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Comparison of Traditional, Synchronous, and Asynchronous Telerehabilitation in Office Workers With Chronic Nonspecific Low Back Pain

13. juli 2026 opdateret af: Özge Mine Yilmaz, Istanbul Aydın University

Comparison of the Effectiveness of Traditional, Synchronous, and Asynchronous Telerehabilitation Approaches in Chronic Nonspecific Low Back Pain in Office Workers

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.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

45

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

  • Tyrkiet (Türkiye)
      • Istanbul, Tyrkiet (Türkiye), 34295
        • Istanbul Aydin University, Faculty of Health Sciences
        • Kontakt:
        • Ledende efterforsker:
          • Özge Mine YILMAZ, Ass Prof

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

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.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: Traditional Exercise Group
Participants will receive a standard physiotherapy program including stretching, core stabilization, and motor control exercises for low back pain, delivered face-to-face by a physiotherapist in a clinical environment at Istanbul Aydın University
Adfærdsmæssigt: 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.
Eksperimentel: Synchronous Telerehabilitation Group
Participants will participate in the same exercise program (stretching, core stabilization, and motor control exercises) via live, real-time online video sessions supervised by a physiotherapist.
Adfærdsmæssigt: 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.
Eksperimentel: Asynchronous Telerehabilitation Group
Participants will be provided with pre-recorded instructional exercise videos containing the same program. They will follow and perform the exercises individually at their own convenience.
Adfærdsmæssigt: 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.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Functional Disability Level
Tidsramme: Baseline and Post-intervention (Week 8)
Evaluated using the Oswestry Disability Index (ODI) to measure functional disability related to low back pain. The questionnaire consists of 10 items, and the total score is expressed as a percentage ranging from 0% to 100%. A score of 0% indicates no disability, while 100% represents the highest possible level of functional disability. Higher percentages mean a worse functional outcome.
Baseline and Post-intervention (Week 8)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Health-Related Quality of Life
Tidsramme: Baseline and Post-intervention (Week 8)
Evaluated using the Short Form-36 (SF-36) questionnaire, which measures 8 health domains. Scores range from 0 to 100 for each domain, where higher scores represent a better health-related quality of life.
Baseline and Post-intervention (Week 8)
Pain Intensity Assessed via Visual Analog Scale (VAS)
Tidsramme: Baseline and Post-intervention (Week 8)
Measured using the Visual Analog Scale (VAS) for low back pain, where participants rate their pain on a 10-centimeter horizontal line. Scores range from 0 to 10, where 0 indicates no pain and 10 indicates the most severe imaginable pain. Higher scores represent worse pain outcomes.
Baseline and Post-intervention (Week 8)
Patient Satisfaction
Tidsramme: Post-intervention (Week 8)
Measured using the Physiotherapy and Rehabilitation Patient Satisfaction Questionnaire. Total scores range from 0 to 100 (converted from the multi-item scale), where 0 indicates total dissatisfaction and 100 indicates the highest level of satisfaction. Higher scores mean a better outcome.
Post-intervention (Week 8)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Istanbul Aydın University

Samarbejdspartnere

The Scientific and Technological Research Council of Turkey

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. august 2026

Primær færdiggørelse (Anslået)

30. november 2026

Studieafslutning (Anslået)

31. december 2026

Datoer for studieregistrering

Først indsendt

6. juli 2026

Først indsendt, der opfyldte QC-kriterier

13. juli 2026

Først opslået (Faktiske)

14. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

14. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

13. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • TUBITAK-1919B012522773

Plan for individuelle deltagerdata (IPD)

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