Digitally Delivered Exercise and Education Treatment for Low Back Pain: 3 Months Follow-up

NCT05226156 | Completed

• 1 other identifier: Back study 3 months
• Study Type: observational
• Target: 2,593
• Locations: 1 country
• Sites: 1

Brief Summary

Exercise and education is recommended as the first-line treatment by evidence-based, international guidelines for low back pain (LBP). Despite consensus regarding treatment, there is a gap between guidelines and what is offered to patients and less than half of the patients with nonspecific low back pain receive proper first-line care. The aim of this study was to examine the short-term effect in pain and function in people with nonspecific LBP, participating in the digitally delivered treatment program Joint Academy.

Conditions

Pain; Physical Function

Keywords

Low back pain; Pain; Exercise; Physiotherapy; Telehealth; Digital treatment

Outcome Measures

Primary Outcomes (1)

• Pain Numeric Rating Scale (NRS)

  Pain was assessed weekly using the Numerical Rating Scale (NRS), with the instruction "Mark on this scale how much pain you had the last week in your hip/knee", followed by a 0-10 scale where 0 indicates No pain and 10 indicates Maximum pain.

  Weekly change from baseline to three months

Secondary Outcomes (3)

• Oswersty Disability Index (ODI)

  baseline and 3 months

• PASS

  baseline and 3 months

• Radicular pain

  baseline and 3 months

Interventions

Digitally delivered exercise and education treatment Joint Academy BEHAVIORAL

The Joint Academy® (www.jointacademy.com) program for people with LBP consists of video instructed and progressively adaptable daily exercises, patient education through text lessons and a continuous asynchronous chat function with a personal reg. physiotherapist who supervises the patient during the full participation period. The program also contains three telephone consultations with a physiotherapist that were compulsory, one at the start, one after six weeks and one after three month.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Participants that have taken part of the digitally delivered treatment program for low back pain are reqruited from the Joint Academy database. Persons joined the program through recommendation by their local physiotherapist or via online advertisements and campaigns placed on search engines and social networks, or through their insurance company. A majority of included participants had a clinical diagnosis of non-specific LBP (diagnose code ICD-10 M54.5) from a PT or physician. Individuals without a prior diagnosis had a clinical diagnosis confirmed by a PT via telephone or videocall, or if deemed necessary be recommended to seek face-to-face care before inclusion in the programme.

You may not qualify if:

• \< age 18 years
• \* Pregnancy
• Concerns of low back pain due to "red flags" (e. g cancer, fracture, infection, cauda equina syndrome)
• Radiculopati
• Previous or current cancer or unvoluntary weight loss
• Opioid demanding pain or pain in rest (cancer?, fracture?, infection?)
• Inflammatory back pain (atypical pain)
• Older patients (\>75 years) with multiple disease
• Structural deformities (atypical pain)

Sponsors & Collaborators

• Joint Academy: lead
• Lund University: collaborator

Study Sites (1)

Arthro Therapeutics

Malmo, 21134, Sweden

Location

Related Publications (1)

• Horder H, Nero H, Misini Ignjatovic M, Kiadaliri A, Lohmander LS, Dahlberg LE, Abbott A. Digitally Delivered Exercise and Education Treatment Program for Low Back Pain: Longitudinal Observational Cohort Study. JMIR Rehabil Assist Technol. 2022 Jun 21;9(2):e38084. doi: 10.2196/38084.

  PMID: 35727622 DERIVED

MeSH Terms

Conditions

Pain; Low Back Pain; Motor Activity

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Back Pain; Behavior

Study Officials

• Leif E Dahlberg, Senior professor

  Arthro Therapeutics /Joint Academy

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 26, 2022
• First Posted: February 7, 2022
• Study Start: April 27, 2021
• Primary Completion: March 15, 2022
• Study Completion: March 16, 2022
• Last Updated: December 15, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: Data will become available when the paper has been submitted and accepted for publication and up to two years after that.
• Access Criteria: Researchers can ask for access through contacting medical director and responsible researcher at Joint Academy.

Locations

SE (1)