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Completed

NCT Number: NCT03984903

Different Learning Methods of Motor Control Exercises

This study evaluates the effects of self-learning exercise from multimedia content on pain and disability in patients with low back pain.

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Key information

Age range

25 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Hacettepe University

Ankara, Samanpazari, 06100, Turkey (Türkiye)

About this study

For see the full effect of exercise treatment, exercise adherence should be high. In patients with chronic non-specific low back pain, the complex nature of the core-stabilization exercises decrease the exercise adherence. Some novel studies show that multimedia learning can increase efficiancy of complex skill learning and can be better from classic face to face learning.

So this study evaluates the effects of self-learning exercise from multimedia content on pain and disability in patients with low back pain.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Chronic (>3 month), non-specific low back pain
  • 25- 55 years old
  • Have a capacity can understand exercise instructions (Montreal Cognitive Assessment > 21)
  • Being a computer literate

Exclusion criteria

  • Root nerve signs
  • Cauda equina syndrome
  • Fracture in the vertebra
  • Tumour
  • Have a neurologic disease
  • History of spine surgery
  • Knowing motor control exercises
  • Visual impairment
  • Hearing loss

Treatment and study plan

Multimedia Learning of Exercises

Other

Patients learn exercise from multimedia content.

Face-to-face Learning of Exercises

Other

Physiotherapist teach exercises to patients

Manual therapy

Other

Myofascial Release Techniques and Joint Mobilizations to the Lumbal Area

Home exercise program

Other

Patients do at least 20 minutes motor control exercise in a day at home.

Primary outcomes

  1. Change from Baseline Pain Level at Eight Week and Third Month

    Time frame: At baseline, eighth week and third month

    Full Scale Name: Visual Analog Scale

    Pain change will be measured throughout Study and Follow-up with Visual Analog Scale. This scale is a 100 millimeter line drawn horizontally on an A4 sheet of paper. The left end of the line shows "no pain at all", the right end shows "my pain is as bad as it could be", while the remaining part shows the intermediate values. So minimum score was 0, and maximum score was 100. The patient is asked to mark the severity of the pain on the chart. Validity and reliability were made. The minimal clinical significance difference in chronic low back pain was 20 millimeters.

  2. Change from Baseline Disability Score Level at Eight Week and Third Month

    Time frame: At baseline, eighth week and third month

    Full Scale Name: Turkish version of the Oswestry Disability Index (ODI) (2.0)

    The last reliable and validate Turkish Version of Oswestry Disability Index will be used. This version contains 10 multiple-choice questions that question how low back pain affects a person in his or her daily life. Each question has 6 options. As the disability increases, the score of each problem increases. In the worst case you can get 50 points. The last point is the patient's score 100.

  3. Change in Exercise Adherence Level between Eight Week and Third Month

    Time frame: At eighth week and third month

    The Exercise Adherence Rating Scale (EARS), which evaluates exercise compliance, will be administered 2 times to determine change at eight weeks and third month. This scale consists of 3 parts: A, B, C.

    Section A, consists of 6 items not included in the scale scoring.

    Section B consists 6 items, and every item have five point likert scale and describes how to do the recommended home exercise. Minimum point for this section 0, and maximum point is 24. The higher score shown exercise adherece is high.

    Section C is the section that evaluates the reason for the absence of compliance with the recommended home exercise and contains 10 items, every item have five point likert scale. Sections are calculated to result in a possible score between 0 and 40. The higher score shown exercise adherece is high.

Secondary outcomes

  1. Change from Baseline Walking Parameters at Eight Week and Third Month

    Time frame: At baseline, eighth week and third month

    Mean Step Length and Total Walking Distance in Six Minute Walk Test

Sponsors and collaborators

Lead sponsor

Hacettepe University

Other

Registry information

Official study title

Learning of Motor Control Exercises With Different Methods and Its Effects on Treatment Outcomes in Patients With Chronic Non-specific Low Back Pain: A Randomised Controlled Trial

Important dates

Study start
2019
Primary completion
2019
Study completion
2019
First posted
Jun 13, 2019
Registry last updated
Feb 28, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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