About this trial
This study evaluates the effectiveness of a web application-based exercise program (delivered via Physitrack) for managing non-specific low back pain (NSLBP) compared to traditional home exercise programs. The trial focuses on whether web-based delivery can improve pain, function, quality of life, and adherence, providing evidence for digital rehabilitation as a practical alternative to conventional physiotherapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults aged 18-45 years diagnosed with non-specific low back pain (NSLBP) for 6 weeks to <12 months.
Self-reported pain intensity ≥3 on a 0-10 Numeric Pain Rating Scale (NPRS).
Evidence of functional limitation (Oswestry Disability Index or Roland-Morris Disability Questionnaire).
Access to a smartphone, tablet, or computer with internet connectivity.
Disqualifiers
Specific causes of low back pain (herniated disc with radiculopathy, spinal stenosis, spondylolisthesis, fractures, infections, malignancy).
Neurological deficits (e.g., severe motor weakness, progressive neurological symptoms).
Severe psychiatric or cognitive disorders interfering with participation.
History of spinal surgery within the last year.
Trial design
Parallel
Treatments tested in this trial
Web-Based Therapeutic Exercise Program
BehavioralParticipants complete an 8-week web-based therapeutic exercise program via Physitrack, with 30-45 minute sessions twice weekly. The program targets core strengthening, spinal mobility, posture correction, and pain reduction. Exercises progress weekly from basic core engagement and breathing techniques to advanced trunk control, dynamic movements, and integration. The platform provides instructional videos, reminders, educational content, and self-monitoring tools to enhance adherence, engagement, and self-management.
Traditional Home Exercise Program
BehavioralParticipants follow a 6-week traditional home exercise program with 30-40 minute sessions, twice weekly. The program focuses on flexibility, basic trunk and core strengthening, balance, and ergonomic practice. Exercises progress weekly, including cat-cow stretches, pelvic tilts, glute bridges, partial curl-ups, bird-dog, lunges, and posture training. Participants perform exercises independently at home using printed instructions, aiming to reduce pain, improve spinal mobility, and enhance functional outcomes.
Treatment groups
Trial outcomes
Primary outcomes
Pain Reduction (Numeric Pain Rating Scale, NPRS)
Change in self-reported low back pain intensity from baseline to 6 weeks, measured using the Numeric Pain Rating Scale (NPRS), where 0 = no pain and 10 = worst imaginable pain. Participants report their average pain over the past 24 hours.
Secondary outcomes
Functional Disability (Oswestry Disability Index, ODI)
Change in disability due to low back pain from baseline to 6 weeks, measured using the ODI, which evaluates daily activities such as pain intensity, personal care, lifting, walking, sitting, and sleeping. Higher scores indicate greater disability.
Quality of Life (Short Form Health Survey, SF-36)
Change in health-related quality of life from baseline to 6 weeks across physical and mental health domains
Patient Satisfaction Questionnaire (PSQ)
Participants' satisfaction with the intervention, including ease of use, communication, and perceived effectiveness.
Proprioception (Joint Position Sense Test, JPS)
Change in lumbar spine proprioception from baseline to 6 weeks.
Sponsors and contacts
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