Actively Recruiting
The Effect of Online Therapeutic Neuroscience Education Added to Conventional Physiotherapy Program on Clinical Outcomes, Treatment Expectations and Satisfaction Levels in Patients With Chronic Low Back Pain
Led by Istanbul Bilgi University · Updated on 2026-03-31
60
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
Sponsors
I
Istanbul Bilgi University
Lead Sponsor
M
Marmara University
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating the effects of combining online Therapeutic Neuroscience Education (TNE) with a 6-week conventional physiotherapy program on people aged 20 to 60 who have chronic low back pain (CLBP). The study aims to improve participants' understanding of chronic pain, reduce fear and avoidance behaviors, enhance movement and disability outcomes, and increase treatment expectations and satisfaction. This innovative approach also examines the long-term effects of delivering TNE online, which has not been studied before. The study includes 60 volunteers randomly assigned to two groups. One group receives conventional physiotherapy alone, while the other group receives the same physiotherapy plus six weekly 45-minute online TNE sessions. TNE sessions focus on pain neurophysiology using interactive tools like diagrams, metaphors, and examples, covering topics such as pain mechanisms, nervous system sensitization, and coping strategies. Conventional physiotherapy for both groups includes hot packs, ultrasound, TENS, and home exercises. Participants will be evaluated by a blinded researcher at baseline, 3 weeks, 6 weeks, and 6 months after starting the program. Assessments include pain intensity, disability, fear of movement, physical function, treatment expectations, and satisfaction using validated scales and physical tests. The study will provide important information about the clinical and lasting benefits of adding online TNE to standard physiotherapy for chronic low back pain.
CONDITIONS
Brief Title
The Long Term Effects of Online Therapeutic Neuroscience Education in Patients With Chronic Low Back Pain
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Individuals aged 20 to 60 years
- Literate
- Score of 24 or above in the Mini-Mental Status Assessment
- Access to the internet
- Back pain lasting more than 3 months
- Pain score between 3 and 8 on the Numerical Pain Scale
- Chronic back pain without radicular symptoms
You will not qualify if you...
- Presence of other orthopedic or neurological disorders affecting evaluation and treatment
- Vertebral compression fractures shown on MRI or lumbar radiography
- Unstable neurological findings
- Using analgesic medication during treatment
- Rheumatological or inflammatory diseases
- Acute trauma
- Pregnancy
- Previous lumbar region surgery
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 6 weeks
Participants receive a 6-week conventional physiotherapy program. Those in the experimental group also receive weekly online Therapeutic Neuroscience Education sessions to help understand the neurophysiology of pain and improve pain management.
Weekly visits for assessments and online education sessions
Duration - 6 months after treatment
Participants are evaluated 6 months after treatment to assess long-term effects on pain, disability, function, and satisfaction.
1 follow-up visit (in-person or remote)
Trial Site Locations
Total: 1 location
1
Ornek Medical Clinic
Istanbul, Atasehir, Turkey (Türkiye), 34704
Actively Recruiting
Research Team
M
Mine Gulden Polat, Prof.
F
Furkan Cakir, MSc.
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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