Chronic Non-Specific Low Back PainNCT07700589
Comparison of Traditional, Synchronous, and Asynchronous Telerehabilitation in Office Workers With Chronic Nonspecific Low Back Pain
A study testing Face-to-Face Clinic-Based Exercise, Synchronous Telerehabilitation Exercise and Asynchronous Telerehabilitation Exercise in people with Chronic Non-Specific Low Back Pain and Low Back Pain, run by Istanbul Aydın University at 1 site in Turkey (Türkiye).
Trial summary
Chronic Nonspecific Low Back Pain (NLBP) is a common condition that occurs without a specific underlying pathology, resulting in muscle tension, pain, and a decreased quality of life. Office workers are particularly at risk due to prolonged sitting, ergonomic errors, and low physical activity. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Chronic Non-Specific Low Back Pain, Low Back Pain
- What is being tested?
- Face-to-Face Clinic-Based Exercise, Synchronous Telerehabilitation Exercise and Asynchronous Telerehabilitation Exercise
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 45 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Aug 2026to 31 Dec 2026
- 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 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Being an office worker aged between 18 and 65 years.
- Diagnosed with chronic non-specific low back pain (symptoms persisting for more than 3 months).
- Volunteering to participate in the study and signing the informed consent form.
- Having a computer, smartphone, or tablet with a stable internet connection capable of supporting video calls.
Who cannot join
- - History of spinal surgery, structural spinal deformities (e.g., severe scoliosis), or specific causes of low back pain (e.g., disc herniation with severe radiculopathy, spinal stenosis, spondylolisthesis).
- Diagnosis of systemic, rheumatological, neurological, or inflammatory diseases affecting the musculoskeletal system.
- Serious cardiovascular or pulmonary conditions that contraindicate physical exercise.
- Currently receiving active physical therapy or regular medical intervention for low back pain elsewhere.
- Pregnancy.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Turkey (Türkiye)1 site
Istanbul Aydin University, Faculty of Health Sciences
Istanbul, 34295
Özge Mine YILMAZ, Ass Prof, +90 5075091175, ozgemineyilmaz@aydin.edu.tr
Özge Mine YILMAZ, Ass Prof
About this study
Official title: Comparison of the Effectiveness of Traditional, Synchronous, and Asynchronous Telerehabilitation Approaches in Chronic Nonspecific Low Back Pain in Office Workers
Chronic Nonspecific Low Back Pain (NLBP) is a common condition that occurs without a specific underlying pathology, resulting in muscle tension, pain, and a decreased quality of life. Office workers are particularly at risk due to prolonged sitting, ergonomic errors, and low physical activity. While exercise therapy is a primary approach for management, low adherence rates often limit its effectiveness. Telerehabilitation (remote, technology-supported physiotherapy) stands out for its potential to increase access and support continuity of care.
This study is a randomized controlled trial that will be conducted with 45 office workers aged 18-65 diagnosed with chronic NLBP. Participants will be randomly assigned to three parallel groups: traditional exercise (brochure-based), synchronous telerehabilitation (live sessions), and asynchronous telerehabilitation (pre-recorded videos). The intervention protocol will be implemented for 8 weeks. Evaluations will be performed before and after the 8-week period using the Visual Analog Scale (VAS) for pain intensity, Oswestry Disability Index (ODI) for functional disability, Short Form-36 (SF-36) for health-related quality of life, and a Patient Satisfaction Questionnaire.
The aim of this study is to compare the effects of traditional, synchronous, and asynchronous telerehabilitation approaches on pain, disability, quality of life, and satisfaction to determine the most effective management model for office workers with chronic nonspecific low back pain.
- Conditions
- Chronic Non-Specific Low Back Pain, Low Back Pain
- Being tested
- Face-to-Face Clinic-Based Exercise, Synchronous Telerehabilitation Exercise, Asynchronous Telerehabilitation Exercise
- Keywords
- Low Back Pain, Telerehabilitation, Exercise Therapy
- 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.
Face-to-Face Clinic-Based ExerciseBehavioural
The exercise protocol consists of stretching, core stabilization, and motor control exercises for low back pain. Frequency: Performed 3 days a week for 8 weeks, consisting of 2 sets of 10 repetitions (approximately 45-60 minutes per session). It will be delivered face-to-face by a physiotherapist in a clinical environment at Istanbul Aydin University.
Synchronous Telerehabilitation ExerciseBehavioural
The exercise protocol consists of stretching, core stabilization, and motor control exercises for low back pain. Frequency: Performed 3 days a week for 8 weeks, consisting of 2 sets of 10 repetitions (approximately 45-60 minutes per session). It will be delivered via live, real-time online video sessions supervised by a physiotherapist.
Asynchronous Telerehabilitation ExerciseBehavioural
The exercise protocol consists of stretching, core stabilization, and motor control exercises for low back pain. Frequency: Performed 3 days a week for 8 weeks, consisting of 2 sets of 10 repetitions (approximately 45-60 minutes per session). Participants will be provided with pre-recorded instructional exercise videos and follow the exercises individually at their own convenience.
| Study group | Role | What they receive |
|---|---|---|
| Traditional Exercise Group | Active comparator | Participants will receive a standard physiotherapy program including stretching, core stabilization, and motor control exercises for low back pain, delivered face-to-face by a physiotherapist in a clinical environment at Istanbul Aydın University Receives: Behavioral: Face-to-Face Clinic-Based Exercise |
| Synchronous Telerehabilitation Group | Experimental | Participants will participate in the same exercise program (stretching, core stabilization, and motor control exercises) via live, real-time online video sessions supervised by a physiotherapist. Receives: Behavioral: Synchronous Telerehabilitation Exercise |
| Asynchronous Telerehabilitation Group | Experimental | Participants will be provided with pre-recorded instructional exercise videos containing the same program. They will follow and perform the exercises individually at their own convenience. Receives: Behavioral: Asynchronous Telerehabilitation Exercise |
What is being measured
The primary outcome is the main question the study is designed to answer.
Functional Disability Level
Evaluated using the Oswestry Disability Index (ODI) to measure functional disability related to low back pain. The questionnaire consists of 10 items, and the total score is expressed as a percentage ranging from 0% to 100%. A score of 0% indicates no disability, while 100% represents the highest possible level of functional disability. Higher percentages mean a worse functional outcome.
Measured: Baseline and Post-intervention (Week 8)
Secondary outcomes (3)
Health-Related Quality of Life
Evaluated using the Short Form-36 (SF-36) questionnaire, which measures 8 health domains. Scores range from 0 to 100 for each domain, where higher scores represent a better health-related quality of life.
Measured: Baseline and Post-intervention (Week 8)
Pain Intensity Assessed via Visual Analog Scale (VAS)
Measured using the Visual Analog Scale (VAS) for low back pain, where participants rate their pain on a 10-centimeter horizontal line. Scores range from 0 to 10, where 0 indicates no pain and 10 indicates the most severe imaginable pain. Higher scores represent worse pain outcomes.
Measured: Baseline and Post-intervention (Week 8)
Patient Satisfaction
Measured using the Physiotherapy and Rehabilitation Patient Satisfaction Questionnaire. Total scores range from 0 to 100 (converted from the multi-item scale), where 0 indicates total dissatisfaction and 100 indicates the highest level of satisfaction. Higher scores mean a better outcome.
Measured: Post-intervention (Week 8)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Jul 2026
- Study start1 Aug 2026 (estimated)
- Primary completion30 Nov 2026 (estimated)
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Non-Specific 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
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 45 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Istanbul Aydın University
- Sponsor type
- University, hospital or other
- Collaborators
- The Scientific and Technological Research Council of Turkey
- Responsible party
- Principal investigator, Özge Mine Yilmaz, Istanbul Aydın University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07700589
- Sponsor's protocol ID
- TUBITAK-1919B012522773
- Status last verified
- Jul 2026
- First submitted
- 6 Jul 2026
- Last updated
- 14 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of the Effectiveness of Traditional, Synchronous, and Asynchronous Telerehabilitation Approaches in Chronic Nonspecific Low Back Pain in Office Workers
- ClinicalTrials.gov ID
- NCT07700589
- Acronym / sponsor ID
- TUBITAK-1919B012522773
- Conditions
- Chronic Non-Specific Low Back Pain, Low Back Pain
- Keywords
- Low Back Pain, Telerehabilitation, Exercise Therapy
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 45 participants (estimated)
- Lead sponsor
- Istanbul Aydın UniversityUniversity, hospital or other
- Collaborators
- The Scientific and Technological Research Council of Turkey
- Study start
- 1 Aug 2026 (estimated)
- Primary completion
- 30 Nov 2026 (estimated)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 14 Jul 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.
Chronic Nonspecific Low Back Pain (NLBP) is a common condition that occurs without a specific underlying pathology, resulting in muscle tension, pain, and a decreased quality of life. Office workers are particularly at risk due to prolonged sitting, ergonomic errors, and low physical activity. While exercise therapy is a primary approach for management, low adherence rates often limit its effectiveness. Telerehabilitation (remote, technology-supported physiotherapy) stands out for its potential to increase access and support continuity of care.
This study is a randomized controlled trial that will be conducted with 45 office workers aged 18-65 diagnosed with chronic NLBP. Participants will be randomly assigned to three parallel groups: traditional exercise (brochure-based), synchronous telerehabilitation (live sessions), and asynchronous telerehabilitation (pre-recorded videos). The intervention protocol will be implemented for 8 weeks. Evaluations will be performed before and after the 8-week period using the Visual Analog Scale (VAS) for pain intensity, Oswestry Disability Index (ODI) for functional disability, Short Form-36 (SF-36) for health-related quality of life, and a Patient Satisfaction Questionnaire.
The aim of this study is to compare the effects of traditional, synchronous, and asynchronous telerehabilitation approaches on pain, disability, quality of life, and satisfaction to determine the most effective management model for office workers with chronic nonspecific low back pain.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Traditional Exercise Group | Active comparator | Behavioral: Face-to-Face Clinic-Based ExerciseParticipants will receive a standard physiotherapy program including stretching, core stabilization, and motor control exercises for low back pain, delivered face-to-face by a physiotherapist in a clinical environment at Istanbul Aydın University |
| Synchronous Telerehabilitation Group | Experimental | Behavioral: Synchronous Telerehabilitation ExerciseParticipants will participate in the same exercise program (stretching, core stabilization, and motor control exercises) via live, real-time online video sessions supervised by a physiotherapist. |
| Asynchronous Telerehabilitation Group | Experimental | Behavioral: Asynchronous Telerehabilitation ExerciseParticipants will be provided with pre-recorded instructional exercise videos containing the same program. They will follow and perform the exercises individually at their own convenience. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Being an office worker aged between 18 and 65 years.
- Diagnosed with chronic non-specific low back pain (symptoms persisting for more than 3 months).
- Volunteering to participate in the study and signing the informed consent form.
- Having a computer, smartphone, or tablet with a stable internet connection capable of supporting video calls.
Key exclusion criteria (5 listed)
- - History of spinal surgery, structural spinal deformities (e.g., severe scoliosis), or specific causes of low back pain (e.g., disc herniation with severe radiculopathy, spinal stenosis, spondylolisthesis).
- Diagnosis of systemic, rheumatological, neurological, or inflammatory diseases affecting the musculoskeletal system.
- Serious cardiovascular or pulmonary conditions that contraindicate physical exercise.
- Currently receiving active physical therapy or regular medical intervention for low back pain elsewhere.
- Pregnancy.
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 |
|---|---|---|
| Face-to-Face Clinic-Based ExerciseThe exercise protocol consists of stretching, core stabilization, and motor control exercises for low back pain. Frequency: Performed 3 days a week for 8 weeks, consisting of 2 sets of 10 repetitions (approximately 45-60 minutes per session). It will be delivered face-to-face by a physiotherapist in a clinical environment at Istanbul Aydin University. | Behavioural | Traditional Exercise Group |
| Synchronous Telerehabilitation ExerciseThe exercise protocol consists of stretching, core stabilization, and motor control exercises for low back pain. Frequency: Performed 3 days a week for 8 weeks, consisting of 2 sets of 10 repetitions (approximately 45-60 minutes per session). It will be delivered via live, real-time online video sessions supervised by a physiotherapist. | Behavioural | Synchronous Telerehabilitation Group |
| Asynchronous Telerehabilitation ExerciseThe exercise protocol consists of stretching, core stabilization, and motor control exercises for low back pain. Frequency: Performed 3 days a week for 8 weeks, consisting of 2 sets of 10 repetitions (approximately 45-60 minutes per session). Participants will be provided with pre-recorded instructional exercise videos and follow the exercises individually at their own convenience. | Behavioural | Asynchronous Telerehabilitation Group |
Primary outcome
Functional Disability Level
Time frame: Baseline and Post-intervention (Week 8)
Evaluated using the Oswestry Disability Index (ODI) to measure functional disability related to low back pain. The questionnaire consists of 10 items, and the total score is expressed as a percentage ranging from 0% to 100%. A score of 0% indicates no disability, while 100% represents the highest possible level of functional disability. Higher percentages mean a worse functional outcome.
3 secondary outcomes
Health-Related Quality of Life
Time frame: Baseline and Post-intervention (Week 8)
Pain Intensity Assessed via Visual Analog Scale (VAS)
Time frame: Baseline and Post-intervention (Week 8)
Patient Satisfaction
Time frame: Post-intervention (Week 8)
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 14 Jul 2026.
- 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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Face-to-Face Clinic-Based Exercise, Synchronous Telerehabilitation Exercise and Asynchronous Telerehabilitation Exercise in people with Chronic Non-Specific Low Back Pain and Low Back Pain, run by Istanbul Aydın 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 4 inclusion and 5 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: opening soon, as of the sponsor's last update on 14 Jul 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?
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 Özge Mine YILMAZ, Ass Prof (+90 5075091175, ozgemineyilmaz@aydin.edu.tr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Functional Disability Level (time frame: Baseline and Post-intervention (Week 8)). 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 14 Jul 2026.