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Telerehabilitation Program to Improve Function in People With Chronic Low Back Pain Compared With Conventional Care

RecruitingNot applicableNCT07248813
View the official record on ClinicalTrials.gov

Recruiting status changes often. Contact the study team listed on ClinicalTrials.gov, and talk to your doctor before joining a study.

This study has no listed site in Canada in this snapshot. It is included as part of the worldwide chronic pain corpus.

Brief summary (from the registry)

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.

Study details

Official title
Effectiveness of an Additional Telerehabilitation Program Combined With Conventional Care on Functional Improvement in Patients With Chronic Low Back Pain at the Primary Care Level in the Mexican Institute of Social Security (IMSS): A Pragmatic Randomized Controlled Trial
Interventions
  • Behavioral: Telerehabilitation Program
  • Other: Conventional care
Sponsor
Coordinación de Investigación en Salud, Mexico
Collaborators
Instituto Mexicano del Seguro Social; Universidad Nacional Autonoma de Mexico
Start date
2025-10-03
Primary completion
2026-11-15
Sex
All
Age range
from 18 Years to 60 Years
Results posted
No results posted in this snapshot
Countries
Mexico
Total sites listed
1

Eligibility criteria

Show eligibility criteria (verbatim from the registry)
Inclusion Criteria: * 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. Exclusion Criteria: * 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 (US National Library of Medicine), snapshot October 2026. Check the registry for current recruiting status. Record: https://clinicaltrials.gov/study/NCT07248813