CompletedNot Applicable

Effects of a CSE With ADIM in Chronic Non-specific Low Back Pain With Lumbar Instability Using Telerehabilitation.

Thailand30 participantsStarted 2024-02-01

Plain-language summary

The goal of this clinical trial is to compare the effectiveness of telerehabilitation-based and clinic-based methods to deliver a Core Stabilization Exercise Program with the Abdominal Drawing-In Maneuver Technique (CSE with ADIM) on pain intensity, functional ability, quality of life, and satisfaction in chronic low back pain patients with lumbar instability. The main question it aims to answer is: Is there a difference between the effectiveness of telerehabilitation-based and clinic-based CSE with ADIM on pain intensity, functional ability, quality of life, and satisfaction in chronic low back pain patients with lumbar instability? Participants will perform a 7-week core stabilization exercise with the abdominal drawing-in maneuver technique, consisting of an exercise program for 20-minute sessions with 3 sessions per week. These exercise programs will be provided to the participants via a weekly video call with the main researcher as a telerehabilitation program. At the first session of each week, the researcher will provide supervision via video call with the participant for the exercise program. The participants will perform the exercise by following the video demonstration. After completing weekly training, participants will perform their exercise routine as part of their daily home program. If there is a comparison group: researchers will compare The control group (clinical-base group) will be provided the 7-week core stabilization exercise with abdominal drawing-in maneuver technique, the same as the experimental group, but control groups received the exercise program at the clinic according to the usual methods. At the first session of each week, an appointment will be set, and then the specific exercise for each week will be delivered and trained by the main researcher at the clinic. After completing weekly training, participants will perform their exercise routine as part of their daily home program to see if there are any differences in pain intensity, functional ability, quality of life, and satisfaction in chronic low back pain patients with lumbar instability between the experimental and control groups.

Who can participate

Age range18 Years – 60 Years

SexALL

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Inclusion criteria

✓. Males or females.
✓. Aged between 18 - 60 years old.
✓. Onset of back pain lasting more than 12 weeks.
✓. Lumbar instability will be diagnosed using a score of at least 6 out of 14 on the Screening Tool for Patients with Lumbar Instability Questionnaire in Thai version.
✓. Presented at least two positive signs from three special tests of the following provocation tests: Painful catch, aberrant movement sign, or prone instability test.
✓. Pain intensity at rest has a pain level with a numerical rating scale (0-10 NRS) 3-7/10 points.
✓. Never receive the treatment by core stabilization exercise during 3 months before participate in this study.
✓. Participants must have a smart phone, tablet, or other electronic device with a camera and install the line application on the device. They can perform the basic operations of these devices by themselves.

Exclusion criteria

What they're measuring

11-ponits Numerical Rating Scale (0-10 NRS)

Timeframe: Baseline and after Week 7

Trial details

NCT IDNCT06321393

SponsorKhon Kaen University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2025-04-09

View on ClinicalTrials.gov More Chronic Low-back Pain trials