NCT Number: NCT07495475
Mechanical low back pain is one of the most common musculoskeletal disorders affecting daily activities and quality of life. Home exercise programs are frequently recommended in the management of low back pain; however, adherence to these programs is often limited. Mobile health applications may enhance adherence by providing exercise demonstrations, reminders, and monitoring tools.
The aim of this study is to investigate the effects of a mobile application-supported home exercise program on posture, balance, pain, and functional status in individuals with mechanical low back pain. Participants with chronic mechanical low back pain will be randomly assigned to two groups. Both groups will receive the same home exercise program. The control group will receive the exercises in printed format, while the experimental group will follow the program through the E-Exercise mobile application that includes exercise videos, reminders, and progress tracking.
Participants will be evaluated before the intervention and after six weeks of exercise training. Outcome measures will include flexibility, posture, balance, pain intensity, and functional disability. The results of this study may contribute to improving adherence to home exercise programs and promoting the use of digital health technologies in physiotherapy practice.
Trial opening soon.
Get Notified18 year–65 year
All sexes
Interventional
Not applicable
Mechanical low back pain is a common musculoskeletal condition that may negatively affect posture, balance, pain perception, physical function, and quality of life. Home exercise programs are widely used in physiotherapy for the management of mechanical low back pain because they are practical, accessible, and cost-effective. However, poor adherence to home exercise programs and difficulties in performing exercises correctly may reduce treatment effectiveness.
This study is designed to investigate whether a mobile application-supported home exercise program provides additional benefits compared with a conventional printed home exercise program in individuals with chronic mechanical low back pain. The mobile application developed for this study, called E-Exercise, includes video-based exercise instructions, reminder notifications, and an exercise tracking component that allows participants to mark completed exercises. These features are intended to improve exercise adherence and support correct exercise performance at home.
A total of 50 participants with chronic mechanical low back pain will be randomly assigned to either the experimental group or the control group. Both groups will receive the same exercise content prepared by a physiotherapist and will perform the exercises 3 days per week for 6 weeks. The control group will receive the exercise program in printed form, whereas the experimental group will use the mobile application.
Participants will be evaluated before the intervention and at the end of the 6-week program. Outcome measures will include flexibility assessed by the Sit and Reach Test, Straight Leg Raise Test, and Modified Schober Test; posture assessed by PostureScreenLite; postural balance assessed by the Bertec Balance Legacy System; pain assessed by the Visual Analog Scale and Pain Catastrophizing Scale; functional disability assessed by the Oswestry Disability Index; and health-related quality of life assessed by the SF-12. This study is expected to provide evidence on whether mobile health support can improve adherence and clinical outcomes in home-based physiotherapy programs for individuals with mechanical low back pain.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Participants will follow a home exercise program through the E-Exercise mobile application. The application provides video demonstrations of exercises, reminder notifications, and an exercise tracking feature. Participants will perform the exercises three times per week for six weeks. The exercises are designed by a physiotherapist and aim to improve flexibility, posture, balance, pain, and functional status.
Participants will receive a printed version of the same home exercise program explained by a physiotherapist. Participants will perform the exercises at home three times per week for six weeks without mobile application support.
Time frame: Baseline and 6 weeks
Pain intensity will be assessed using a 10-cm Visual Analog Scale, where 0 indicates no pain and 10 indicates worst possible pain.
Time frame: Baseline and 6 weeks
Flexibility will be assessed using the Sit and Reach Test to evaluate hamstring and lower back flexibility. Results will be recorded in centimeters.
Time frame: Baseline and 6 weeks
Postural alignment will be evaluated using the PostureScreenLite mobile application. Standardized photographs from anterior, posterior, and lateral views will be analyzed to determine postural deviation angles.
Time frame: Baseline and 6 weeks
Postural balance will be assessed using the Bertec Balance Legacy System by measuring center of pressure displacement and stability parameters during quiet standing.
Contact information is provided by the study sponsor or research team.
Ece ACAR, PhD
CONTACT
Nidanur Soyturk, Student
CONTACT
Karabuk University
Other
Effect of a Mobile Application-Supported Home Exercise Program on Posture, Balance, Pain and Functionality in Individuals With Mechanical Low Back Pain
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