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Low Back PainNCT07178548

Understanding How Physiotherapists in Türkiye Follow Low Back Pain Guidelines and What Affects Their Use of Research in Practice

An observational study of Low Back Pain and Guideline Adherence, run by Medipol University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this observational study is to understand how physiotherapists and physiotherapy students in Türkiye manage low back pain and how closely they follow clinical practice guidelines and use research evidence. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
Online Survey
How many people
106 participants
Where
1 siteTurkey (Türkiye)
Study dates
25 Sep 2025to 10 Dec 2025
Phase
Observational
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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Participants will be recruited from hospitals, rehabilitation centers, private clinics, and university physiotherapy programs across Türkiye. The population includes licensed physiotherapists and final-year physiotherapy students involved in low back pain rehabilitation.

Who may be able to join

  • Be a licensed physiotherapist currently practicing in Türkiye OR be a physiotherapy intern student enrolled in a clinical internship in Türkiye
  • Have experience managing patients with low back pain (LBP)
  • Ability to provide informed consent and complete an online questionnaire.

Who cannot join

  • Are not currently practicing physiotherapy or not currently enrolled in a clinical internship
  • Have no experience in managing low back pain patients
  • Are unable to complete an online questionnaire due to technological or literacy limitations
  • Decline to provide informed consen

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site

  • Istanbul Medipol University

    Beykoz, Istanbul, 34810

Other trials in Turkey (Türkiye)

About this study

Official title: Assessing Compliance With Low Back Pain Treatment Guidelines: Attitudes of Physiotherapists and Internship Students

The goal of this observational study is to understand how physiotherapists and physiotherapy students in Türkiye manage low back pain and how closely they follow clinical practice guidelines and use research evidence.

The main questions it aims to answer are:

  • Do physiotherapists follow evidence-based guidelines when treating low back pain?
  • What factors influence their treatment choices and use of research in practice?

Participants will:

  • Complete a short online survey (about 5-10 minutes)
  • Answer questions about their education, clinical decisions, and treatment approaches for low back pain
Being tested
Online Survey
Keywords
Low back pain, LBP, Physiotherapy, Physical therapy, Evidence-Based Practice, Türkiye, Physiotherapy Interns, Survey Study, Guideline Adherence
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.

  • Online SurveyOther

    Participants will complete a structured online survey designed to assess their knowledge, attitudes, and application of evidence-based guidelines (clinical practice guidelines - CPGs) in managing low back pain (LBP).

Study groups in NCT07178548
Study groupRoleWhat they receive
Licenced PhysiotherapistsThis group includes licenced physical therapists currently practicing in Turkey in various settings, such as hospitals, private clinics rehabilitation centers or universities.
Receives: Other: Online Survey
Intern PhysiotherapistsThis group includes physiotherapy students in their clinical internship period from accredited universities in Turkey.
Receives: Other: Online Survey

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Level of Adherence to Clinical Practice Guidelines (CPGs) for Low Back Pain (LBP) Rehabilitation

    Assessment of the level of adherence to evidence-based LBP rehabilitation guidelines among licensed physical therapists and 4th-year internship students. This is measured by responses to a structured questionnaire evaluating compliance with specific clinical practice recommendations.

    Measured: At the time of survey completion (Baseline)

  2. Comparison of Guideline Adherence Between Licensed Physical Therapists and Internship Students

    Analysis of differences in adherence scores between licensed physical therapists and internship students to identify any significant variation in the implementation of guideline practices.

    Measured: At the time of survey completion (baseline)

Secondary outcomes (1)

  1. Perceived Barriers to Implementing Evidence-Based Practice (EBP)

    Evaluation of the challenges and barriers reported by physical therapists and internship students in applying evidence-based low back pain rehabilitation guidelines and advanced techniques, as gathered through the survey.

    Measured: At the time of survey completion (Baseline)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Sep 2025
  2. Study start25 Sep 2025
  3. Primary completion10 Nov 2025
  4. Study completion10 Dec 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Cross-sectional
Enrolment
106 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07178548
Sponsor's protocol ID
E-10840098-202.3.02-3367
Status last verified
Sep 2025
First submitted
29 Jun 2025
Last updated
30 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Schuster S, Loncaric Kelecic I, Bilic M, Begic M, Pate JW. Conceptualization of pain in Croatian adults: a cross-sectional and psychometric study. Croat Med J. 2024 Dec 30;65(6):473-482. doi: 10.3325/cmj.2024.65.472.

    PubMed 39812096

  • Aytar, A., Çağlar, A., Tekindal, M. A., Ümit Yemişçi, O., et al. (2023). EFFECTIVENESS OF DIFFERENT PHYSICAL THERAPY EXERCISE TECHNIQUES IN CHRONIC LOW BACK PAIN: A RANDOMIZED CONTROLLED STUDY. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 34(1), 141-147. https://doi.org/10.21653/tjpr.1034741

  • Anar SO. The effectiveness of home-based exercise programs for low back pain patients. J Phys Ther Sci. 2016 Oct;28(10):2727-2730. doi: 10.1589/jpts.28.2727. Epub 2016 Oct 28.

    PubMed 27821923

  • Scott NA, Moga C, Harstall C. Managing low back pain in the primary care setting: the know-do gap. Pain Res Manag. 2010 Nov-Dec;15(6):392-400. doi: 10.1155/2010/252695.

    PubMed 21165374

  • Rutten GM, Degen S, Hendriks EJ, Braspenning JC, Harting J, Oostendorp RA. Adherence to clinical practice guidelines for low back pain in physical therapy: do patients benefit? Phys Ther. 2010 Aug;90(8):1111-22. doi: 10.2522/ptj.20090173. Epub 2010 May 20.

    PubMed 20488978

  • Custers P, Van de Kelft E, Eeckhaut B, Sabbe W, Hofman A, Debuysscher A, Van Acker G, Maes G. Clinical Examination, Diagnosis, and Conservative Treatment of Chronic Low Back Pain: A Narrative Review. Life (Basel). 2024 Aug 29;14(9):1090. doi: 10.3390/life14091090.

    PubMed 39337874

  • Qaseem A, Wilt TJ, McLean RM, Forciea MA; Clinical Guidelines Committee of the American College of Physicians; Denberg TD, Barry MJ, Boyd C, Chow RD, Fitterman N, Harris RP, Humphrey LL, Vijan S. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2017 Apr 4;166(7):514-530. doi: 10.7326/M16-2367. Epub 2017 Feb 14.

    PubMed 28192789

  • Guzman J, Esmail R, Karjalainen K, Malmivaara A, Irvin E, Bombardier C. Multidisciplinary rehabilitation for chronic low back pain: systematic review. BMJ. 2001 Jun 23;322(7301):1511-6. doi: 10.1136/bmj.322.7301.1511.

    PubMed 11420271

  • Kamper SJ, Apeldoorn AT, Chiarotto A, Smeets RJ, Ostelo RW, Guzman J, van Tulder MW. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain. Cochrane Database Syst Rev. 2014 Sep 2;2014(9):CD000963. doi: 10.1002/14651858.CD000963.pub3.

    PubMed 25180773

  • Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017 Feb 18;389(10070):736-747. doi: 10.1016/S0140-6736(16)30970-9. Epub 2016 Oct 11.

    PubMed 27745712

  • Pincus T, Kent P, Bronfort G, Loisel P, Pransky G, Hartvigsen J. Twenty-five years with the biopsychosocial model of low back pain-is it time to celebrate? A report from the twelfth international forum for primary care research on low back pain. Spine (Phila Pa 1976). 2013 Nov 15;38(24):2118-23. doi: 10.1097/BRS.0b013e3182a8c5d6.

    PubMed 23970112

  • Shiri R, Karppinen J, Leino-Arjas P, Solovieva S, Viikari-Juntura E. The association between smoking and low back pain: a meta-analysis. Am J Med. 2010 Jan;123(1):87.e7-35. doi: 10.1016/j.amjmed.2009.05.028.

    PubMed 20102998

  • Karahan A, Kav S, Abbasoglu A, Dogan N. Low back pain: prevalence and associated risk factors among hospital staff. J Adv Nurs. 2009 Mar;65(3):516-24. doi: 10.1111/j.1365-2648.2008.04905.x.

    PubMed 19222649

  • Celik S, Celik K, Dirimese E, Tasdemir N, Arik T, Buyukkara I. Determination of pain in musculoskeletal system reported by office workers and the pain risk factors. Int J Occup Med Environ Health. 2018 Jan 1;31(1):91-111. doi: 10.13075/ijomeh.1896.00901. Epub 2017 Oct 2.

    PubMed 28972599

  • Capkin E, Karkucak M, Cakirbay H, Topbas M, Karaca A, Kose MM, Gokmen F. The prevalence and risk factors of low back pain in the eastern Black Sea region of Turkey. J Back Musculoskelet Rehabil. 2015;28(4):783-7. doi: 10.3233/BMR-150584.

    PubMed 25736952

Questions about this trial

What is this clinical trial studying?

An observational study of Low Back Pain and Guideline Adherence, run by Medipol University at 1 site in Turkey (Türkiye).

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 3 inclusion and 4 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 30 Apr 2026. 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 Turkey (Türkiye). 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?

Level of Adherence to Clinical Practice Guidelines (CPGs) for Low Back Pain (LBP) Rehabilitation (time frame: At the time of survey completion (Baseline)). The study lists 2 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 NCT07178548, which also lists 20 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 30 Apr 2026.

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