Telerehabilitation-based Motor Imagery in Nonspecific Low Back Pain

NCT05049772 | Completed

• 1 other identifier: 6385-GOAEK
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

Low back pain is a common problem in society and causes loss of workforce. Its lifetime prevalence reaches 80% and annual hospital admission rates in the adult population reach 15%.Most studies on motor imagery suggested the effects of motor imagery are related to neuroplastic changes in the brain. Studies have shown that similar brain regions are activated during motor imagery and real movement. However, the level of evidence about the effect of motor imagery on autonomic functions is limited. Today, interest in telerehabilitation has increased due to the Covid-19 pandemic. The aim of this study is to examine the effects of telerehabilitation-based motor imagery training in patients with non-specific low back pain.

Conditions

Motor Imagery

Keywords

non-specific low back pain; telerehabilitation; motor imagery

Outcome Measures

Primary Outcomes (4)

• Feasibility of the methods - minimum recruitment rate

  A minimum recruitment rate of 10 participants per month will be accepted as feasiable.

  through Study Completion, an Average of 10 Months

• Feasibility of the methods - minimum retention rate

  A target retention rate of 80% will be accepted as feasiable

  through Study Completion, an Average of 10 Months

• Feasibility of the methods - minimum adherence rate

  A target minimum adherence rate of 70% of the overall practice sessions will be accepted as feasiable.

  through Study Completion, an Average of 10 Months

• Feasibility of the methods - adverse events

  A record sheet was prepared for possible adverse events during the tests and intervention. It includes information about seriousness, expectedness, severity, causality, time, duration of the event and clinical action taken. The numbers of adverse events will be reported

  through Study Completion, an Average of 10 Months

Secondary Outcomes (10)

• Kinesthetic and Visual Imagery Questionnaire

  Change from Baseline at 10 Weeks

• Movement Imagery Questionnaire-Revised

  Change from Baseline at 10 Weeks

• Oswestry Disability Questionnaire,

  Change from Baseline at 10 Weeks

• International Physical Activity Questionnaire

  Change from Baseline at 10 Weeks

• VISUAL ANALOGUE SCALE

  Change from Baseline at 10 Weeks

Study Arms (3)

Telerehabilitation-based motor imagery group

EXPERIMENTAL

Behavioral: Telerehabilitation-based motor imagery group Participants in the Telerehabilitation-based motor imagery group will imagine for the lumbar region exercises (e.g. bridges, knee-to-chest stretches, pelvic tilts) in the sessions in home using the study audio-video motor imagery script for 2 times per week; 30 min per day for 10 weeks. Phone calls will be performed for support and as a reminder for the assessment (after one week). In addition, the participants will be given stabilization exercises In addition, the participants will be given stabilization exercises for 10 weeks for 40 minutes, 2 days a week.

Behavioral: Telerehabilitation-based motor imagery training; Behavioral: Stabilization exercises group

Stabilization Exercises group

ACTIVE COMPARATOR

Behavioral: Stabilization Exercises group An exercise program consisting of lumbar stabilization exercises for the participants will be planned for the pelvic ring muscles to develop the neutral lumbar spine. Co-contraction of the transversus abdominus muscle and the multifidus muscle will form the basis of the exercises. Stabilization exercises will be given for 10 weeks for 40 minutes, 2 days a week.

Behavioral: Stabilization exercises group

Healthy control group

NO INTERVENTION

no specific intervention

Interventions

Telerehabilitation-based motor imagery training BEHAVIORAL

10 weeks of motor imagery training and stabilization exercises.

Telerehabilitation-based motor imagery group

Stabilization exercises group BEHAVIORAL

10 weeks of stabilization exercises.

Stabilization Exercises group; Telerehabilitation-based motor imagery group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Those who can read and write
• Patients who have not undergone surgery
• Those with a body mass index less than 30 m2/kg
• To have sufficient computer knowledge to participate in the study or to have a relative who can help in this regard
• Having a computer and active internet connection at home

You may not qualify if:

• Medically uncontrolled and uncooperative patients
• Patients who have undergone surgery to the lumbar region
• History of falling in the last 6 months
• Those with serious orthopedic, vascular, neurological, psychiatric problems affecting balance
• Active malignancy
• Pregnancy
• Having severe vision and hearing problems

Sponsors & Collaborators

• Izmir Katip Celebi University: lead
• Dokuz Eylul University: collaborator

Study Sites (1)

Bilge Kara

Izmir, Turkey (Türkiye)

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: September 8, 2021
• First Posted: September 20, 2021
• Study Start: October 8, 2022
• Primary Completion: July 15, 2025
• Study Completion: July 16, 2025
• Last Updated: July 23, 2025

Record last verified: 2024-07

Locations

TU (1)