Home-based rehabilitation training with human key point detection for chronic low back pain patients: a randomized controlled trial protocol

Abstract Background Core stability exercise (CSE) is a globally acknowledged intervention for managing chronic low back pain. However, the sustained adherence of patients with chronic low back pain to CSE can be challenging, mainly due to the absence of supervision and guidance from physical therapi...

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Main Authors: Zheng Fuming, Li Zhicheng, Huang Huanjie, Zhang Xinna, Chen Rong, Peng Jiahui, Yang Liming, Chen Xi, Wang Chuhuai
Format: Article
Language:English
Published: BMC 2023-11-01
Series:Trials
Subjects:
Online Access:https://doi.org/10.1186/s13063-023-07805-z
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author Zheng Fuming
Li Zhicheng
Huang Huanjie
Zhang Xinna
Chen Rong
Peng Jiahui
Yang Liming
Chen Xi
Wang Chuhuai
author_facet Zheng Fuming
Li Zhicheng
Huang Huanjie
Zhang Xinna
Chen Rong
Peng Jiahui
Yang Liming
Chen Xi
Wang Chuhuai
author_sort Zheng Fuming
collection DOAJ
description Abstract Background Core stability exercise (CSE) is a globally acknowledged intervention for managing chronic low back pain. However, the sustained adherence of patients with chronic low back pain to CSE can be challenging, mainly due to the absence of supervision and guidance from physical therapists during home-based exercise sessions. Consequently, exercise compliance tends to decline, resulting in suboptimal long-term effectiveness of the intervention. In this trial, our primary aim is to evaluate the potential therapeutic equivalence between home-based rehabilitation training employing key point identification technology and exercise guidance administered in a hospital setting. Methods In this trial, we will randomly assign 104 adults with chronic low back pain (CLBP) to either an intervention or control group, with 52 participants in each group. Both interventions will consist of three weekly 0.5-h sessions of core stability exercise (CSE). The intervention group will engage in home rehabilitation training utilizing key identification technology for movement, while the control group will perform supervised exercises in a hospital setting. Outcome assessments will be conducted at 4 weeks and 16 weeks after randomization. The primary outcome measure will be the change in pain intensity based on numeric rating scale (NRS scores) from baseline to 4 weeks. Secondary outcomes will include changes in physical function (measured by the Oswestry Disability Index (ODI)) and lumbar spine mobility as well as activity participation and treatment satisfaction. Discussion If home-based rehabilitation method is demonstrated to be non-inferior or even superior to traditional face-to-face exercise guidance, it could significantly advance the adoption of digital medical care and contribute to improving the overall health of the population. Trial registration NCT05998434 . Registered on 16 August 2023.
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spelling doaj.art-1bf3a16fd49c4270a1dc54db4485044b2023-12-03T12:35:11ZengBMCTrials1745-62152023-11-0124111110.1186/s13063-023-07805-zHome-based rehabilitation training with human key point detection for chronic low back pain patients: a randomized controlled trial protocolZheng Fuming0Li Zhicheng1Huang Huanjie2Zhang Xinna3Chen Rong4Peng Jiahui5Yang Liming6Chen Xi7Wang Chuhuai8Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-Sen UniversityYinshan Future Health Technology Co., LtdDepartment of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-Sen UniversityYinshan Future Health Technology Co., LtdDepartment of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-Sen UniversityAbstract Background Core stability exercise (CSE) is a globally acknowledged intervention for managing chronic low back pain. However, the sustained adherence of patients with chronic low back pain to CSE can be challenging, mainly due to the absence of supervision and guidance from physical therapists during home-based exercise sessions. Consequently, exercise compliance tends to decline, resulting in suboptimal long-term effectiveness of the intervention. In this trial, our primary aim is to evaluate the potential therapeutic equivalence between home-based rehabilitation training employing key point identification technology and exercise guidance administered in a hospital setting. Methods In this trial, we will randomly assign 104 adults with chronic low back pain (CLBP) to either an intervention or control group, with 52 participants in each group. Both interventions will consist of three weekly 0.5-h sessions of core stability exercise (CSE). The intervention group will engage in home rehabilitation training utilizing key identification technology for movement, while the control group will perform supervised exercises in a hospital setting. Outcome assessments will be conducted at 4 weeks and 16 weeks after randomization. The primary outcome measure will be the change in pain intensity based on numeric rating scale (NRS scores) from baseline to 4 weeks. Secondary outcomes will include changes in physical function (measured by the Oswestry Disability Index (ODI)) and lumbar spine mobility as well as activity participation and treatment satisfaction. Discussion If home-based rehabilitation method is demonstrated to be non-inferior or even superior to traditional face-to-face exercise guidance, it could significantly advance the adoption of digital medical care and contribute to improving the overall health of the population. Trial registration NCT05998434 . Registered on 16 August 2023.https://doi.org/10.1186/s13063-023-07805-zNon-specific chronic low back painCore stability exerciseHuman key point detectionMobile health
spellingShingle Zheng Fuming
Li Zhicheng
Huang Huanjie
Zhang Xinna
Chen Rong
Peng Jiahui
Yang Liming
Chen Xi
Wang Chuhuai
Home-based rehabilitation training with human key point detection for chronic low back pain patients: a randomized controlled trial protocol
Trials
Non-specific chronic low back pain
Core stability exercise
Human key point detection
Mobile health
title Home-based rehabilitation training with human key point detection for chronic low back pain patients: a randomized controlled trial protocol
title_full Home-based rehabilitation training with human key point detection for chronic low back pain patients: a randomized controlled trial protocol
title_fullStr Home-based rehabilitation training with human key point detection for chronic low back pain patients: a randomized controlled trial protocol
title_full_unstemmed Home-based rehabilitation training with human key point detection for chronic low back pain patients: a randomized controlled trial protocol
title_short Home-based rehabilitation training with human key point detection for chronic low back pain patients: a randomized controlled trial protocol
title_sort home based rehabilitation training with human key point detection for chronic low back pain patients a randomized controlled trial protocol
topic Non-specific chronic low back pain
Core stability exercise
Human key point detection
Mobile health
url https://doi.org/10.1186/s13063-023-07805-z
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