Exercise Therapy, Non Specific Chronic Low Back Pain
Conditions
Keywords
Chronic Low Back Pain, Core Exercise, Exercise Adherence
Brief summary
This randomized controlled study aims to evaluate the effectiveness of a 6-week home-based stabilization exercise program in individuals with non-specific chronic low back pain. Participants will be randomly assigned to two groups: one receiving exercise instruction via video-based content, and the other via a printed brochure with illustrated exercises. The effectiveness of the interventions will be assessed in terms of pain severity, functional status, exercise adherence, kinesiophobia, and quality of life.
Detailed description
This study investigates the effectiveness of a 6-week home-based core stabilization exercise program in individuals with non-specific chronic low back pain (NSCLBP). The purpose is to compare two different delivery methods of the same exercise protocol: video-based versus illustrated brochure-based instructions. Stabilization exercises are commonly used in NSCLBP management; however, the mode of delivery in home settings can impact adherence and clinical outcomes. A total of 42 participants with NSCLBP will be randomly assigned to either the video-based group or the brochure-based group. Both groups will follow the same exercise content, frequency, and duration. Outcomes will be assessed at baseline and after 6 weeks using standardized tools for pain (Visual Analog Scale), functional status ( Oswestry Disability Index), exercise adherence (Exercise Adherence Rating Scale), kinesiophobia (Tampa Scale), and quality of life (SF-36). The findings will be contribute to the optimization of home exercise strategies for chronic low back pain management.
Interventions
BEHAVIORALVideo-Based Stabilization Exercise Program
Participants will follow a 6-week home exercise program focusing on stabilization exercises. The instructions and demonstrations will be delivered through video format, which participants can watch at their convenience. The program aims to improve pain, functionality, exercise adherence, kinesiophobia, and quality of life.
BEHAVIORALBrochure-Based Stabilization Exercise Program
Participants will follow the same 6-week home exercise program using illustrated printed brochures that provide step-by-step instructions for stabilization exercises. This format allows participants to perform exercises independently. The program's effects on pain, functionality, exercise adherence, kinesiophobia, and quality of life will be evaluated.
Sponsors
Serra Sürel
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Participants will be blinded to their group assignment and will not know whether they receive video-based or brochure-based exercise instructions. However, investigators delivering the interventions will be aware of the assignments.
Intervention model description
Participants with non-specific chronic low back pain will be randomly assigned into two parallel groups. One group will receive a 6-week home-based stabilization exercise program delivered via video instructions, while the other group will receive the same exercise program using illustrated printed brochures. Both groups will follow the intervention independently without crossover. The effectiveness of the interventions will be compared between groups after 6 weeks.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Clinical diagnosis of non-specific chronic low back pain lasting 3 months or more Age 18 years or older Score of 4 or higher on the Roland-Morris Disability Questionnaire Voluntary agreement to participate in the study
Exclusion criteria
Physiotherapy treatment for low back pain within the past 6 months Pain radiating to the lower extremities Pregnancy History of spinal surgery Presence of central or peripheral nervous system pathology (e.g., stroke)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Kinesiophobia | Baseline and after 6 weeks of intervention | Kinesiophobia will be assessed using the Tampa Scale for Kinesiophobia (TSK), a validated self-report questionnaire that evaluates fear of movement or re-injury. The scale consists of 17 items rated on a 4-point Likert scale. The total score varies between 17 and 68. Higher scores indicate greater levels of fear. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity | Baseline and after 6 weeks | Pain will be measured using the Visual Analog Scale (VAS), scored from 0 (no pain) to 10 (worst pain). |
| Functional Disability | Baseline and after 6 weeks | Functional disability will be assessed using the Oswestry Disability Index (ODI). The lowest score is 0 and the highest score is 50. Higher scores reflect greater disability. |
| Change in Quality of Life | Baseline and after 6 weeks | Quality of life will be assessed with the Short Form-36 (SF-36), which evaluates physical, emotional, and social well-being. The total score varies between 0 (lowest quality of life score) and 100 (highest quality of life score). |
| Exercise Adherence | At the end of the 6-week intervention | Exercise adherence will be assessed through an Exercise Adherence Rating Scale (EARS). Scoring ranges from 0 to 64. Higher scores indicate greater compliance with exercise. |
Countries
Turkey (Türkiye)
Outcome results
None listed