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Effect of AI-Based Exercises on Pain, Function, Kinesiophobia, and Trunk Motor Control in Chronic Low Back Pain

7 november 2026 uppdaterad av: Abdullah Yousry Mohamed Mohyeldeen Rajab, Cairo University

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

Studieöversikt

Status

Aktiv, inte rekryterande

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Faktisk)

40

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

    • Giza Governorate
      • Cairo, Giza Governorate, Egypten, 12613
        • Faculty of physical therapy - Cairo university

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

20 år till 35 år (Vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

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.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Enda

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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.

Aktiv komparator: 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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change from Baseline in Trunk Motor Control at 4 Weeks.
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change from Baseline in Pain Intensity at 4 Weeks
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Utredare

  • Studiestol: Salwa F Abdelmajeed, Ph.D. (Professor), Cairo University

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

20 januari 2026

Primärt slutförande (Faktisk)

1 september 2026

Avslutad studie (Beräknad)

20 november 2026

Studieregistreringsdatum

Först inskickad

7 november 2026

Först inskickad som uppfyllde QC-kriterierna

7 november 2026

Första postat (Faktisk)

13 november 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

13 november 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

7 november 2026

Senast verifierad

1 november 2026

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • P.T.REC/012/006291

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

NEJ

IPD-planbeskrivning

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.

Läkemedels- och apparatinformation, studiedokument

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Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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