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Background <p>Chronic low back pain (CLBP) is a leading cause of disability worldwide. Motor control exercises (MCE) are considered effective in its management. The COVID-19 accelerated the use of telerehabilitation (TR), yet its long-term effectiveness compared to clinic-based (CB) approaches remains insufficiently studied.</p> Aims <p>To compare 6-month outcomes of TR-based (TR-B) and CB MCE programs in individuals with CLBP. Primary outcome was pain; secondary outcomes included disability, quality of life, catastrophizing, gait parameters, lumbar flexion range of motion (ROM), satisfaction, and perceived treatment effect.</p> Methods <p>This study was previously published for its initial effects; this manuscript presents the long-term follow-up results. Forty-two individuals with CLBP were randomized to receive either CB or TR-B MCE, performed three times weekly for eight weeks. Both groups received an initial face-to-face session for deep muscle activation. Outcome assessments were conducted at baseline, post-intervention, and at 6&#xa0;months. Analyses were performed using both per-protocol (P-P) and intention-to-treat (ITT) approaches.</p> Results <p>Both groups showed significant improvements in pain, disability, quality of life, and pain catastrophizing (<i>p</i> &lt; 0.05), with no significant between-group differences (<i>p</i> &gt; 0.05), except for lumbar flexion ROM at 6&#xa0;months (<i>p</i> &lt; 0.05). Gait parameters did not significantly change. Satisfaction and perceived treatment benefits were similarly high in both groups. However, follow-up adherence was lower in the TR-B group.</p> Conclusion <p>TR-B MCE are comparable to CB interventions in improving key clinical outcomes in CLBP. TR may require additional interactive components to support long-term engagement. These results highlight TR’s potential as an effective and accessible component of CLBP management.</p>

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Six-month follow-up results of clinic- and telerehabilitation-based motor control exercises in individuals with chronic low back pain: A randomized controlled trial

  • 期刊论文

  • 发表日期：

    2025年11月24日

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  • Aybüke Fanuscu,
  • Özlem Ülger

摘要

Background

Chronic low back pain (CLBP) is a leading cause of disability worldwide. Motor control exercises (MCE) are considered effective in its management. The COVID-19 accelerated the use of telerehabilitation (TR), yet its long-term effectiveness compared to clinic-based (CB) approaches remains insufficiently studied.

Aims

To compare 6-month outcomes of TR-based (TR-B) and CB MCE programs in individuals with CLBP. Primary outcome was pain; secondary outcomes included disability, quality of life, catastrophizing, gait parameters, lumbar flexion range of motion (ROM), satisfaction, and perceived treatment effect.

Methods

This study was previously published for its initial effects; this manuscript presents the long-term follow-up results. Forty-two individuals with CLBP were randomized to receive either CB or TR-B MCE, performed three times weekly for eight weeks. Both groups received an initial face-to-face session for deep muscle activation. Outcome assessments were conducted at baseline, post-intervention, and at 6 months. Analyses were performed using both per-protocol (P-P) and intention-to-treat (ITT) approaches.

Results

Both groups showed significant improvements in pain, disability, quality of life, and pain catastrophizing (p < 0.05), with no significant between-group differences (p > 0.05), except for lumbar flexion ROM at 6 months (p < 0.05). Gait parameters did not significantly change. Satisfaction and perceived treatment benefits were similarly high in both groups. However, follow-up adherence was lower in the TR-B group.

Conclusion

TR-B MCE are comparable to CB interventions in improving key clinical outcomes in CLBP. TR may require additional interactive components to support long-term engagement. These results highlight TR’s potential as an effective and accessible component of CLBP management.