M53.24-.28, M53.3, M53.84-.88, M53.94-.98, M54.5, M54.6, M54.84-.88, M54.94-.98, M99.02 - M99.04, M99.82 - M99.84, M99.92 - M99.94
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Diagnosis of non-specific back pain in one of the following indications: Mid Back: • M53.24-.25: Spinal instability • M53.84-.85: Other specified diseases of spine and back • M53.94-.95: Disorders of spine and back, unspecified • M54.6: Pain in thoracic spine • M54.84-.85: Other low back pain • M54.94-.95: Back pain, unspecified • M99.02: Segmental and somatic fun • M99.82: Other biomechanical disorders • M99.92: Biomechanical dysfunction, unspecified Lower back: • M53.26-.28: Spinal instability • M53.86-.88: Other specified diseases of spine and back • M53.96-.98: Unspecified diseases of spine and back • M53.3: Diseases of sacrocolygeal reaction, not elsewhere classified • M54.5: Low back pain • M54.86 - M54.88: Other back pain • M54.96 - M54.98: Back pain, unspecified • M99.03 - M99.04: Segmental and somatic dysfunction • M99.83 - M99.84: Other biomechanical disorders • M99.93 - M99.94: Biomechanical dysfunction, unspecified • Age >= 18 years • Pain duration of > 3 weeks with confinement • Pain intensity (NRS) = 4 • Sufficient knowledge of German • Possession of an app-enabled smartphone that meets the app's compatibility commitments • Willingness to use the app regularly • Willingness to participate in surveys and ward rounds • E-mail address for registration • Internet access for smartphones
Exclusion criteria
Exclusion criteria: • Age: < 18 • Contraindications of the medical device • No app-enabled smartphone • No pain, pain intensity < 4 • Previous exercise therapy with a comparable digital health application • Participation in other comparable training or exercise therapies for non-specific back pain (e.g., functional training or rehabilitation sports) in the preceding 3 weeks or ongoing participation/ planned participation in multimodal therapy within 12 weeks after inclusion • Ongoing use of other non-drug adjunctive therapies for nonspecific back pain, such as acupuncture • Insufficient language skills • No active exercise possible • Inability/unwillingness to adhere to training • Neurological disease that does not allow participation in the study (e.g. dementia, Alzheimer's disease, etc.) • Serious mental illness that does not allow participation in the study • Autoimmune diseases that do not allow participation in the study • Rheumatic diseases of the spine • Surgery on the spine in the past or planned in the next 12 weeks • Lumboischialgia with clinical radiculopathy (M54.4) Contraindications of the medical device • T08: Fracture of spine, height not further described • T09: Other injuries of spine and trunk, height not further described • M51.0, M51.1, M51.2, M51.8 + M51.9: Intervertebral disc damage (with radicular symptoms) • M43.0: Spondylolysis or M43.1: Spondylolisthesis • M48.0: Spinal stenosis • M81: Diagnosed osteoporosis • M13: Other arthritis • M62.08: Diastasis recti • B99: febrile infection • M46: Spinal infection • D33.4: benign neoplasm of spinal cord • C41.2: Malignant neoplasm of bone and articular cartilage: spine • C79.5: Secondary malignant neoplasm of bone and bone marrow • Z98: Other conditions after surgery • Q76: Congenital malformations of spine and bony thorax • I10, I50; I51: uncontrolled hypertension, advanced heart disease • G82: Disorders that reduce leg control • M25: Diseases of joints of legs • G82: Paraplegia and quadriplegia • G40: Epilepsy • H54.0, H54.1, H54.4, H54.5: Blindness and visual impairment Relative contraindications of the medical device • O00-O99: Pregnancy, childbirth, and the postpartum period • M54.4: Lumboischialgia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Study duration per patient: 12 weeks: Pain intensity (NRS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Study duration per patient: 12 weeks: Oswestry Disability Index (ODI) | — |
Countries
Germany
Contacts
Zentrum für Integrierte Rehabilitation in den Universitäts- und Rehabilitationskliniken Ulm (RKU)