Web-Based Exercise Program for Non-Specific Low Back Pain

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-45
SponsorMedipol University

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Web-Based Therapeutic Exercise Program

    Behavioral

    Participants 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

    Behavioral

    Participants 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

30 Participants
are divided into 2 treatment groups
Group A: Web-Based Exercise ProgramExperimental treatment 1 intervention
Group B: Traditional Home Exercise ProgramActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

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.

Time frame
Baseline and 6 weeks after intervention

Secondary outcomes

1

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.

Time frame
Baseline and 6 weeks after intervention
2

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

Time frame
Baseline and 6 weeks after intervention
3

Patient Satisfaction Questionnaire (PSQ)

Participants' satisfaction with the intervention, including ease of use, communication, and perceived effectiveness.

Time frame
6 weeks end of intervention
4

Proprioception (Joint Position Sense Test, JPS)

Change in lumbar spine proprioception from baseline to 6 weeks.

Time frame
Baseline and 6 weeks after intervention

Other outcomes

Sponsors and contacts

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