About this trial
This study evaluates the effects of a physiotherapist-guided online exercise program on pain and functional performance in remote white-collar workers. It is designed as a prospective single-arm study to provide preliminary evidence on the clinical effectiveness of the intervention.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
White-collar individuals who have been working remotely for at least 3 months
Aged 18 years or older
Having low back pain and/or neck pain related to the remote working process, or reporting a perceived postural disorder
Having a sedentary lifestyle
Disqualifiers
History of chronic disease
Presence of a neurological or psychiatric disorder
Visual or hearing impairment
Inability to cooperate with the study procedures
Trial design
Single group
Treatments tested in this trial
Online exercise program
Other interventionThe online exercise intervention in this study will consist of a structured program including a warm-up period, shoulder girdle stabilization exercises, stretching exercises for the upper and lower extremities, back extensor strengthening, lower-extremity balance and coordination training, and a cool-down period. All exercises will be delivered in an online setting under the supervision of a physiotherapist. Each exercise will be performed in two sets of 10 repetitions. The intervention will be implemented over a period of six weeks, with two sessions per week, and each session will last approximately 40 to 50 minutes. After completion of the baseline assessments, participants will begin the exercise program with a warm-up phase intended to increase cardiorespiratory activity and prepare the neuromuscular system for exercise. The warm-up will include marching in place, controlled breathing exercises, and shoulder abduction.
Treatment groups
Trial outcomes
Primary outcomes
Change in Pain intensity
Pain intensity will be assessed using a 10-cm Visual Analog Scale (VAS). The VAS is a widely used self-reported measure of pain consisting of a horizontal line anchored by "no pain" at one end and "worst imaginable pain" at the other. Participants will be asked to mark the point on the line that best represents their pain intensity, and the score will be recorded in centimeters. Higher scores will indicate greater pain intensity.
Change in lower-extremity functional strength and endurance
Lower-extremity functional strength and endurance will be assessed using the bilateral squat test. The number of correctly performed repetitions completed in 30 seconds will be recorded.
Change in core muscle endurance
The lateral bridge test will assess core muscle endurance by recording the duration participants can maintain the side-bridge position. The duration for which the side-bridge position can be maintained will be recorded in seconds.
Change in abdominal and hip flexor muscle strength and endurance
The sit-up test will assess abdominal and hip flexor muscle strength and endurance by recording the number of correctly completed repetitions during the test period.
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