Telerehabilitation-based Exercises vs Standard Home-based Exercise in Low Back Pain
Effect of the Implementation of Telerehabilitation-based Exercises Compared to the Standard Use of Exercise Dossier and Intervention Diary in a Home Therapeutic Exercise Intervention in Patients With Low Back Pain
University of Valencia
30 participants
Nov 4, 2024
INTERVENTIONAL
Conditions
Summary
The objective of the study is to compare the effect of a telerehabilitation-based exercise program, versus a home therapeutic exercise program scheduled through a dossier and an exercise diary, with respect to disability (measured using the OSWESTRY questionnaire) and other variables (range of motion, strength, fatigue, histological changes, pain, medication intake, psychosocial factors and adherence), in patients with low back pain.
Eligibility
Inclusion Criteria1
- Nonspecific subacute or chronic low back pain
Exclusion Criteria13
- Neuropathic pain
- Pain below the knees
- Pain in legs with tingling, sensation of current or sensory alterations
- Positive neurological tests. Lack of strength, sensitivity or altered reflexes
- Canal stenosis
- Nociplastic pain (fibromyalgia, generalized pain, emotional lability, affective and cognitive implications)
- Previous lumbar surgery
- Specific pathology (rheumatic, spondylolisthesis, oncological, fractures...)
- Pregnancy
- Performing medium-high intensity exercise of more than 100 minutes a week
- Pathology that prevents exercise (decompensated cardiac pathology, decompensated respiratory pathology, significant mobility difficulties...)
- Lack of digital skills
- Visual problems that prevent exercise with the phone screen
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Interventions
8 week home therapeutic exercise program that includes flexibility and strength exercises scheduled through the software a digital physiotherapy and telerehabilitation. The program will be carried out with a frequency of 3 weekly sessions, preferably on alternate days. The program will be carried out with the support of the TRAK software (https://www.trakphysio.com/es/), which allows the exercises to be carried out in front of a camera that, with the help of an artificial intelligence system, offers feedback to the participant and allows you to keep a record of the sessions. As an addition to the home sessions, two face-to-face sessions will be held in the first and fifth weeks, respectively. The exercise program includes three levels of difficulty (easy, intermediate and difficult), with patients advancing to subsequent levels once each level is successfully overcome.
8 week home therapeutic exercise program that includes flexibility and strength exercises scheduled through a dossier and an exercise diary. The program will be carried out with a frequency of 3 weekly sessions, preferably on alternate days. The program will be carried out with the support of an information dossier of the exercises to be performed and a monitoring diary in which everything related to the sessions carried out will be noted.. As an addition to the home sessions, two face-to-face sessions will be held in the first and fifth weeks, respectively. The exercise program includes three levels of difficulty (easy, intermediate and difficult), with patients advancing to subsequent levels once each level is successfully overcome.
Locations(1)
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NCT06446596