Effect of AI-Based Exercises on Pain, Function, Kinesiophobia, and Trunk Motor Control in Chronic Low Back Pain
Effect of AI Based Exercises on Pain, Function, Kinesophobia and Trunk Motor Control in Treatment of Chronic Non-Specific Low Back Pain
This study compares the effect of an artificial intelligence (AI)-generated exercise program with a traditional core stabilization exercise program in people with chronic non-specific low back pain.
Participants are assigned by chance to 1 of 2 groups:
- Group 1 receives an AI-generated therapeutic exercise protocol.
- Group 2 receives a traditional trunk stabilization exercise program supervised by a physical therapist.
Participants in both groups perform exercise sessions 3 times per week for 4 weeks.
The main goals are to find out if the AI-generated exercise program leads to:
- Better deep abdominal muscle control measured with a pressure biofeedback unit
- Reduced low back pain
- Improved daily physical function
- Less fear of movement
Visão geral do estudo
Status
Status
Condições
Condições
Intervenção / Tratamento
Intervenção / Tratamento
Tipo de estudo
Tipo de estudo
Inscrição (Real)
Inscrição
Estágio
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
-
-
Giza Governorate
-
Cairo, Giza Governorate, Egito, 12613
- Faculty of physical therapy - Cairo university
-
-
Critérios de participação
Critérios de elegibilidade
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
- Male and female participants aged between 20 and 35 years.
- Clinical diagnosis of CNSLBP persisting for more than 12 weeks, with a pain intensity score greater than 3 on the Visual Analog Scale (VAS).
- Demonstrated deficits in trunk motor control as assessed by Prone Instability Test (PIT).
- Patients with BMI < 30.
Exclusion Criteria:
- History of spinal or abdominal surgery.
- Structural spinal abnormalities (e.g., spondylolisthesis, spinal stenosis, or scoliosis).
- Neurological disorders affecting trunk control or balance.
- Acute injury or flare-up of back pain within the past month.
- Pregnancy.
- Participation in another physical therapy or rehabilitation program during the study period.
- Any contraindication to physical activity as per medical screening.
- Inability to understand and follow verbal and written instructions.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Solteiro
Número de braços
Armas e Intervenções
Grupo de Participantes / BraçoGrupo de Participantes / Braço |
Intervenção / TratamentoIntervenção / Tratamento |
|---|---|
|
Experimental: Experimental group
This group will receive artificial intelligence (AI) based exercises specifically designed for chronic non-specific low back pain for 4 weeks. |
Participants will perform a set of therapeutic exercises specifically generated by artificial intelligence (AI) algorithms to target trunk stabilization and motor control. The program consists of exercises tailored for chronic non-specific low back pain, performed for 40 minutes per session, 3 times a week, for a total duration of 4 weeks. All sessions will be conducted under the supervision of a physical therapist to ensure proper technique. |
|
Comparador Ativo: Control Group
This group will receive conventional trunk stabilization exercises supervised by a physical therapist for 4 weeks. |
Participants in the control group will perform a conventional trunk stabilization exercise program. The exercises are designed to improve core stability and motor control, conducted under the direct supervision of a physical therapist. The program consists of 40-minute sessions, 3 times a week, for a total of 4 weeks. |
O que o estudo está medindo?
Medidas de resultados primários
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Change from Baseline in Trunk Motor Control at 4 Weeks.
Prazo: Baseline and after 4 weeks of intervention
|
Assessed using a Pressure Biofeedback Unit (Stabilizer) in the prone position to measure deep abdominal muscle activation (transversus abdominis) during the abdominal drawing-in maneuver (ADIM). Baseline pressure is set at 70 mmHg, and pressure reduction is recorded in mmHg (target reduction: 4 to 10 mmHg). Higher ability to achieve and maintain target reduction indicates better motor control. |
Baseline and after 4 weeks of intervention
|
Medidas de resultados secundários
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Change from Baseline in Pain Intensity at 4 Weeks
Prazo: Baseline and after 4 weeks of intervention
|
A 10-cm horizontal Visual Analogue Scale (VAS) used to measure low back pain intensity, ranging from 0 (no pain) to 10 (worst imaginable pain). Lower scores indicate less pain. |
Baseline and after 4 weeks of intervention
|
|
Change from Baseline in Functional Disability at 4 Weeks
Prazo: Baseline and after 4 weeks of treatment.
|
The Arabic version of the Oswestry Disability Index (ODI), a 10-item self-report questionnaire assessing the impact of low back pain on activities of daily living. Total scores range from 0% (no disability) to 100% (maximum disability). Lower percentage scores indicate better functional performance. |
Baseline and after 4 weeks of treatment.
|
|
Change from Baseline in Fear-Avoidance Beliefs at 4 Weeks
Prazo: Baseline and after 4 weeks of treatment.
|
The Arabic version of the Fear-Avoidance Beliefs Questionnaire (FABQ), consisting of 16 items divided into physical activity and work subscales. Scored on a 7-point Likert scale (0 = completely disagree to 6 = completely agree), with higher scores indicating greater fear-avoidance beliefs. |
Baseline and after 4 weeks of treatment.
|
|
Change from Baseline in Dynamic Trunk Stability at 4 Weeks
Prazo: Baseline and after 4 weeks of intervention
|
Assesses the ability to control lumbopelvic movement during active limb motion in supine across 5 progressive levels using the Sahrmann Core Stability Test (Levels 1 to 5). The highest level successfully completed without lumbar movement is recorded. Higher levels indicate better dynamic stability. |
Baseline and after 4 weeks of intervention
|
|
Lumbar Segmental Instability Status at 4 Weeks
Prazo: Baseline and after 4 weeks of intervention
|
A clinical screening test used to assess lumbar segmental instability and motor control using the Prone Instability Test (PIT). Recorded as either positive (reduction of pain when lifting legs) or negative (no reduction of pain). |
Baseline and after 4 weeks of intervention
|
Colaboradores e Investigadores
Patrocinador
Patrocinador
Investigadores
Investigadores
- Cadeira de estudo: Salwa F Abdelmajeed, Ph.D. (Professor), Cairo University
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Início do estudo
Conclusão Primária (Real)
Conclusão Primária
Conclusão do estudo (Estimado)
Conclusão do estudo
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Primeira postagem
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última Atualização Postada
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
Outros números de identificação do estudo
- P.T.REC/012/006291
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Descrição do plano IPD
Individual participant data will not be shared publicly to maintain participant confidentiality and adhere to institutional data governance policies. Aggregated study results will be made available upon reasonable request to the corresponding author.
Informações sobre medicamentos e dispositivos, documentos de estudo
Estuda um medicamento regulamentado pela FDA dos EUA
Estuda um produto de dispositivo regulamentado pela FDA dos EUA
Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .