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CTRI Number  CTRI/2025/09/095020 [Registered on: 18/09/2025] Trial Registered Prospectively
Last Modified On: 17/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Managing Chronic Low Back Pain Among Desk Workers: A Study on the Swedish Back School Exercise Program 
Scientific Title of Study   Effect of Swedish Back school exercise program on pain, functions and quality of life in Desk job workers with chronic nonspecific low back pain- An Experimental study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Vishwa Harshad Thaker 
Designation  PG Student 
Affiliation  SPB physiotherapy college, Surat 
Address  SPB Physiotherapy College OPD (lower limb OPD , Musculoskeletal Department) Surat

Surat
GUJARAT
395005
India 
Phone  7984391959  
Fax    
Email  vishwathaker1906@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Neeti Mishra 
Designation  Associate Professor 
Affiliation  SPB Physiotherapy college 
Address  SPB Physiotherapy College OPD ( lower limb OPD, Musculoskeletal Department) Ugat Bhesan Road Morabhagal Surat

Surat
GUJARAT
395005
India 
Phone  9879697384  
Fax    
Email  dr.neetimishra@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Neeti Mishra 
Designation  Associate Professor 
Affiliation  SPB Physiotherapy college 
Address  SPB Physiotherapy College OPD (lower limb OPD, Musculoskeletal Department) Ugat Bhesan Road Morabhagal Surat

Surat
GUJARAT
395005
India 
Phone  9879697384  
Fax    
Email  dr.neetimishra@gmail.com  
 
Source of Monetary or Material Support  
SPB Physiotherapy College (lower limb OPD, musculoskeletal department), surat 
 
Primary Sponsor  
Name  Vishwa Harshad Thaker 
Address  SPB Physiotherapy COllege OPD Ugat Bhesan Road Morabhagal Surat Gujarat India 395005 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Vishwa harshad thaker  SPB Physiotherapy college, Surat  SPB Physiotherapy College OPD (Musculoskeletal Department) Ugat Bhesan Road Morabhagal Surat
Surat
GUJARAT 
7984391959

vishwathaker1906@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee SPB Physiotherapy College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M999||Biomechanical lesion, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Control Group  Subject will undergo only conventional exercises for 4 weeks 
Intervention  Swedish back school program + conventional exercises.   The participants in this group will undergo Swedish back school program along with conventional physiotherapy. Theoretical training will be delivered by power point presentation. Participants will be encouraged to follow the ergonomic advices throughout the treatment session and reminder for the same will be given daily by therapist. Medium of explanation will be regional customised to patients (Hindi, Gujarati or English). Intervention will be given for 4 weeks  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Back pain more than 12 weeks
patient with score of numerical pain rating scale more than 3
patient with moderate disability according to oswestry disability index
Patients working minimum 6 hours a day and working for more than 2 years.
Desk job workers including bankers and IT workers
Patient who are able to understand English.

 
 
ExclusionCriteria 
Details  Subjects having lower limb radiculopathy.
Subjects having LBP due to conditions like spinal stenosis, spondylolisthesis, ankylosing spondylosis, scoliosis, coccydynia, PIVD, etc.
Subject having infection, arthropathy and fibromyalgia, wide spread pain syndrome.
Subjects having history of dorsolumbar spinal surgery and trauma within past 6 months.
Post-partum up to 1 year LBP subjects.
Subjects having neurological disorders with history of present symptoms of impairment of balance & fall.  
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Pain, functional disability and quality of life  At baseline and at the end of 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="45"
Sample Size from India="45" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/10/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Title: Effect of Swedish Back school exercise program on pain, functions and quality of life in Desk job workers with chronic nonspecific low back pain- An Experimental Study

Low back pain (LBP) is a widespread problem in adult life since it is frequently linked to disability, lost production from sick leave, and consequently significant expenditures for the individual worker. LBP is a frequently occurring disorder, with more than 85% of individuals having ever experienced LBP in her/his lifetime. Workplace exposures, lifestyle choices, and psychosocial factors have all been linked to the emergence of symptoms. It has been found that between 34% and 51% of office workers had low back pain in the 12 months prior, and 20% to 23% of office workers reported developing low back pain for the first time during a 1-year follow-up. In contrast, between 24% and 61% of individuals who experienced low back pain recently went on to acquire chronicity. Occupational characteristics linked to LBP include heavy physical labour, static work postures, repetitive work, lifting and postural movements, frequent bending and twisting, and full body vibrations. Desktop jobs, computer specialists, bankers, receptionists, and chartered accountants are among the occupations that need a lot of sitting.
Due to increasing sedentary jobs, very few people are aware about the ergonomic changes that they require to do to reduce their low back pain. Work absenteeism, emotional disturbances, and disability are all strongly correlated with chronic low back pain. With the help of educational program, ergonomic advice and exercise in the desk job workers. They will get help in better understanding of the condition and its treatment.

A thorough educational and exercise-based strategy for managing and preventing back pain is the Back School program (BSP). In 1969, it was created in Sweden for people suffering from low back pain (LBP). It was developed by Zarichsson-Forsel at the Danderyl Hospital and later became known as the Swedish Back School. BSP’s main objective is to give individuals the knowledge and skills they need to improve their posture, body mechanics, and overall back health. The BSP’s ability to empower people to take charge of their health is one of its key features. It cultivates the knowledge and skills necessary for the person to identify spine-friendly motions in everyday activities. It includes an educational and skill-building program that includes exercise.

The patient will be screened on the basis of inclusion and exclusion criteria and their demographic data will be taken by an assessment Performa. Prior to the commencement of the study, detailed procedure of the study will be explained to the patients and a signed informed consent form will be taken from them.Desk job workers including age 18 to 40 years will be recruited in the study. 
On the first day of the first week, baseline measurements of Pain, functionality and quality of life will be taken. Total treatment will be of 4 weeks with 3 sessions per week (Alternate day treatment). Post assessment data of Pain (NPRS, ODI and SF12 score will be taken at the end of 4 week. 
GROUP A (Experimental group): Subject will undergo Swedish back school program + conventional exercises. The participants in this group will undergo Swedish back school program along with conventional physiotherapy. Theoretical training will be delivered by power point presentation. Participants will be encouraged to follow the ergonomic advices throughout the treatment session and reminder for the same will be given daily by therapist. Medium of explanation will be regional customised to patients (Hindi, Gujarati or English). The back school program includes: 1) Anatomy of the spine, Spine biomechanics, musculoskeletal system, muscle balance, spinal protection. 2) Causes of spinal disease, pathomechanism . 3) Prevention of spine diseases, Application of back school. 4) Spine-friendly lifestyle, ergonomics. 5) Correct standing position, correct sitting position, feeling the body position. 
GROUP B (Control group): Subject will undergo only conventional exercises. 

 
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