Chronic PainCRP-RuralNCT07129356
Field and Home Exercise Program for Improving Function in Iraqi Rural Women
A study testing Combined Exercise in people with Chronic Pain and Rural Health, run by University of Mosul at 1 site in Iraq.
Trial summary
This study evaluates a 12-week Combined Rehabilitation Program (CRP) designed to reduce musculoskeletal pain and improve physical function among rural women in northern Iraq. The program integrates home-based therapeutic exercises with simple, culturally appropriate games. Read more about this study
- Who is it for?
- Ages 18 to 57 years, women only
- Conditions the study is for
- Chronic Pain, Rural Health, Physical Therapy
- What is being tested?
- Combined Exercise
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 66 participants
- Where
- 1 siteIraq
- Study dates
- 5 Jun 2024to 7 Nov 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 57 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- Women have experienced Musculoskeletal pain in one or more one of fourth areas of study variables which are : the upper and lower extremities, neck, and lower back.
Who cannot join
- Women who suffer from other functional diseases not related to Musculoskeletal pain.
Trial locations and contacts
1 site in 1 country.
Iraq1 site
College of Physical Education and Sport Sciences
Mosul, Nineveh Governorate, 00964
About this study
Official title: Feasibility a Combining Rehabilitation Program at Field Exercises and Tele-exercises to Enhance Daily Life Activities to Rural Women in Iraq
This study evaluates a 12-week Combined Rehabilitation Program (CRP) designed to reduce musculoskeletal pain and improve physical function among rural women in northern Iraq. The program integrates home-based therapeutic exercises with simple, culturally appropriate games. Sixty-six women from the Hamdaniya district, all with nearly two decades of experience in agricultural labor and chronic musculoskeletal pain in the back, neck, and limbs, participated voluntarily.
The intervention includes two supervised group sessions per week at a local sports field and remote home-based sessions guided via pre-recorded videos shared through WhatsApp. Each session lasts 45 to 60 minutes and incorporates rest periods. The program is designed to strengthen weakened muscles, improve daily function, and promote social engagement among participants.
Read more
Rural women engaged in long-term agricultural labor are at increased risk of chronic musculoskeletal pain, particularly in the back, neck, and limbs.
What is already known on this subject:
- Rural women engaged in long-term agricultural labor are at increased risk of chronic musculoskeletal pain, particularly in the back, neck, and limbs.
- Home-based therapeutic exercises are widely used to manage pain and improve physical function.
- Community-based rehabilitation programs can support better health outcomes in underserved populations.
What this study adds:
- Introduces a culturally adapted Combined Rehabilitation Program (CRP) that blends home-based exercises with traditional games in a rural Iraqi context.
- Explores the feasibility of delivering rehabilitation through low-cost mobile technology in resource-limited environments.
- Provides a community-based model for accessible, flexible rehabilitation tailored to the needs of rural women.
Read the detailed description
This study aims to evaluate the effectiveness of a Combined Rehabilitation Program (CRP) designed to reduce musculoskeletal pain and enhance physical function among rural women in northern Iraq. The CRP integrates home-based therapeutic exercises with culturally relevant physical games and is tailored to the specific needs and social context of the participants.
The study includes 66 women, aged around 46 years, with 18-23 years of experience in agricultural work. All participants reported ongoing muscle and joint pain in the upper and lower limbs, back, and neck, which affects their ability to carry out daily activities. Due to family and work constraints, a flexible intervention was developed that combines in-person and remote elements to ensure accessibility and adherence.
The 12-week program consists of two supervised group sessions per week held at a local field, along with home-based sessions delivered through pre-recorded videos shared via mobile applications. Each session lasts 45-60 minutes and includes walking, stretching, strengthening exercises, and simple games targeting muscle groups commonly affected by physical labor. Rest periods are integrated into each session to promote safety and participation.
Participants are assessed before and after the intervention for muscle strength, flexibility, body composition, and pain levels using standardized tools. The study design emphasizes a community-based and technology-supported approach to rehabilitation, addressing the unique challenges faced by women in rural areas with limited access to conventional services.
- Conditions
- Chronic Pain, Rural Health, Physical Therapy, Rehabilitation
- Being tested
- Combined Exercise
- Keywords
- Muscle imbalance, Chronic musculoskeletal pain, Back pain
- Medical subject headings
- Chronic Pain, Back Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Combined ExerciseBehavioural
Participants engaged in a hybrid exercise program that included:
In-field sessions held twice weekly at a local sports facility (45-60 minutes per session, including rest).
Remote sessions delivered via pre-recorded videos through WhatsApp, with ongoing monitoring and feedback.
Exercises included walking, jogging, full-body stretching, and strength training targeting the trunk, limbs, and weak muscle groups (shoulders, back, knees).
The program aimed to reduce joint and muscle pain, improve strength and flexibility, and support daily functional activities.
Pre- and post-intervention assessments included muscle strength (via hand dynamometer), flexibility tests, BMI, and self-reported pain using the NRS-11 scale.
| Study group | Role | What they receive |
|---|---|---|
| Combined Rehabilitation Program (CRP) - Single Group | Experimental | This arm received a 12-week Combined Rehabilitation Program (CRP), consisting of both in-person field exercises and remote tele-exercises. The intervention included therapeutic exercises and culturally relevant physical games tailored to improve musculoskeletal function and reduce pain. Exercises were focused on mobility, strength, and flexibility, targeting areas of muscle weakness identified during baseline assessment. Receives: Behavioral: Combined Exercise |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in musculoskeletal pain level in the lower back, neck, upper extremities, and lower extremities.
Pain levels will be self-reported using the Numeric Rating Scale (NRS-11), a validated 11-point scale ranging from 0 (no pain) to 10 (worst possible pain). Participants will report pain in four body regions: lower back, neck, upper extremities, and lower extremities. The method of assessment was Numeric Rating Scale (NRS-11), administered in-person and via teleconsultation.
Measured: Baseline and Week 12
Secondary outcomes (2)
Change in flexibility.
Flexibility of major joints and muscle groups (especially lower extremities) will be assessed using standard range-of-motion and stretch tests. The method of assessment was manual flexibility tests (sit-and-reach, joint range assessments)
Measured: Baseline and Week 12
Change in muscle strength in upper and lower extremities and trunk.
Muscle strength will be measured using a handheld dynamometer (MicroFET2). Assessments will include trunk flexors/extensors, thigh flexors/extensors, and upper limb muscles (shoulder, elbow, wrist).The method of assessment was Handheld Dynamometer (MicroFET2).
Measured: Baseline and Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Aug 2025
- Study start5 Jun 2024
- Primary completion15 Oct 2024
- Study completion7 Nov 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (17)Papers the sponsor has linked to this study.
- Other trials for Chronic 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
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- Design: Quasi-Experimental, One-Group Pretest-Posttest Design
- Masking
- None (open label)
- Enrolment
- 66 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Mosul
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Munib Abdullah Fathi, University of Mosul
- Investigators
- Munib Fathe, Principal investigator, University of Mosul
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07129356
- Sponsor's protocol ID
- College of Physical Education
- Other IDs
- The corresponding Author
- Acronym
- CRP-Rural
- Status last verified
- Aug 2025
- First submitted
- 23 Jul 2025
- Last updated
- 19 Aug 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Data availability will be available on request by contact with corresponding author on email : m.a.fathi@uomsul.edu.iq
Publications
Mesa-Castrillon CI, Simic M, Ferreira ML, Bennell KL, Luscombe GM, Gater K, Beckenkamp PR, Michell A, Bauman A, de Luca K, Bunker S, Clavisi O, Ferreira PH. Effectiveness of an eHealth-Delivered Program to Empower People With Musculoskeletal Pain in Rural Australia: A Randomized Controlled Trial. Arthritis Care Res (Hoboken). 2024 Apr;76(4):570-581. doi: 10.1002/acr.25272. Epub 2024 Jan 29.
PubMed 37984995Mesa-Castrillon CI, Simic M, Ferreira ML, Hatswell K, Luscombe G, de Gregorio AM, Davis PR, Bauman A, Bunker S, Clavisi O, Knox G, Bennell KL, Ferreira PH. EHealth to empower patients with musculoskeletal pain in rural Australia (EMPoweR) a randomised clinical trial: study protocol. BMC Musculoskelet Disord. 2021 Jan 5;22(1):11. doi: 10.1186/s12891-020-03866-2.
PubMed 33402161Frattali CM. National Institutes of Health, Warren Grant Magnuson Clinical Center. ASHA. 1999 Jul-Aug;41(4):46-9. No abstract available.
PubMed 10420662Mesa-Castrillon CI, Beckenkamp PR, Ferreira M, Simic M, Davis PR, Michell A, Pappas E, Luscombe G, Noronha M, Ferreira P. Global prevalence of musculoskeletal pain in rural and urban populations. A systematic review with meta-analysis. Musculoskeletal pain in rural and urban populations. Aust J Rural Health. 2024 Oct;32(5):864-876. doi: 10.1111/ajr.13161. Epub 2024 Jul 4.
PubMed 38963186Lombard C, Harrison C, Kozica S, Zoungas S, Ranasinha S, Teede H. Preventing Weight Gain in Women in Rural Communities: A Cluster Randomised Controlled Trial. PLoS Med. 2016 Jan 19;13(1):e1001941. doi: 10.1371/journal.pmed.1001941. eCollection 2016 Jan.
PubMed 26785406Gonzalez-Rocha A, Mendez-Sanchez L, Ortiz-Rodriguez MA, Denova-Gutierrez E. Effect Of Exercise on Muscle Mass, Fat Mass, Bone Mass, Muscular Strength and Physical Performance in Community Dwelling Older Adults: Systematic Review and Meta-Analysis. Aging Dis. 2022 Oct 1;13(5):1421-1435. doi: 10.14336/AD.2022.0215. eCollection 2022 Oct 1.
PubMed 36186132Allworth I, Luscombe G, Ferreira P, Mesa-Castrillon C. Exploring participant satisfaction with an eHealth intervention for low back pain and knee osteoarthritis: Enhancing physiotherapy access in rural Australia. Musculoskelet Sci Pract. 2025 Apr;76:103252. doi: 10.1016/j.msksp.2024.103252. Epub 2025 Jan 9.
PubMed 39805211Alghadir AH, Anwer S, Iqbal A, Iqbal ZA. Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. J Pain Res. 2018 Apr 26;11:851-856. doi: 10.2147/JPR.S158847. eCollection 2018.
PubMed 29731662Bashshur RL, Shannon GW, Smith BR, Alverson DC, Antoniotti N, Barsan WG, Bashshur N, Brown EM, Coye MJ, Doarn CR, Ferguson S, Grigsby J, Krupinski EA, Kvedar JC, Linkous J, Merrell RC, Nesbitt T, Poropatich R, Rheuban KS, Sanders JH, Watson AR, Weinstein RS, Yellowlees P. The empirical foundations of telemedicine interventions for chronic disease management. Telemed J E Health. 2014 Sep;20(9):769-800. doi: 10.1089/tmj.2014.9981. Epub 2014 Jun 26.
PubMed 24968105Rockwell KL, Gilroy AS. Incorporating telemedicine as part of COVID-19 outbreak response systems. Am J Manag Care. 2020 Apr;26(4):147-148. doi: 10.37765/ajmc.2020.42784.
PubMed 32270980Akbar KA, Try P, Viwattanakulvanid P, Kallawicha K. Work-Related Musculoskeletal Disorders Among Farmers in the Southeast Asia Region: A Systematic Review. Saf Health Work. 2023 Sep;14(3):243-249. doi: 10.1016/j.shaw.2023.05.001. Epub 2023 May 13.
PubMed 37818214Alonso Monteiro Bezerra M, Hellwig N, da Rocha Castelar Pinheiro G, Souza Lopes C. Prevalence of chronic musculoskeletal conditions and associated factors in Brazilian adults - National Health Survey. BMC Public Health. 2018 Feb 27;18(1):287. doi: 10.1186/s12889-018-5192-4.
PubMed 29482524Walker-Bone K, Palmer KT. Musculoskeletal disorders in farmers and farm workers. Occup Med (Lond). 2002 Dec;52(8):441-50. doi: 10.1093/occmed/52.8.441.
PubMed 12488514Osborne A, Blake C, McNamara J, Meredith D, Phelan J, Cunningham C. Musculoskeletal disorders among Irish farmers. Occup Med (Lond). 2010 Dec;60(8):598-603. doi: 10.1093/occmed/kqq146. Epub 2010 Sep 15.
PubMed 20844056Hulshof CTJ, Pega F, Neupane S, Colosio C, Daams JG, Kc P, Kuijer PPFM, Mandic-Rajcevic S, Masci F, van der Molen HF, Nygard CH, Oakman J, Proper KI, Frings-Dresen MHW. The effect of occupational exposure to ergonomic risk factors on osteoarthritis of hip or knee and selected other musculoskeletal diseases: A systematic review and meta-analysis from the WHO/ILO Joint Estimates of the Work-related Burden of Disease and Injury. Environ Int. 2021 May;150:106349. doi: 10.1016/j.envint.2020.106349. Epub 2021 Feb 3.
PubMed 33546919
Study at a glance
From the registry record, last updated by the sponsor on 19 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Feasibility a Combining Rehabilitation Program at Field Exercises and Tele-exercises to Enhance Daily Life Activities to Rural Women in Iraq
- ClinicalTrials.gov ID
- NCT07129356
- Acronym / sponsor ID
- CRP-Rural / College of Physical Education
- Conditions
- Chronic Pain, Rural Health, Physical Therapy, Rehabilitation
- Keywords
- Muscle imbalance, Chronic musculoskeletal pain, Back pain
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 66 participants (actual)
- Lead sponsor
- University of MosulUniversity, hospital or other
- Study start
- 5 Jun 2024 (actual)
- Primary completion
- 15 Oct 2024 (actual)
- Study completion
- 7 Nov 2024 (actual)
- First posted
- 19 Aug 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.
This study evaluates a 12-week Combined Rehabilitation Program (CRP) designed to reduce musculoskeletal pain and improve physical function among rural women in northern Iraq. The program integrates home-based therapeutic exercises with simple, culturally appropriate games. Sixty-six women from the Hamdaniya district, all with nearly two decades of experience in agricultural labor and chronic musculoskeletal pain in the back, neck, and limbs, participated voluntarily.
The intervention includes two supervised group sessions per week at a local sports field and remote home-based sessions guided via pre-recorded videos shared through WhatsApp. Each session lasts 45 to 60 minutes and incorporates rest periods. The program is designed to strengthen weakened muscles, improve daily function, and promote social engagement among participants.
Rural women engaged in long-term agricultural labor are at increased risk of chronic musculoskeletal pain, particularly in the back, neck, and limbs.
What is already known on this subject:
- Rural women engaged in long-term agricultural labor are at increased risk of chronic musculoskeletal pain, particularly in the back, neck, and limbs.
- Home-based therapeutic exercises are widely used to manage pain and improve physical function.
- Community-based rehabilitation programs can support better health outcomes in underserved populations.
What this study adds:
- Introduces a culturally adapted Combined Rehabilitation Program (CRP) that blends home-based exercises with traditional games in a rural Iraqi context.
- Explores the feasibility of delivering rehabilitation through low-cost mobile technology in resource-limited environments.
- Provides a community-based model for accessible, flexible rehabilitation tailored to the needs of rural women.
Detailed description
This study aims to evaluate the effectiveness of a Combined Rehabilitation Program (CRP) designed to reduce musculoskeletal pain and enhance physical function among rural women in northern Iraq. The CRP integrates home-based therapeutic exercises with culturally relevant physical games and is tailored to the specific needs and social context of the participants.
The study includes 66 women, aged around 46 years, with 18-23 years of experience in agricultural work. All participants reported ongoing muscle and joint pain in the upper and lower limbs, back, and neck, which affects their ability to carry out daily activities. Due to family and work constraints, a flexible intervention was developed that combines in-person and remote elements to ensure accessibility and adherence.
The 12-week program consists of two supervised group sessions per week held at a local field, along with home-based sessions delivered through pre-recorded videos shared via mobile applications. Each session lasts 45-60 minutes and includes walking, stretching, strengthening exercises, and simple games targeting muscle groups commonly affected by physical labor. Rest periods are integrated into each session to promote safety and participation.
Participants are assessed before and after the intervention for muscle strength, flexibility, body composition, and pain levels using standardized tools. The study design emphasizes a community-based and technology-supported approach to rehabilitation, addressing the unique challenges faced by women in rural areas with limited access to conventional services.
Study design
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Design: Quasi-Experimental, One-Group Pretest-Posttest Design
| Arm | Type | Receives |
|---|---|---|
| Combined Rehabilitation Program (CRP) - Single Group | Experimental | Behavioral: Combined ExerciseThis arm received a 12-week Combined Rehabilitation Program (CRP), consisting of both in-person field exercises and remote tele-exercises. The intervention included therapeutic exercises and culturally relevant physical games tailored to improve musculoskeletal function and reduce pain. Exercises were focused on mobility, strength, and flexibility, targeting areas of muscle weakness identified during baseline assessment. |
Who may qualify
- Ages
- 18 to 57 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- Women have experienced Musculoskeletal pain in one or more one of fourth areas of study variables which are : the upper and lower extremities, neck, and lower back.
Key exclusion criteria (1 listed)
- Women who suffer from other functional diseases not related to Musculoskeletal pain.
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 |
|---|---|---|
| Combined ExerciseParticipants engaged in a hybrid exercise program that included: In-field sessions held twice weekly at a local sports facility (45-60 minutes per session, including rest). Remote sessions delivered via pre-recorded videos through WhatsApp, with ongoing monitoring and feedback. Exercises included walking, jogging, full-body stretching, and strength training targeting the trunk, limbs, and weak muscle groups (shoulders, back, knees). The program aimed to reduce joint and muscle pain, improve strength and flexibility, and support daily functional activities. Pre- and post-intervention assessments included muscle strength (via hand dynamometer), flexibility tests, BMI, and self-reported pain using the NRS-11 scale. | Behavioural | Combined Rehabilitation Program (CRP) - Single Group |
Primary outcome
Change in musculoskeletal pain level in the lower back, neck, upper extremities, and lower extremities.
Time frame: Baseline and Week 12
Pain levels will be self-reported using the Numeric Rating Scale (NRS-11), a validated 11-point scale ranging from 0 (no pain) to 10 (worst possible pain). Participants will report pain in four body regions: lower back, neck, upper extremities, and lower extremities. The method of assessment was Numeric Rating Scale (NRS-11), administered in-person and via teleconsultation.
2 secondary outcomes
Change in flexibility.
Time frame: Baseline and Week 12
Change in muscle strength in upper and lower extremities and trunk.
Time frame: Baseline and Week 12
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Aug 2025.
- Background: PubMed 37984995Mesa-Castrillon CI, Simic M, Ferreira ML, Bennell KL, Luscombe GM, Gater K, Beckenkamp PR, Michell A, Bauman A, de Luca K, Bunker S, Clavisi O, Ferreira PH. Effectiveness of an eHealth-Delivered Program to Empower People With Musculoskeletal Pain in Rural Australia: A Randomized Controlled Trial. Arthritis Care Res (Hoboken). 2024 Apr;76(4):570-581. doi: 10.1002/acr.25272. Epub 2024 Jan 29.
- Background: PubMed 33402161Mesa-Castrillon CI, Simic M, Ferreira ML, Hatswell K, Luscombe G, de Gregorio AM, Davis PR, Bauman A, Bunker S, Clavisi O, Knox G, Bennell KL, Ferreira PH. EHealth to empower patients with musculoskeletal pain in rural Australia (EMPoweR) a randomised clinical trial: study protocol. BMC Musculoskelet Disord. 2021 Jan 5;22(1):11. doi: 10.1186/s12891-020-03866-2.
- Background: PubMed 10420662Frattali CM. National Institutes of Health, Warren Grant Magnuson Clinical Center. ASHA. 1999 Jul-Aug;41(4):46-9. No abstract available.
- Background: PubMed 38963186Mesa-Castrillon CI, Beckenkamp PR, Ferreira M, Simic M, Davis PR, Michell A, Pappas E, Luscombe G, Noronha M, Ferreira P. Global prevalence of musculoskeletal pain in rural and urban populations. A systematic review with meta-analysis. Musculoskeletal pain in rural and urban populations. Aust J Rural Health. 2024 Oct;32(5):864-876. doi: 10.1111/ajr.13161. Epub 2024 Jul 4.
- Background: PubMed 26785406Lombard C, Harrison C, Kozica S, Zoungas S, Ranasinha S, Teede H. Preventing Weight Gain in Women in Rural Communities: A Cluster Randomised Controlled Trial. PLoS Med. 2016 Jan 19;13(1):e1001941. doi: 10.1371/journal.pmed.1001941. eCollection 2016 Jan.
- Background: PubMed 36186132Gonzalez-Rocha A, Mendez-Sanchez L, Ortiz-Rodriguez MA, Denova-Gutierrez E. Effect Of Exercise on Muscle Mass, Fat Mass, Bone Mass, Muscular Strength and Physical Performance in Community Dwelling Older Adults: Systematic Review and Meta-Analysis. Aging Dis. 2022 Oct 1;13(5):1421-1435. doi: 10.14336/AD.2022.0215. eCollection 2022 Oct 1.
- Background: PubMed 39805211Allworth I, Luscombe G, Ferreira P, Mesa-Castrillon C. Exploring participant satisfaction with an eHealth intervention for low back pain and knee osteoarthritis: Enhancing physiotherapy access in rural Australia. Musculoskelet Sci Pract. 2025 Apr;76:103252. doi: 10.1016/j.msksp.2024.103252. Epub 2025 Jan 9.
- Background: PubMed 29731662Alghadir AH, Anwer S, Iqbal A, Iqbal ZA. Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. J Pain Res. 2018 Apr 26;11:851-856. doi: 10.2147/JPR.S158847. eCollection 2018.
- Background: PubMed 24968105Bashshur RL, Shannon GW, Smith BR, Alverson DC, Antoniotti N, Barsan WG, Bashshur N, Brown EM, Coye MJ, Doarn CR, Ferguson S, Grigsby J, Krupinski EA, Kvedar JC, Linkous J, Merrell RC, Nesbitt T, Poropatich R, Rheuban KS, Sanders JH, Watson AR, Weinstein RS, Yellowlees P. The empirical foundations of telemedicine interventions for chronic disease management. Telemed J E Health. 2014 Sep;20(9):769-800. doi: 10.1089/tmj.2014.9981. Epub 2014 Jun 26.
- Background: PubMed 32270980Rockwell KL, Gilroy AS. Incorporating telemedicine as part of COVID-19 outbreak response systems. Am J Manag Care. 2020 Apr;26(4):147-148. doi: 10.37765/ajmc.2020.42784.
- Background: PubMed 37818214Akbar KA, Try P, Viwattanakulvanid P, Kallawicha K. Work-Related Musculoskeletal Disorders Among Farmers in the Southeast Asia Region: A Systematic Review. Saf Health Work. 2023 Sep;14(3):243-249. doi: 10.1016/j.shaw.2023.05.001. Epub 2023 May 13.
- Background: PubMed 29482524Alonso Monteiro Bezerra M, Hellwig N, da Rocha Castelar Pinheiro G, Souza Lopes C. Prevalence of chronic musculoskeletal conditions and associated factors in Brazilian adults - National Health Survey. BMC Public Health. 2018 Feb 27;18(1):287. doi: 10.1186/s12889-018-5192-4.
- Individual participant dataSharing planned: Yes. Data availability will be available on request by contact with corresponding author on email : m.a.fathi@uomsul.edu.iq
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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. This study is not recruiting at the moment.
Munib Fathe principal investigator
University of Mosul
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Combined Exercise in people with Chronic Pain and Rural Health, run by University of Mosul at 1 site in Iraq.
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 1 inclusion and 1 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: finished, as of the sponsor's last update on 19 Aug 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 Iraq. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in musculoskeletal pain level in the lower back, neck, upper extremities, and lower extremities. (time frame: Baseline and Week 12). 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 NCT07129356, which also lists 17 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 19 Aug 2025.