Improving Health for Patients With Chronic Low Back Pain in Rural Communities Through Telerehabilitation

This study is looking at ways to improve care for people in rural areas who have chronic low back pain (LBP). It compares two approaches: standardized education, which gives you access to a website with information about LBP, and telerehabilitation, which uses video visits with a physical therapist tailored to your specific needs. The goal is to see if these methods can reduce your pain and disability, and also to track opioid use. You might be able to join if you are 18 or older, have had a recent doctor's visit for LBP, and experience at least moderate pain and disability. The study is currently unclear on its recruitment status and plans to enroll 434 participants.

Study design
This is an interventional study, meaning participants will receive a specific treatment. It plans to enroll 434 participants.
What's involved
Participants will receive either access to a study website for education or video visits for telerehabilitation. The primary endpoints are measured at 12 weeks after treatment initiation.
Compensation
Not stated in the trial record.
Follow-up
Your progress will be tracked for 12 weeks after treatment begins.

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NCT06471920

Improving Health for Patients With Chronic Low Back Pain in Rural Communities Through Telerehabilitation

Recruiting
NAAges 18+InterventionalTreatment
Johns Hopkins University
~434 participants
Updated 2026-07-22 on ClinicalTrials.gov
What's tested:Standardized EducationTelerehabilitation

At a glance

Recruiting sites
2 of 2 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in Oswestry Disability Index
Measured over Change from baseline to 12 weeks after treatment initiation
+1 more outcome measured
Chronic Low-back Pain
2 sites across 1 states
Maryland2
  • Richard L Skolasky, Sc.D. · PRINCIPAL_INVESTIGATOR · Johns Hopkins School of Medicine

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Eligibility criteria

Inclusion

Primary care visit in the past 90 days with an LBP-related International Classification of Diseases (ICD-10) diagnosis.
Age 18 years or older.
At least moderate levels of pain and disability requiring Oswestry score ≥24% and average pain rating ≥ 4/10 points.
Meets NIH Task Force definition of chronic LBP based on two questions: 1) How long has LBP has been an ongoing problem? and 2) How often has LBP been an ongoing problem over the past 6 months? A response of greater than 3 months to question 1, and "at least half the days in the past 6 months" to question 2 is required to satisfy the NIH definition of chronic LBP.
Can speak and understand English.
Access to video-enabled device and Internet.

Exclusion

Recent history (last 6 months) of lumbar spine surgery.
Possible non-musculoskeletal cause for low back pain symptoms (e.g., pregnancy).
Evidence of serious pathology as a cause of LBP including neoplasm, inflammatory disease (e.g., ankylosing spondylitis), vertebral osteomyelitis, etc.
Neurological disorder resulting in severe movement disorder, or schizophrenia or other psychotic disorder.
Knowingly pregnant.
  • Change in Oswestry Disability IndexChange from baseline to 12 weeks after treatment initiation

    LBP-related disability. The total score range is \[0, 100\] with higher values representing greater pain-related disability.

  • Participants with Opioid UsePost treatment initiation 12 weeks

    self-reported and/or Electronic Health Record (EHR) documented opioid use