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NCT Number: NCT07208435

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

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.

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Key information

Conditions

Non-specific Low Back Pain (NSLBP) Agnosia Nervous System Diseases Neurobehavioral Manifestations Neurologic Manifestations Pathological Conditions, Signs and Symptoms Perceptual Disorders Signs and Symptoms

Age range

18 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Istanbul Medipol University

Istanbul, Beykoz, 34810, Turkey (Türkiye)

About this study

Non-specific low back pain (NSLBP) is a prevalent condition associated with pain, functional limitations, and reduced quality of life. Access to in-person physiotherapy can be limited by geographic, financial, or time-related constraints. Web-based exercise programs offer an accessible alternative by delivering personalized exercises, educational content, reminders, and self-monitoring tools via digital platforms.

This study aims to investigate whether a structured web application-based exercise program can improve outcomes for adults with NSLBP compared to traditional home exercises. The trial addresses gaps in current evidence regarding the effectiveness of telerehabilitation, patient engagement, and delivery modes, and seeks to determine if digital interventions can serve as a viable complement or alternative to conventional physiotherapy.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • 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.

Exclusion criteria

  • 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.

Treatment and study plan

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.

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.

Primary outcomes

  1. Pain Reduction (Numeric Pain Rating Scale, NPRS)

    Time frame: Baseline and 6 weeks after intervention

    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.

Secondary outcomes

  1. Functional Disability (Oswestry Disability Index, ODI)

    Time frame: Baseline and 6 weeks after intervention

    Change in disability due to low back pain from baseline to 6 weeks, measured using the ODI, which evaluates daily activities such as pain intensity, personal care, lifting, walking, sitting, and sleeping. Higher scores indicate greater disability.

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

    Time frame: Baseline and 6 weeks after intervention

    Change in health-related quality of life from baseline to 6 weeks across physical and mental health domains

  3. Patient Satisfaction Questionnaire (PSQ)

    Time frame: 6 weeks end of intervention

    Participants' satisfaction with the intervention, including ease of use, communication, and perceived effectiveness.

  4. Proprioception (Joint Position Sense Test, JPS)

    Time frame: Baseline and 6 weeks after intervention

    Change in lumbar spine proprioception from baseline to 6 weeks.

Study contacts

Contact information is provided by the study sponsor or research team.

Yağmur Mustafaoğlu, PT, MSc (Cand.)

CONTACT

[email protected]

+905397974655

Sponsors and collaborators

Lead sponsor

Medipol University

Other

Registry information

Official study title

Effectiveness of Web-Based Exercise Programs in the Management of Non-Specific Low Back Pain: A Randomized Controlled Trial

Acronym: WEBEX-LBP

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Oct 6, 2025
Registry last updated
May 19, 2026

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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