Comparison of Traditional, Synchronous, and Asynchronous Telerehabilitation in Office Workers With Chronic Nonspecific Low Back Pain
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.
調査の概要
状態
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Özge Mine YILMAZ, Ass Prof
- 電話番号：+90 5075091175
- メール：ozgemineyilmaz@aydin.edu.tr
研究場所
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Istanbul、トルコ（Türkiye）、34295
- Istanbul Aydin University, Faculty of Health Sciences
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コンタクト：
- Özge Mine YILMAZ, Ass Prof
- 電話番号：+90 5075091175
- メール：ozgemineyilmaz@aydin.edu.tr
-
主任研究者：
- Özge Mine YILMAZ, Ass Prof
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参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
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.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
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アクティブコンパレータ：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
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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.
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実験的：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.
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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.
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実験的：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.
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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.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Functional Disability Level
時間枠：Baseline and Post-intervention (Week 8)
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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.
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Baseline and Post-intervention (Week 8)
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Health-Related Quality of Life
時間枠：Baseline and Post-intervention (Week 8)
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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.
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Baseline and Post-intervention (Week 8)
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Pain Intensity Assessed via Visual Analog Scale (VAS)
時間枠：Baseline and Post-intervention (Week 8)
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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.
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Baseline and Post-intervention (Week 8)
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Patient Satisfaction
時間枠：Post-intervention (Week 8)
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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.
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Post-intervention (Week 8)
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協力者と研究者
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
その他の研究ID番号
- TUBITAK-1919B012522773
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
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