Web-Based Exercise Program for Non-Specific Low Back Pain

NCT07208435 | Not Yet Recruiting

• 1 other identifier: E-10840098-202.3.02-3388
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

This study evaluates the effectiveness of a web application-based exercise program (delivered via Physitrack) for managing non-specific low back pain (NSLBP) compared to traditional home exercise programs. The trial focuses on whether web-based delivery can improve pain, function, quality of life, and adherence, providing evidence for digital rehabilitation as a practical alternative to conventional physiotherapy.

Conditions

Non-specific Low Back Pain (NSLBP)

Keywords

Non-Specific Low Back Pain; NSLBP; Web-Based Exercise Program; Telerehabilitation; Randomized Controlled Trial; Physiotherapy; Home Exercise Program; Pain Management; Functional Improvement; Quality of Life

Outcome Measures

Primary Outcomes (1)

• Pain Reduction (Numeric Pain Rating Scale, NPRS)

  Change in self-reported low back pain intensity from baseline to 6 weeks, measured using the Numeric Pain Rating Scale (NPRS), where 0 = no pain and 10 = worst imaginable pain. Participants report their average pain over the past 24 hours.

  Baseline and 6 weeks after intervention

Secondary Outcomes (4)

• Functional Disability (Oswestry Disability Index, ODI)

  Baseline and 6 weeks after intervention

• Quality of Life (Short Form Health Survey, SF-36)

  Baseline and 6 weeks after intervention

• Patient Satisfaction Questionnaire (PSQ)

  6 weeks end of intervention

• Proprioception (Joint Position Sense Test, JPS)

  Baseline and 6 weeks after intervention

Study Arms (2)

Web-Based Exercise Program

EXPERIMENTAL

Participants complete an 8-week web-based exercise program via Physitrack. Sessions last 30-45 minutes, twice per week, focusing on core strengthening, spinal mobility, posture correction, and pain reduction. Exercises progress weekly from basic core engagement to advanced trunk control and integration.

Behavioral: Web-Based Therapeutic Exercise Program

Traditional Home Exercise Program

ACTIVE COMPARATOR

Participants complete a 6-week traditional home exercise program. Sessions last 30-40 minutes, focusing on flexibility, basic trunk and core strengthening, balance, and ergonomic practice. Exercises progress weekly, emphasizing pain relief, trunk mobility, and functional strength.

Behavioral: Traditional Home Exercise Program

Interventions

Traditional Home Exercise Program BEHAVIORAL

Participants follow a 6-week traditional home exercise program with 30-40 minute sessions, twice weekly. The program focuses on flexibility, basic trunk and core strengthening, balance, and ergonomic practice. Exercises progress weekly, including cat-cow stretches, pelvic tilts, glute bridges, partial curl-ups, bird-dog, lunges, and posture training. Participants perform exercises independently at home using printed instructions, aiming to reduce pain, improve spinal mobility, and enhance functional outcomes.

Traditional Home Exercise Program

Web-Based Therapeutic Exercise Program BEHAVIORAL

Participants complete an 8-week web-based therapeutic exercise program via Physitrack, with 30-45 minute sessions twice weekly. The program targets core strengthening, spinal mobility, posture correction, and pain reduction. Exercises progress weekly from basic core engagement and breathing techniques to advanced trunk control, dynamic movements, and integration. The platform provides instructional videos, reminders, educational content, and self-monitoring tools to enhance adherence, engagement, and self-management.

Web-Based Exercise Program

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Adults aged 18-45 years diagnosed with non-specific low back pain (NSLBP) for 6 weeks to \<12 months.
• Self-reported pain intensity ≥3 on a 0-10 Numeric Pain Rating Scale (NPRS).
• Evidence of functional limitation (Oswestry Disability Index or Roland-Morris Disability Questionnaire).
• Access to a smartphone, tablet, or computer with internet connectivity.
• Ability and willingness to participate in telerehabilitation programs.

You may not qualify if:

• Specific causes of low back pain (herniated disc with radiculopathy, spinal stenosis, spondylolisthesis, fractures, infections, malignancy).
• Neurological deficits (e.g., severe motor weakness, progressive neurological symptoms).
• Severe psychiatric or cognitive disorders interfering with participation.
• History of spinal surgery within the last year.
• Severe comorbidities contraindicating exercise (e.g., uncontrolled diabetes, cardiovascular disease).
• Pregnant or planning pregnancy during the study period.
• Active substance or alcohol abuse.
• Participation in other structured rehabilitation or physical therapy programs within the last 3 months.

Sponsors & Collaborators

• Medipol University: lead

Study Sites (1)

Istanbul Medipol University

Istanbul, Beykoz, 34810, Turkey (Türkiye)

Location

Related Publications (17)

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  PMID: 1593914 BACKGROUND

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• Tseli E, Tsepis E, Anastasopoulos K, et al. Telerehabilitation in patients with low back pain: systematic review and meta-analysis. J Telemed Telecare. 2022;28(3):149-63.

  BACKGROUND

• Cottrell MA, Galea OA, O'Leary SP, Hill AJ, Russell TG. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clin Rehabil. 2017 May;31(5):625-638. doi: 10.1177/0269215516645148. Epub 2016 May 2.

  PMID: 27141087 BACKGROUND

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  PMID: 26178888 BACKGROUND

• Hayden JA, van Tulder MW, Malmivaara AV, Koes BW. Meta-analysis: exercise therapy for nonspecific low back pain. Ann Intern Med. 2005 May 3;142(9):765-75. doi: 10.7326/0003-4819-142-9-200505030-00013.

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  PMID: 27745712 BACKGROUND

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  PMID: 10470716 BACKGROUND

Related Links

• Official website for the web application used in the intervention group.

MeSH Terms

Conditions

Agnosia

Condition Hierarchy (Ancestors)

Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Merve Yılmaz Menek, Assoc. Prof

  Assoc. prof. Merve Yılmaz Menek

  STUDY DIRECTOR

Central Study Contacts

Yağmur Mustafaoğlu, PT, MSc (Cand.)

CONTACT

+905397974655; yagmurmustafaoglu84@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PT, MSc (Cand.)

Model Details: Participants will be randomly assigned to either the web-based exercise program (Physitrack) group or the traditional home exercise program group. Each group will receive their assigned intervention throughout the study period, and outcomes will be compared between groups to assess differences in pain reduction, functional improvement, and quality of life.

Study Record Dates

• First Submitted: September 27, 2025
• First Posted: October 6, 2025
• Study Start: May 1, 2026
• Primary Completion: May 1, 2026
• Study Completion: June 1, 2026
• Last Updated: May 19, 2026

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: Data will be available from publication until 5 years post-publication.
• Access Criteria: Requests must include a research proposal and approval by the principal investigator or institutional review board.

Locations

TU (1)