Telerehabilitation exercises versus standard home exercises for low back pain
Effect of the Implementation of Telerehabilitation-based Exercises Compared to the Standard Use of Exercise Dossier and Intervention Diary in a Home Therapeutic Exercise Intervention in Patients With Low Back Pain
This tests whether a telerehabilitation program using camera-based AI feedback helps people with subacute or chronic nonspecific low back pain reduce disability and symptoms more than standard home exercise instructions.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 30 (estimated) |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Sponsor | University of Valencia Academic / other |
| Locations | 1 site (Valencia, Select One) |
| Trial ID | NCT06446596 on ClinicalTrials.gov |
What this trial studies
This is a randomized, parallel-group trial comparing an 8-week home exercise program delivered with the TRAK telerehabilitation platform versus the same exercise program delivered by an exercise dossier and diary. Both groups perform flexibility and strengthening exercises three times weekly, with two brief in-person sessions in weeks 1 and 5; the TRAK group receives camera-based AI feedback and session logging. The primary outcome is disability measured by the Oswestry questionnaire, with secondary outcomes including range of motion, strength, fatigue, pain, medication use, psychosocial factors, adherence and selected histological measures. Eligible participants are adults with nonspecific subacute or chronic low back pain who have basic digital skills and no red-flag spine pathology. The trial is run at the University of Valencia and uses remote monitoring plus two on-site visits.
Who should consider this trial
Good fit: Adults with nonspecific subacute or chronic low back pain who can use a smartphone, do not have neuropathic or radicular signs, and are able to perform moderate home exercise are the intended participants.
Not a fit: Patients with neuropathic pain, radicular symptoms, spinal stenosis, prior lumbar surgery, significant comorbidities that prevent exercise, pregnancy, or who lack digital skills or adequate vision are unlikely to benefit from this program.
Why it matters
Potential benefit: If successful, the telerehabilitation approach could improve functional disability, pain control, and adherence to home exercise compared with standard paper-based instructions.
How similar studies have performed: Previous telerehabilitation and digitally guided physiotherapy programs for musculoskeletal pain have shown promising results, but evidence for camera-based AI feedback systems is still limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Nonspecific subacute or chronic low back pain Exclusion Criteria: * Neuropathic pain * Pain below the knees * Pain in legs with tingling, sensation of current or sensory alterations * Positive neurological tests. Lack of strength, sensitivity or altered reflexes * Canal stenosis * Nociplastic pain (fibromyalgia, generalized pain, emotional lability, affective and cognitive implications) * Previous lumbar surgery * Specific pathology (rheumatic, spondylolisthesis, oncological, fractures...) * Pregnancy * Performing medium-high intensity exercise of more than 100 minutes a week * Pathology that prevents exercise (decompensated cardiac pathology, decompensated respiratory pathology, significant mobility difficulties...) * Lack of digital skills * Visual problems that prevent exercise with the phone screen
Where this trial is running
Valencia, Select One
- University of Valencia — Valencia, Select One, Spain (Recruiting)
Study contacts
- Principal investigator: Rodrigo Martín-San Agustín, PhD — University of Valencia
- Study coordinator: Rodrigo Martín-San Agustín, PhD
- Email: rodrigo.martin@uv.es
- Phone: +34 963 983 853
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.