressure Parameters)
Postural balance will be assessed using the Bertec Balance Legacy System by measuring center of pressure displacement and stability parameters during quiet standing.
Locations
Sponsors and contacts
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