Comparison of Traditional, Synchronous, and Asynchronous Telerehabilitation in Office Workers With Chronic Nonspecific Low Back Pain
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Face-to-Face Clinic-Based Exercise, Synchronous Telerehabilitation Exercise, Asynchronous Telerehabilitation Exercise.
- Who it may be relevant to
- Registry conditions: Chronic Non-Specific Low Back Pain, Low Back Pain. Basic parameters: 18 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Comparison of the Effectiveness of Traditional, Synchronous, and Asynchronous Telerehabilitation Approaches in Chronic Nonspecific Low Back Pain in Office Workers
Overview
Chronic Nonspecific Low Back Pain (NLBP) is a common condition that occurs without a specific underlying pathology, resulting in muscle tension, pain, and a decreased quality of life. Office workers are particularly at risk due to prolonged sitting, ergonomic errors, and low physical activity. While exercise therapy is a primary approach for management, low adherence rates often limit its effectiveness. Telerehabilitation (remote, technology-supported physiotherapy) stands out for its potential to increase access and support continuity of care. This study is a randomized controlled trial that will be conducted with 45 office workers aged 18-65 diagnosed with chronic NLBP. Participants will be randomly assigned to three parallel groups: traditional exercise (brochure-based), synchronous telerehabilitation (live sessions), and asynchronous telerehabilitation (pre-recorded videos). The intervention protocol will be implemented for 8 weeks. Evaluations will be performed before and after the 8-week period using the Visual Analog Scale (VAS) for pain intensity, Oswestry Disability Index (ODI) for functional disability, Short Form-36 (SF-36) for health-related quality of life, and a Patient Satisfaction Questionnaire. The aim of this study is to compare the effects of traditional, synchronous, and asynchronous telerehabilitation approaches on pain, disability, quality of life, and satisfaction to determine the most effective management model for office workers with chronic nonspecific low back pain.
Interventions
- Behavioral Face-to-Face Clinic-Based Exercise
The exercise protocol consists of stretching, core stabilization, and motor control exercises for low back pain. Frequency: Performed 3 days a week for 8 weeks, consisting of 2 sets of 10 repetitions (approximately 45-60 minutes per session). It will be delivered face-to-face by a physiotherapist in a clinical environment at Istanbul Aydin University. - Behavioral Synchronous Telerehabilitation Exercise
The exercise protocol consists of stretching, core stabilization, and motor control exercises for low back pain. Frequency: Performed 3 days a week for 8 weeks, consisting of 2 sets of 10 repetitions (approximately 45-60 minutes per session). It will be delivered via live, real-time online video sessions supervised by a physiotherapist. - Behavioral Asynchronous Telerehabilitation Exercise
The exercise protocol consists of stretching, core stabilization, and motor control exercises for low back pain. Frequency: Performed 3 days a week for 8 weeks, consisting of 2 sets of 10 repetitions (approximately 45-60 minutes per session). Participants will be provided with pre-recorded instructional exercise videos and follow the exercises individually at their own convenience.
Primary outcome measures
- Functional Disability Level [Time frame: Baseline and Post-intervention (Week 8)]
Secondary outcome measures (3)
- Health-Related Quality of Life [Time frame: Baseline and Post-intervention (Week 8)]
- Pain Intensity Assessed via Visual Analog Scale (VAS) [Time frame: Baseline and Post-intervention (Week 8)]
- Patient Satisfaction [Time frame: Post-intervention (Week 8)]
Eligibility criteria
Inclusion criteria
- Being an office worker aged between 18 and 65 years.
- Diagnosed with chronic non-specific low back pain (symptoms persisting for more than 3 months).
- Volunteering to participate in the study and signing the informed consent form.
- Having a computer, smartphone, or tablet with a stable internet connection capable of supporting video calls.
Exclusion criteria
- \- History of spinal surgery, structural spinal deformities (e.g., severe scoliosis), or specific causes of low back pain (e.g., disc herniation with severe radiculopathy, spinal stenosis, spondylolisthesis).
- Diagnosis of systemic, rheumatological, neurological, or inflammatory diseases affecting the musculoskeletal system.
- Serious cardiovascular or pulmonary conditions that contraindicate physical exercise.
- Currently receiving active physical therapy or regular medical intervention for low back pain elsewhere.
- Pregnancy.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Istanbul Aydin University, Faculty of Health Sciences — Istanbul
Identifiers
NCT: NCT07700589 · TUBITAK-1919B012522773