Telerehabilitation Program to Improve Function in People With Chronic Low Back Pain Compared With Conventional Care
Eligible age
18–60 yrs
Accepts
All genders
Locations
0 states
Healthy volunteers
No
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About this study
The goal of this clinical trial is to evaluate whether an additional telerehabilitation program, combined with conventional care, can improve functional recovery in adults with chronic low back pain treated in primary care clinics of the Mexican Institute of Social Security (IMSS). The main questions it aims to answer are: * Does the telerehabilitation program lead to greater functional improvement, measured by the Oswestry Disability Index (ODI), compared with conventional care alone? * Does the program reduce pain intensity and improve adherence and satisfaction among participants? Researchers will compare patients receiving conventional care plus telerehabilitation with those receiving conventional care only to determine whether the digital intervention provides additional clinical benefits. Participants will: * Continue their usual medical care for chronic low back pain at IMSS clinics. * Follow a 6-week telerehabilitation program delivered through an online platform, including educational videos, stretching and strengthening exercises, and weekly virtual check-ins. * Complete baseline and post-intervention assessments of pain, disability, and satisfaction.
Sponsor: Coordinación de Investigación en Salud, Mexico
You may qualify if…
- ✓ Adults between 18 and 60 years of age.
- ✓ Clinical diagnosis of chronic non-specific low back pain (duration ≥ 12 weeks).
- ✓ Pain intensity ≥ 3 on the Visual Analogue Scale (VAS) at baseline.
- ✓ Enrolled as beneficiaries of the Mexican Institute of Social Security (IMSS) and receiving care at a primary care clinic.
- ✓ Access to a smartphone or computer with internet connection.
- ✓ Ability to read and understand written instructions in Spanish.
- ✓ Willingness to participate and provide written informed consent.
You may not qualify if…
- ✕ Specific causes of low back pain (e.g., fractures, tumors, infections, inflammatory or rheumatic diseases).
- ✕ Neurological deficits suggestive of radiculopathy or myelopathy.
- ✕ Pregnancy.
- ✕ Severe psychiatric or cognitive disorders that limit participation.
- ✕ Recent spinal surgery (within the last 6 months).
- ✕ Participation in another rehabilitation or exercise program for low back pain within the previous 3 months.
- ✕ Any medical condition that contraindicates physical exercise, as determined by the treating physician.
- ✕ The upper age limit of 60 years was established to minimize confounding factors related to advanced degenerative joint disease. Individuals older than 60 frequently present radiographic or clinical signs of grade III or higher lumbar osteoarthritis, which may produce chronic pain and functional limitation independent of the intervention. Including these participants could obscure the true effect of the telerehabilitation program on functional improvement and pain reduction in patients with non-specific chronic low back pain.
Source: ClinicalTrials.gov · NCT07248813 · last updated 2025-11-25