Lumbar Disc HerniationNCT07501910
Telerehabilitation Program in Lumbar Disc Herniation
A study testing Web-Based Telerehabilitation Exercise Program and Brochure-Based Home Exercise Program in people with Lumbar Disc Herniation, run by Necmettin Erbakan University at 1 site in Turkey (Türkiye).
Trial summary
The aim of this study was to develop an asynchronous, web-based telerehabilitation exercise and monitoring program and to compare its effectiveness with a traditional brochure-based home exercise program in patients with lumbar disc herniation. Read more about this study
- Who is it for?
- Ages 18 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Lumbar Disc Herniation
- What is being tested?
- Web-Based Telerehabilitation Exercise Program and Brochure-Based Home Exercise Program
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 46 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 May 2024to 1 Sep 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 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Aged between 18 and 65 years
- Diagnosed with lumbar disc herniation by a specialist physician
- Presence of bulging or protrusion stage lumbar disc herniation
- Willing to participate and provide informed consent
- Having basic smartphone or computer skills and access to the internet (for the telerehabilitation group
Who cannot join
- History of spinal surgery
- Presence of extruded or sequestered lumbar disc herniation
- Visual or hearing impairment that may affect participation
- Presence of spinal tumors
- Communication or cognitive problems preventing participation
- Inability to understand Turkish
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Necmettin Erbakan University
Konya, Meram, 42090
About this study
Official title: Development of a Telerehabilitation-Based Exercise and Monitoring Program and Its Effectiveness Compared With a Brochure-Based Home Exercise Program in Patients With Lumbar Disc Herniation: A Randomized Controlled Trial
The aim of this study was to develop an asynchronous, web-based telerehabilitation exercise and monitoring program and to compare its effectiveness with a traditional brochure-based home exercise program in patients with lumbar disc herniation. The study was designed as a randomized controlled trial including 46 participants who were allocated into two groups: a telerehabilitation group and a brochure-based exercise group.
Both groups participated in a structured 4-week home exercise program. The telerehabilitation group received exercise guidance and follow-up through a web-based digital platform, which enabled remote monitoring of exercise adherence and patient-reported outcomes. The brochure group performed the same exercises using printed instructional materials.
Participants were evaluated before and after the intervention using standardized and validated assessment tools, including the Visual Analog Scale (VAS) for pain, the Oswestry Disability Index (ODI) for functional disability, the SF-12 for quality of life, and tests for static and dynamic lumbar muscle strength and endurance.
Read the detailed description
his study is a randomized controlled clinical trial designed to compare two different delivery methods of a home-based exercise program in patients diagnosed with lumbar disc herniation. The primary focus of the study is to evaluate the effectiveness of a web-based telerehabilitation exercise and monitoring program compared with a traditional brochure-based home exercise program.
A total of 46 eligible participants are randomly assigned into two groups: a telerehabilitation group and a brochure-based exercise group. Both groups follow the same structured home exercise program for a duration of four weeks, consisting of standardized exercises performed three times per week.
Participants in the telerehabilitation group access exercise instructions through a web-based digital platform that includes video demonstrations, written guidance, and remote monitoring features. The platform allows participants to record their exercise sessions and enables physiotherapists to monitor adherence and provide feedback when necessary. The intervention is delivered asynchronously, without real-time interaction.
Participants in the brochure group receive printed materials containing the same exercises, including visual and written instructions. Initial instruction is provided face-to-face, after which participants continue the exercise program independently at home.
Outcome assessments are conducted before and after the intervention by a physiotherapist who is blinded to group allocation. Evaluations include pain intensity, functional disability, quality of life, and lumbar muscle strength and endurance, using standardized and validated measurement tools.
- Conditions
- Lumbar Disc Herniation
- Being tested
- Web-Based Telerehabilitation Exercise Program, Brochure-Based Home Exercise Program
- Keywords
- Digital Health, Digital Rehabilitation, Exercise Adherence, Lumbar Disc Herniation, Patient Monitoring Systems
- Medical subject headings
- Intervertebral Disc Displacement
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Web-Based Telerehabilitation Exercise ProgramOther
Participants performed a structured home exercise program delivered through a web-based telerehabilitation platform. The program included video-guided exercises, written instructions, and asynchronous remote monitoring. Participants recorded their exercise sessions, and physiotherapists monitored adherence and provided feedback through the digital system. The intervention was conducted for 4 weeks, 3 days per week, with 3 sets of 10 repetitions for each exercise.
Brochure-Based Home Exercise ProgramOther
Participants performed the same structured home exercise program using printed brochures that included visual and written instructions. Exercises were initially demonstrated face-to-face, and participants continued independently at home without remote monitoring. The program was applied for 4 weeks, 3 days per week, with 3 sets of 10 repetitions for each exercise.
| Study group | Role | What they receive |
|---|---|---|
| Telerehabilitation Group | Experimental | Participants received a web-based telerehabilitation exercise and monitoring program including video-guided exercises, remote monitoring of adherence, and asynchronous follow-up via a digital platform. Receives: Other: Web-Based Telerehabilitation Exercise Program |
| Brochure Group | Active comparator | Participants received a brochure-based home exercise program including printed instructions and visual materials, with initial face-to-face instruction and no remote monitoring. Receives: Other: Brochure-Based Home Exercise Program |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pain intensity assessed by Visual Analog Scale (VAS)
Pain intensity assessed by the Visual Analog Scale (VAS)
Pain intensity measured using the Visual Analog Scale (VAS), a 10-cm scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores represent greater pain severity. The assessment includes overall pain, pain at rest, pain during activity, and night pain.
[Time Frame: Baseline and after 4 weeks]Pain intensity measured using the Visual Analog Scale (VAS), a 10-cm scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores represent greater pain severity. The assessment includes overall pain, pain at rest, pain during activity, and night pain.
Measured: Baseline and after 4 weeks
Functional disability (ODI)
Functional disability assessed by the Oswestry Disability Index (ODI)
Functional disability measured using the Oswestry Disability Index (ODI), a questionnaire consisting of 10 items scored from 0 to 5, with a total score ranging from 0 to 50. Higher scores indicate greater disability.
Measured: Baseline and after 4 weeks
Quality of life (SF-12)
Quality of life assessed by the 12-Item Short Form Health Survey (SF-12)
Quality of life measured using the 12-Item Short Form Health Survey (SF-12), which generates physical (PCS) and mental (MCS) component summary scores ranging from 0 to 100. Higher scores indicate better health-related quality of life.
Measured: Baseline and after 4 weeks
Static trunk muscle endurance
Static trunk muscle endurance assessed using Diener's trunk muscle test
Static trunk muscle endurance measured using Diener's (1992) trunk muscle test, expressed as the duration (seconds) the participant maintains the trunk flexion position until the inferior angle of the scapula lifts off the surface. The maximum score is 30 seconds. Higher values indicate greater trunk muscle endurance.
Measured: Baseline and after 4 weeks
Dynamic trunk muscle endurance
Dynamic trunk muscle endurance assessed using Diener's trunk muscle test
Dynamic trunk muscle endurance measured using Diener's (1992) trunk muscle test, expressed as the number of complete trunk flexion repetitions performed within 30 seconds. Higher values indicate greater trunk muscle endurance.
Measured: Baseline and after 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Mar 2026
- Study start1 May 2024
- Primary completion1 Jun 2024
- Study completion1 Sep 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Lumbar Disc HerniationStudies 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
- Model description
- This study is a two-arm, parallel-group randomized controlled trial comparing a web-based telerehabilitation exercise and monitoring program with a brochure-based home exercise program in patients with lumbar disc herniation. Participants are randomly allocated to one of the two groups and follow a standardized 4-week home exercise protocol. Outcome assessments are conducted before and after the intervention by a blinded assessor.
- Masking
- Double blind
- Who is masked
- Care provider, Outcomes assessor
- Enrolment
- 46 participants (actual)
Sponsor and investigators
- Lead sponsor
- Necmettin Erbakan University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Neslihan Altuntas Yilmaz, Necmettin Erbakan University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07501910
- Sponsor's protocol ID
- NEU-PT2025-05
- Other IDs
- 24YL30002, 24YL30002
- Status last verified
- Mar 2026
- First submitted
- 19 Mar 2026
- Last updated
- 30 Mar 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data will not be publicly shared due to privacy and confidentiality concerns. The data contain potentially identifiable information and are protected under ethical and institutional regulations. However, de-identified data may be made available from the corresponding author upon reasonable request.
Study at a glance
From the registry record, last updated by the sponsor on 30 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Development of a Telerehabilitation-Based Exercise and Monitoring Program and Its Effectiveness Compared With a Brochure-Based Home Exercise Program in Patients With Lumbar Disc Herniation: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07501910
- Acronym / sponsor ID
- NEU-PT2025-05
- Conditions
- Lumbar Disc Herniation
- Keywords
- Digital Health, Digital Rehabilitation, Exercise Adherence, Lumbar Disc Herniation, Patient Monitoring Systems
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 46 participants (actual)
- Lead sponsor
- Necmettin Erbakan UniversityUniversity, hospital or other
- Study start
- 1 May 2024 (actual)
- Primary completion
- 1 Jun 2024 (actual)
- Study completion
- 1 Sep 2024 (actual)
- First posted
- 30 Mar 2026 (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 aim of this study was to develop an asynchronous, web-based telerehabilitation exercise and monitoring program and to compare its effectiveness with a traditional brochure-based home exercise program in patients with lumbar disc herniation. The study was designed as a randomized controlled trial including 46 participants who were allocated into two groups: a telerehabilitation group and a brochure-based exercise group.
Both groups participated in a structured 4-week home exercise program. The telerehabilitation group received exercise guidance and follow-up through a web-based digital platform, which enabled remote monitoring of exercise adherence and patient-reported outcomes. The brochure group performed the same exercises using printed instructional materials.
Participants were evaluated before and after the intervention using standardized and validated assessment tools, including the Visual Analog Scale (VAS) for pain, the Oswestry Disability Index (ODI) for functional disability, the SF-12 for quality of life, and tests for static and dynamic lumbar muscle strength and endurance.
Detailed description
his study is a randomized controlled clinical trial designed to compare two different delivery methods of a home-based exercise program in patients diagnosed with lumbar disc herniation. The primary focus of the study is to evaluate the effectiveness of a web-based telerehabilitation exercise and monitoring program compared with a traditional brochure-based home exercise program.
A total of 46 eligible participants are randomly assigned into two groups: a telerehabilitation group and a brochure-based exercise group. Both groups follow the same structured home exercise program for a duration of four weeks, consisting of standardized exercises performed three times per week.
Participants in the telerehabilitation group access exercise instructions through a web-based digital platform that includes video demonstrations, written guidance, and remote monitoring features. The platform allows participants to record their exercise sessions and enables physiotherapists to monitor adherence and provide feedback when necessary. The intervention is delivered asynchronously, without real-time interaction.
Participants in the brochure group receive printed materials containing the same exercises, including visual and written instructions. Initial instruction is provided face-to-face, after which participants continue the exercise program independently at home.
Outcome assessments are conducted before and after the intervention by a physiotherapist who is blinded to group allocation. Evaluations include pain intensity, functional disability, quality of life, and lumbar muscle strength and endurance, using standardized and validated measurement tools.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (care provider, outcomes assessor)
- Number of arms
- 2
- Model description
- This study is a two-arm, parallel-group randomized controlled trial comparing a web-based telerehabilitation exercise and monitoring program with a brochure-based home exercise program in patients with lumbar disc herniation. Participants are randomly allocated to one of the two groups and follow a standardized 4-week home exercise protocol. Outcome assessments are conducted before and after the intervention by a blinded assessor.
| Arm | Type | Receives |
|---|---|---|
| Telerehabilitation Group | Experimental | Other: Web-Based Telerehabilitation Exercise ProgramParticipants received a web-based telerehabilitation exercise and monitoring program including video-guided exercises, remote monitoring of adherence, and asynchronous follow-up via a digital platform. |
| Brochure Group | Active comparator | Other: Brochure-Based Home Exercise ProgramParticipants received a brochure-based home exercise program including printed instructions and visual materials, with initial face-to-face instruction and no remote monitoring. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Aged between 18 and 65 years
- Diagnosed with lumbar disc herniation by a specialist physician
- Presence of bulging or protrusion stage lumbar disc herniation
- Willing to participate and provide informed consent
- Having basic smartphone or computer skills and access to the internet (for the telerehabilitation group
Key exclusion criteria (6 listed)
- History of spinal surgery
- Presence of extruded or sequestered lumbar disc herniation
- Visual or hearing impairment that may affect participation
- Presence of spinal tumors
- Communication or cognitive problems preventing participation
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 |
|---|---|---|
| Web-Based Telerehabilitation Exercise ProgramParticipants performed a structured home exercise program delivered through a web-based telerehabilitation platform. The program included video-guided exercises, written instructions, and asynchronous remote monitoring. Participants recorded their exercise sessions, and physiotherapists monitored adherence and provided feedback through the digital system. The intervention was conducted for 4 weeks, 3 days per week, with 3 sets of 10 repetitions for each exercise. | Other | Telerehabilitation Group |
| Brochure-Based Home Exercise ProgramParticipants performed the same structured home exercise program using printed brochures that included visual and written instructions. Exercises were initially demonstrated face-to-face, and participants continued independently at home without remote monitoring. The program was applied for 4 weeks, 3 days per week, with 3 sets of 10 repetitions for each exercise. | Other | Brochure Group |
Primary outcome
Pain intensity assessed by Visual Analog Scale (VAS)
Time frame: Baseline and after 4 weeks
Pain intensity assessed by the Visual Analog Scale (VAS) Pain intensity measured using the Visual Analog Scale (VAS), a 10-cm scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores represent greater pain severity. The assessment includes overall pain, pain at rest, pain during activity, and night pain. [Time Frame: Baseline and after 4 weeks]Pain intensity measured using the Visual Analog Scale (VAS), a 10-cm scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores represent greater pain severity. The assessment includes overall pain, pain at rest, pain during activity, and night pain.
Functional disability (ODI)
Time frame: Baseline and after 4 weeks
Functional disability assessed by the Oswestry Disability Index (ODI) Functional disability measured using the Oswestry Disability Index (ODI), a questionnaire consisting of 10 items scored from 0 to 5, with a total score ranging from 0 to 50. Higher scores indicate greater disability.
Quality of life (SF-12)
Time frame: Baseline and after 4 weeks
Quality of life assessed by the 12-Item Short Form Health Survey (SF-12) Quality of life measured using the 12-Item Short Form Health Survey (SF-12), which generates physical (PCS) and mental (MCS) component summary scores ranging from 0 to 100. Higher scores indicate better health-related quality of life.
Static trunk muscle endurance
Time frame: Baseline and after 4 weeks
Static trunk muscle endurance assessed using Diener's trunk muscle test Static trunk muscle endurance measured using Diener's (1992) trunk muscle test, expressed as the duration (seconds) the participant maintains the trunk flexion position until the inferior angle of the scapula lifts off the surface. The maximum score is 30 seconds. Higher values indicate greater trunk muscle endurance.
Dynamic trunk muscle endurance
Time frame: Baseline and after 4 weeks
Dynamic trunk muscle endurance assessed using Diener's trunk muscle test Dynamic trunk muscle endurance measured using Diener's (1992) trunk muscle test, expressed as the number of complete trunk flexion repetitions performed within 30 seconds. Higher values indicate greater trunk muscle endurance.
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 30 Mar 2026.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: No. Individual participant data will not be publicly shared due to privacy and confidentiality concerns. The data contain potentially identifiable information and are protected under ethical and institutional regulations. However, de-identified data may be made available from the corresponding author upon reasonable request.
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Web-Based Telerehabilitation Exercise Program and Brochure-Based Home Exercise Program in people with Lumbar Disc Herniation, run by Necmettin Erbakan 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 5 inclusion and 6 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 Mar 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?
Pain intensity assessed by Visual Analog Scale (VAS) (time frame: Baseline and after 4 weeks). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 Mar 2026; AzTrials last refreshed its copy on 27 Oct 2026.