Back Pain Without Radiation
Conditions
Keywords
Back Pain without Radiation, Low Back Pain, Mechanical
Brief summary
This study evaluates the effects of self-learning exercise from multimedia content on pain and disability in patients with low back pain.
Detailed description
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.
Interventions
OTHERMultimedia Learning of Exercises
Patients learn exercise from multimedia content.
OTHERFace-to-face Learning of Exercises
Physiotherapist teach exercises to patients
OTHERManual Therapy
Myofascial Release Techniques and Joint Mobilizations to the Lumbal Area
OTHERHome Exercise Program
Patients do at least 20 minutes motor control exercise in a day at home.
Sponsors
Hacettepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
25 Years to 55 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline Pain Level at Eight Week and Third Month | 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. |
| Change from Baseline Disability Score Level at Eight Week and Third Month | 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. |
| Change in Exercise Adherence Level between Eight Week and Third Month | 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
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline Walking Parameters at Eight Week and Third Month | At baseline, eighth week and third month | Mean Step Length and Total Walking Distance in Six Minute Walk Test |
Countries
Turkey (Türkiye)
Outcome results
None listed