About this trial
This study will evaluate a new treatment program for patients with ongoing or long-term low back pain who receive care at primary care physiotherapy units. Participants with subacute or chronic nonspecific low back pain will be randomly divided into three groups for comparison of their progress. The first group will receive an eight-week program of therapeutic exercise and health education, which will be delivered entirely online. The second group will receive the same exercise and education program in face-to-face sessions. The third group will receive standard physiotherapy care. The study will last eight weeks, and researchers will follow up with participants three months later. The project's main goal is to measure changes in participants' daily disability levels. The researchers will also examine other important factors, such as pain intensity, fear of movement, anxiety, depression, quality of life, and overall satisfaction with the care received. Measurements will be taken before the study begins, immediately after the eight-week program ends, and at the three-month follow-up. This trial aims to find more accessible, evidence-based ways to treat back pain, reduce hospital waiting lists, and improve patient well-being by combining digital and in-person care.
Eligibility criteria
Qualifiers
Patients with non-specific low back pain, aged 18 years or older.
Pain duration of more than six weeks
Onset or modification of low back pain with maintenance of positions and/or movements
Presenting a mild-to-moderate level of disability, as determined by the Oswestry Disability Index (ODI) questionnaire.
Disqualifiers
Presence of acute, nociplastic, radicular, and/or referred pain
Presence of red flags
Previous surgeries in the spine, pelvis, or hip
Presence of concomitant cardiovascular, neurological, endocrine, or immune pathologies that prevent physical activity
Trial design
Treatments tested in this trial
- Therapeutic Exercise
- Education on the self-management of low back pain
- Usual Care
Treatment groups
Locations
Sponsors and collaborators
University of Valladolid
Lead sponsor
Castilla-León Health Service
Collaborator