Telerehabilitation-based Exercises vs Standard Home-based Exercise in Low Back Pain
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Exercise supported by the digital physiotherapy and telerehabilitation software TRAK, Standard home-based exercise.
- Кому может быть актуально
- Состояния в реестре: Low Back Pain. Базовые параметры: 18 лет — 65 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Испания
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
Не всё понятно в терминах? Прочитайте наш гид для пациентов →
Официальное название
Effect of the Implementation of Telerehabilitation-based Exercises Compared to the Standard Use of Exercise Dossier and Intervention Diary in a Home Therapeutic Exercise Intervention in Patients With Low Back Pain
Обзор
The objective of the study is to compare the effect of a telerehabilitation-based exercise program, versus a home therapeutic exercise program scheduled through a dossier and an exercise diary, with respect to disability (measured using the OSWESTRY questionnaire) and other variables (range of motion, strength, fatigue, histological changes, pain, medication intake, psychosocial factors and adherence), in patients with low back pain.
Подробное описание
The objective of the study is to compare the effect of a telerehabilitation-based exercise program, versus a home therapeutic exercise program scheduled through a dossier and an exercise diary, with respect to disability (measured using the OSWESTRY questionnaire) and other variables (range of motion, strength, fatigue, histological changes, pain, medication intake, psychosocial factors and adherence), in patients with low back pain.
This randomized controlled trial has a parallel design, with two groups. Both groups will complete an 8-week home exercise program that includes flexibility and strength exercises. The program will be carried out with a frequency of 3 weekly sessions, preferably on alternate days. In the case of the experimental group, the program will be carried out with the support of the TRAK computer tool (https://www.trakphysio.com/es/), which allows the exercises to be carried out in front of a camera that, with the help of an artificial intelligence system, offers feedback to the participant and allows investigators/clinicians to keep a record of the sessions. In the case of the control group, the program will be carried out with the support of an information dossier of the exercises to be performed and a monitoring diary in which everything related to the sessions carried out will be noted. In both groups, as an addition to the home sessions, two face-to-face sessions will be held in the first and fifth weeks, respectively.
The exercise program includes flexibility and strength exercises, each made up of three levels of difficulty (easy, intermediate and difficult), with patients advancing to subsequent levels once each level is successfully overcome.
Вмешательства
- Другое Exercise supported by the digital physiotherapy and telerehabilitation software TRAK
8 week home therapeutic exercise program that includes flexibility and strength exercises scheduled through the software a digital physiotherapy and telerehabilitation. The program will be carried out with a frequency of 3 weekly sessions, preferably on alternate days. The program will be carried out with the support of the TRAK software (https://www.trakphysio.com/es/), which allows the exercises to be carried out in front of a camera that, with the help of an artificial intelligence system, of - Другое Standard home-based exercise
8 week home therapeutic exercise program that includes flexibility and strength exercises scheduled through a dossier and an exercise diary. The program will be carried out with a frequency of 3 weekly sessions, preferably on alternate days. The program will be carried out with the support of an information dossier of the exercises to be performed and a monitoring diary in which everything related to the sessions carried out will be noted.. As an addition to the home sessions, two face-to-face s
Первичные конечные точки
- Disability [Срок оценки: 8 weeks measurement (post intervention)]
Вторичные конечные точки (12)
- Disability [Срок оценки: Baseline; 32 weeks measurement (24 weeks post intervention)]
- Range of movement (Schober score) [Срок оценки: Baseline; 8 weeks measurement (post intervention); 32 weeks measurement (24 weeks post intervention)]
- Range of movement (Finger floor distance test) [Срок оценки: Baseline; 8 weeks measurement (post intervention); 32 weeks measurement (24 weeks post intervention)]
- Extensor low back muscle strength [Срок оценки: Baseline; 8 weeks measurement (post intervention); 32 weeks measurement (24 weeks post intervention)]
- Muscle thickness (low back extensor muscles) [Срок оценки: Baseline; 8 weeks measurement (post intervention); 32 weeks measurement (24 weeks post intervention)]
- Muscle thickness (transversus abdominis) [Срок оценки: Baseline; 8 weeks measurement (post intervention); 32 weeks measurement (24 weeks post intervention)]
- Low Back Pain [Срок оценки: Baseline; 8 weeks measurement (post intervention); 32 weeks measurement (24 weeks post intervention)]
- Medication intake [Срок оценки: Baseline; 8 weeks measurement (post intervention); 32 weeks measurement (24 weeks post intervention)]
- Kinesiphobia [Срок оценки: Baseline; 8 weeks measurement (post intervention); 32 weeks measurement (24 weeks post intervention)]
- Depression [Срок оценки: Baseline; 8 weeks measurement (post intervention); 32 weeks measurement (24 weeks post intervention)]
- Fear Avoidance Beliefs [Срок оценки: Baseline; 8 weeks measurement (post intervention); 32 weeks measurement (24 weeks post intervention)]
- Fear Avoidance Components [Срок оценки: Baseline; 8 weeks measurement (post intervention); 32 weeks measurement (24 weeks post intervention)]
Критерии участия
Критерии включения
- Nonspecific subacute or chronic low back pain
Критерии исключения
- Neuropathic pain
- Pain below the knees
- Pain in legs with tingling, sensation of current or sensory alterations
- Positive neurological tests. Lack of strength, sensitivity or altered reflexes
- Canal stenosis
- Nociplastic pain (fibromyalgia, generalized pain, emotional lability, affective and cognitive implications)
- Previous lumbar surgery
- Specific pathology (rheumatic, spondylolisthesis, oncological, fractures...)
- Pregnancy
- Performing medium-high intensity exercise of more than 100 minutes a week
- Pathology that prevents exercise (decompensated cardiac pathology, decompensated respiratory pathology, significant mobility difficulties...)
- Lack of digital skills
- Visual problems that prevent exercise with the phone screen
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Простое слепое
- Основная цель
- Лечение
Центры проведения
Испания · 1 центр
- University of Valencia — Valencia
Идентификаторы
NCT: NCT06446596 · Telerehab_Low_back_pain