Exercise, Low Back Pain, Rehabilitation
Conditions
Brief summary
Lumbopelvic pain represents one of the leading causes of disability and pain in the world population. It is estimated that 84% of the world's population will suffer from lumbar pelvic pain in their lifetime. This high prevalence causes it to be classified as a public health problem. Traditional primary care measures have failed to reduce the prevalence, recurrences and costs of this pathology. In the search for treatments focused on reducing public spending, the concept of tele-rehabilitation appears. It is a tool, via telematics, that provides knowledge on rehabilitation and education in neurobiology of pain, demonstrated in cardiovascular and respiratory diseases. It has been suggested that the use of this instrument could help improve the patient's quality of life at the biopsychosocial level.
Interventions
As soon as the study investigators have obtained a significant sample of patients with non-specific sub-acute low back pain, the intervention will begin. The principal investigator will perform an individual assessment of the patients. At the end of the assessment, he will randomly distribute them into two groups. Tele-rehabilitation group and face-to-face group. On the one hand, the main researcher will explain the application works to the tele-rehabilitation group. For 8 weeks, they have to perform 2 therapy exercise training sessions following the instructions on the application. On the other hand, the researcher will explain the protocol to be followed by the group face to face. In addition, he will provide a schedule to follow a correct development of the protocol. Like the tele-rehabilitation group, they will carry out 16 sessions over 8 weeks. At the end of the protocol, the principal investigator will perform an individualized assessment of each of the study participants.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age between 18-65 years. * Non-specific low back pain less than 12 weeks of evolution. * Knowledge of new information and communication technologies. * Internet access.
Exclusion criteria
* Inflammatory pathologies of the locomotor system. * Infectious processes. * Oncological processes. * Neurodegenerative diseases. * Pain with neuropathic characteristics. * Fractures. * Lack of fluency in Spanish.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Quality of Life | Baseline, 2 months (primary timepoint), 3 months after intervention commencement. | Using the SF-12 Questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Disability | Baseline, 2 months (primary timepoint), 3 months after intervention commencement. | Using the Oswestry Disability Questionnaire |
| Change in Physical Activity | Baseline, 2 months (primary timepoint), 3 months after intervention commencement. | Using the Baecke Physical Activity Questionnaire |
| Change in Kinesiophobia | Baseline, 2 months (primary timepoint), 3 months after intervention commencement. | Using the Tampa Kinesiophobia Scale (TSK-11) form 11 to 44 |
| Change in Sleep Quality | Baseline, 2 months (primary timepoint), 3 months after intervention commencement. | Using the Pittsburgh Sleep Quality Index |
| Change in Pain perception | Baseline, 2 months (primary timepoint), 3 months after intervention commencement. | Using the Visual Analog Scale (VAS) from 0 to 10 |
| Change in Lumbar motor control | Baseline, 2 months (primary timepoint). | Using the Rocking backward test. |
| Change in Intramuscular contraction capacity erector muscles | Baseline, 2 months (primary timepoint). | Using the Double straight-leg raise test. |
| Change in Intramuscular contraction capacity hip flexor muscles | Baseline, 2 months (primary timepoint). | Using the Hip flexion test supine position and sitting position |
| Change in Intramuscular contraction capacity extensor flexor muscles | Baseline, 2 months (primary timepoint). | Using the Hip extension test prone position |
| Change in Catastrophism | Baseline, 2 months (primary timepoint), 3 months after intervention commencement. | Using the Pain catastrophizing scale from 0 to 56 |
Countries
Spain