Low Back PainNCT07026097
Online Versus Physically Supervised Pilates Exercise Program in Non-specific Low Back Pain
A study testing Pilates Exercise - Online and Pilates Exercise - Supervised in people with Low Back Pain, run by Riphah International University at 1 site in Pakistan.
Trial summary
The study will be Randomized Controlled Trial and will be conducted in Riphah Rehabilitation Research Center. The study duration will be 9 months. Non- probability convenient sampling technique will be used to collect the data. Read more about this study
- Who is it for?
- Ages 18 to 45 years
- Conditions the study is for
- Low Back Pain
- What is being tested?
- Pilates Exercise - Online and Pilates Exercise - Supervised
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 sitePakistan
- Study dates
- 1 May 2025to 28 Sep 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 45 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Patients with LBP
- Minimum chronicity of LBP 03
- Both Gender
- Age ranges from 18-40
- Numeric pain rating scale (NPRS) score 3 to 8 for pain intensity
- Patient who can maintain their standing posture independently for ≥30 minutes, have enough physical autonomy to participate in the physical activities required by the study
- Oswestry Disability Index score 20-34
Who cannot join
- History of trauma or fracture of the supine
- Chronic systemic soft tissue or bony disease
- Post Operative
- Pregnancy
- Diagnosis of osteoarthritis and herniated disc
- Any medical red flags
- Neurological and visual impairments
- Presence of root symptoms (e-g sciatica and cauda equina syndrome)
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site, 1 recruiting
- Recruiting
Riphah Rehabilitation Clinic
Lahore, Punjab Province, 54000
Syed Shakil ur Rehman, PhD, +92 320 7866611, shakil.urrehman@riphah.edu.pk
Summya Manzoor, MS*
About this study
Official title: Effects of Online Versus Physically Supervised Pilates Exercise Program With Common Standard Physical Therapy Treatment on Pain, Mobility and Function in Patients With Non-specific Low Back Pain
The study will be Randomized Controlled Trial and will be conducted in Riphah Rehabilitation Research Center. The study duration will be 9 months. Non- probability convenient sampling technique will be used to collect the data. Patients with chronic non-specific low back pain will be included in this study after meeting the inclusion criteria. The sample size of this study is 40 participants 20 in each group. Both groups will be an experimental group and will receive Pilates exercise protocol and common standard physical therapy treatment, 02 times a week for 04 weeks. Group A will receive supervised online Pilates exercise plan with common standard physical therapy and Group B will receive clinical supervised Pilates with common standard physical therapy treatment. The common standard physical therapy plan will be a hot pack for lumbar region for 10 mins, hamstring stretch, participants should maintain this stretch for 30 secs with 10 repetitions and strengthening of abdominal muscles in crook lying position with 10 repetitions with hold of 30 sec. The Pilates exercise protocol will include rollup, one leg circle exercise, crook leg lying, prone single leg kick, side-lying clamshell, supine stretch exercise, bug roll, prone attitude rotation, side kick and saw exercise. The Pilates protocol will be of 30 mins with 06-10 repetitions for each exercise withhold time for 30 sec. The outcome measure will be Numeric Pain Rating Scale (NPRS) for pain, Oswestry Low Back Disability Questionnaire (ODI) for disability and inclinometer for range of motion.
Read the detailed description
Low back pain (LBP) is characterised by pain, muscle tension or stiffness located below the 12th rib and above the gluteal folds . In many patients, the specific nociceptive source of LBP cannot be identified and those affected are often classified as having nonspecific low back pain. Nonspecific LBP represents 90% to 95% of cases . Chronic non-specific LBP (CNLBP) is distinguished by persistent pain for more than 12 weeks, without a clear cause. This condition is considered one of the most common causes of disability. It is estimated that 80% of adults have at least one episode of LBP during their lifetime and aproximately 85% of cases falling under the umbrella of non-specific LBP, often labelled as idiopathic low back dysfunction due to the absence of identifiable anatomical abnormalities .
Low back pain (LBP) is a great public health issue and the second most common cause of seeking advice from a physician. It is the leading source of human suffering and disability worldwide . Approximately 15% to 20% of adults suffer from back pain each year. The issue is common in both developing and developed countries of the world . As compared to developed countries low back pain is more prevalent in developing countries. It is considered the second most common disease in adults under the age of 45 years .
The prevalence of low back pain among older population is 40.6% in Pakistan. In Pakistan, the prevalence is notably high, ranging from 29.20% to 70%. Individuals experiencing low back dysfunction grapple with various musculoskeletal symptoms, including pain, restricted range of motion (ROM) and a decline in functional indices. Now a days low back pain is also very common is younger population a study shows that 25.1% males and 36.8% females of age ranging 18-25 also experience low back pain in Pakistan. 84% population of USA have low back pain. it is estimated that 70-85% of the working population has suffered from a LBP episode, with many reports of long periods of absence from their jobs, restricting their physical activity and affecting their output and the quality of life.
With the rise of digital platforms and global pandemic, there has been a significant shift towards online fitness program. Investigating the effectiveness of online Pilates can provide information whether these programs will work better compared to traditional, in person programs. Online Pilates offers greater accessibility for individuals who, may not have an easy access to clinics due to geographic, financial or time constraints. This research will help determine if online Pilates can deliver similar benefits to in-person therapy, making treatment more accessible to patients. This study will help practitioners in making informed choices whether online Pilates or clinical Pilates which is better for the patients. Another impact is that by giving treatment online cost of the treatment will also reduce which is beneficial for the patients. So, the purpose of this study is to compare the effects of online versus physically supervised Pilates exercise program with common standard Physical Therapy Treatment on pain, mobility and function in patients with non-specific low back pain.
- Conditions
- Low Back Pain
- Being tested
- Pilates Exercise - Online, Pilates Exercise - Supervised
- Keywords
- Low Back Pain, Pilates Training, Pilates Based Exercises, Range of Motion, Disability
- Medical subject headings
- Low Back Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Pilates Exercise - OnlineOther
Will receive Pilates exercise protocol online under supervision as patient will instructed to join online meeting and do their exercise 02 times a week along with standard physical therapy protocol for 4 weeks. The Pilates exercise protocol will be of 30 minutes. Repetitions: Exercises started with 6 to 10 reps. and hold time for 30 sec for each exercise. Rest period of 2 mins will be given
Pilates Exercise - SupervisedOther
Will receive Pilates exercise protocol clinically supervised as patient will instructed to do their exercise 0 times a week along with standard physical therapy protocol for 4 weeks. The Pilates and common standard physical therapy protocol will be the same which is mention in detail in group A description
| Study group | Role | What they receive |
|---|---|---|
| Group A | Experimental | Not described Receives: Other: Pilates Exercise - Online |
| Group B | Active comparator | Not described Receives: Other: Pilates Exercise - Supervised |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numeric Pain Rating Scale
Measured: Baseline, 4th week
Oswetry Disability Index
Measured: Baseline, 4th week
Lumbar Range of Motion
Measured: Baseline, 4th week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Jun 2025
- Study start1 May 2025
- Primary completion30 Aug 2025 (estimated)
- Study completion28 Sep 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Low Back PainStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Syed Shakil ur Rehman, PhD, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07026097
- Sponsor's protocol ID
- Summya - REC/RCR&AHS 24/0138
- Status last verified
- Jun 2025
- First submitted
- 11 Jun 2025
- Last updated
- 18 Jun 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Siddiqui AS, Javed S, Abbasi S, Baig T, Afshan G. Association Between Low Back Pain and Body Mass Index in Pakistani Population: Analysis of the Software Bank Data. Cureus. 2022 Mar 30;14(3):e23645. doi: 10.7759/cureus.23645. eCollection 2022 Mar.
PubMed 35510015Nieminen LK, Pyysalo LM, Kankaanpaa MJ. Prognostic factors for pain chronicity in low back pain: a systematic review. Pain Rep. 2021 Apr 1;6(1):e919. doi: 10.1097/PR9.0000000000000919. eCollection 2021.
PubMed 33981936
Study at a glance
From the registry record, last updated by the sponsor on 18 Jun 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Online Versus Physically Supervised Pilates Exercise Program With Common Standard Physical Therapy Treatment on Pain, Mobility and Function in Patients With Non-specific Low Back Pain
- ClinicalTrials.gov ID
- NCT07026097
- Acronym / sponsor ID
- Summya - REC/RCR&AHS 24/0138
- Conditions
- Low Back Pain
- Keywords
- Low Back Pain, Pilates Training, Pilates Based Exercises, Range of Motion, Disability
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 1 May 2025 (actual)
- Primary completion
- 30 Aug 2025 (estimated)
- Study completion
- 28 Sep 2025 (estimated)
- First posted
- 18 Jun 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study will be Randomized Controlled Trial and will be conducted in Riphah Rehabilitation Research Center. The study duration will be 9 months. Non- probability convenient sampling technique will be used to collect the data. Patients with chronic non-specific low back pain will be included in this study after meeting the inclusion criteria. The sample size of this study is 40 participants 20 in each group. Both groups will be an experimental group and will receive Pilates exercise protocol and common standard physical therapy treatment, 02 times a week for 04 weeks. Group A will receive supervised online Pilates exercise plan with common standard physical therapy and Group B will receive clinical supervised Pilates with common standard physical therapy treatment. The common standard physical therapy plan will be a hot pack for lumbar region for 10 mins, hamstring stretch, participants should maintain this stretch for 30 secs with 10 repetitions and strengthening of abdominal muscles in crook lying position with 10 repetitions with hold of 30 sec. The Pilates exercise protocol will include rollup, one leg circle exercise, crook leg lying, prone single leg kick, side-lying clamshell, supine stretch exercise, bug roll, prone attitude rotation, side kick and saw exercise. The Pilates protocol will be of 30 mins with 06-10 repetitions for each exercise withhold time for 30 sec. The outcome measure will be Numeric Pain Rating Scale (NPRS) for pain, Oswestry Low Back Disability Questionnaire (ODI) for disability and inclinometer for range of motion.
Detailed description
Low back pain (LBP) is characterised by pain, muscle tension or stiffness located below the 12th rib and above the gluteal folds . In many patients, the specific nociceptive source of LBP cannot be identified and those affected are often classified as having nonspecific low back pain. Nonspecific LBP represents 90% to 95% of cases . Chronic non-specific LBP (CNLBP) is distinguished by persistent pain for more than 12 weeks, without a clear cause. This condition is considered one of the most common causes of disability. It is estimated that 80% of adults have at least one episode of LBP during their lifetime and aproximately 85% of cases falling under the umbrella of non-specific LBP, often labelled as idiopathic low back dysfunction due to the absence of identifiable anatomical abnormalities .
Low back pain (LBP) is a great public health issue and the second most common cause of seeking advice from a physician. It is the leading source of human suffering and disability worldwide . Approximately 15% to 20% of adults suffer from back pain each year. The issue is common in both developing and developed countries of the world . As compared to developed countries low back pain is more prevalent in developing countries. It is considered the second most common disease in adults under the age of 45 years .
The prevalence of low back pain among older population is 40.6% in Pakistan. In Pakistan, the prevalence is notably high, ranging from 29.20% to 70%. Individuals experiencing low back dysfunction grapple with various musculoskeletal symptoms, including pain, restricted range of motion (ROM) and a decline in functional indices. Now a days low back pain is also very common is younger population a study shows that 25.1% males and 36.8% females of age ranging 18-25 also experience low back pain in Pakistan. 84% population of USA have low back pain. it is estimated that 70-85% of the working population has suffered from a LBP episode, with many reports of long periods of absence from their jobs, restricting their physical activity and affecting their output and the quality of life.
With the rise of digital platforms and global pandemic, there has been a significant shift towards online fitness program. Investigating the effectiveness of online Pilates can provide information whether these programs will work better compared to traditional, in person programs. Online Pilates offers greater accessibility for individuals who, may not have an easy access to clinics due to geographic, financial or time constraints. This research will help determine if online Pilates can deliver similar benefits to in-person therapy, making treatment more accessible to patients. This study will help practitioners in making informed choices whether online Pilates or clinical Pilates which is better for the patients. Another impact is that by giving treatment online cost of the treatment will also reduce which is beneficial for the patients. So, the purpose of this study is to compare the effects of online versus physically supervised Pilates exercise program with common standard Physical Therapy Treatment on pain, mobility and function in patients with non-specific low back pain.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Group A | Experimental | Other: Pilates Exercise - Online |
| Group B | Active comparator | Other: Pilates Exercise - Supervised |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Patients with LBP
- Minimum chronicity of LBP 03
- Both Gender
- Age ranges from 18-40
- Numeric pain rating scale (NPRS) score 3 to 8 for pain intensity
Key exclusion criteria (8 listed)
- History of trauma or fracture of the supine
- Chronic systemic soft tissue or bony disease
- Post Operative
- Pregnancy
- Diagnosis of osteoarthritis and herniated disc
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Pilates Exercise - OnlineWill receive Pilates exercise protocol online under supervision as patient will instructed to join online meeting and do their exercise 02 times a week along with standard physical therapy protocol for 4 weeks. The Pilates exercise protocol will be of 30 minutes. Repetitions: Exercises started with 6 to 10 reps. and hold time for 30 sec for each exercise. Rest period of 2 mins will be given | Other | Group A |
| Pilates Exercise - SupervisedWill receive Pilates exercise protocol clinically supervised as patient will instructed to do their exercise 0 times a week along with standard physical therapy protocol for 4 weeks. The Pilates and common standard physical therapy protocol will be the same which is mention in detail in group A description | Other | Group B |
Primary outcome
Numeric Pain Rating Scale
Time frame: Baseline, 4th week
Oswetry Disability Index
Time frame: Baseline, 4th week
Lumbar Range of Motion
Time frame: Baseline, 4th week
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Jun 2025.
- Background: PubMed 35510015Siddiqui AS, Javed S, Abbasi S, Baig T, Afshan G. Association Between Low Back Pain and Body Mass Index in Pakistani Population: Analysis of the Software Bank Data. Cureus. 2022 Mar 30;14(3):e23645. doi: 10.7759/cureus.23645. eCollection 2022 Mar.
- Background: PubMed 33981936Nieminen LK, Pyysalo LM, Kankaanpaa MJ. Prognostic factors for pain chronicity in low back pain: a systematic review. Pain Rep. 2021 Apr 1;6(1):e919. doi: 10.1097/PR9.0000000000000919. eCollection 2021.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Syed Shakil ur Rehman, PhD principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Pilates Exercise - Online and Pilates Exercise - Supervised in people with Low Back Pain, run by Riphah International University at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 18 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Syed Shakil ur Rehman, PhD (+92 320 786661, shakil.urrehman@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Numeric Pain Rating Scale (time frame: Baseline, 4th week). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07026097, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jun 2025.