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CTRI Number  CTRI/2025/05/086939 [Registered on: 14/05/2025] Trial Registered Prospectively
Last Modified On: 13/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Effectiveness of Online Versus In-person Mat Pilates in Patients With Acute Non-Specific Low Back Pain 
Scientific Title of Study   Comparison of Tele rehabilitation versus Conventional Mode of Mat Pilates in the Management of individuals with Acute Non-Specific Low Back Pain 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mr. Rajkumar M 
Designation  Assistant Professor 
Affiliation  SRM College of Physiotherapy 
Address  PT-22 SRM College of Physiotherapy, SRM Medical College, Kattankulathur campus Chengalpattu district Chennai TAMIL NADU
NIL
Chennai
TAMIL NADU
603203
India 
Phone  7092022034  
Fax    
Email  rajkumam2@srmist.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Mr. Rajkumar M 
Designation  Assistant Professor 
Affiliation  SRM College of Physiotherapy 
Address  PT-22 SRM College of Physiotherapy, SRM Medical College, Kattankulathur campus Chengalpattu district Chennai TAMIL NADU
NIL
Chennai
TAMIL NADU
603203
India 
Phone  7092022034  
Fax    
Email  rajkumam2@srmist.edu.in  
 
Details of Contact Person
Public Query
 
Name  Mr. Rajkumar M 
Designation  Assistant Professor 
Affiliation  SRM College of Physiotherapy 
Address  PT-22 SRM College of Physiotherapy, SRM Medical College, Kattankulathur campus Chengalpattu district Chennai TAMIL NADU
NIL
Chennai
TAMIL NADU
603203
India 
Phone  7092022034  
Fax    
Email  rajkumam2@srmist.edu.in  
 
Source of Monetary or Material Support  
Self funded 
 
Primary Sponsor  
Name  SRM College of Physiotherapy 
Address  SRM College of Physiotherapy, SRM Medical College, Kattankulathur campus Chengalpattu district Chennai TAMIL NADU 
Type of Sponsor  Other [Self Funded] 
 
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 
Mr RAJKUMAR M  SRM College of Physiotherapy  PT-22 SRM College of Physiotherapy, SRM Medical College, Kattankulathur campus Chengalpattu district Chennai TAMIL NADU
Chennai
TAMIL NADU 
7092022034

rajkumam2@srmist.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRM Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M545||Low back pain,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional mode of Mat Pilates  The comparator intervention involves a conventional, in-person mat Pilates exercise program aimed at managing acute non-specific low back pain. Participants assigned to this group will attend supervised physiotherapy sessions conducted face-to-face at a designated clinical or physiotherapy setting. Each session will be led by a qualified physiotherapist and will follow a structured format including warm-up exercises, core strengthening routines, flexibility training, and a cool-down phase. The sessions will be held three times per week, each lasting approximately 35 minutes, over a total duration of two weeks. The exercises will be tailored to individual participant needs based on baseline assessments, and continuous supervision will be provided to ensure proper technique and safety. This intervention will be implemented as part of a non-randomized crossover study design. 
Intervention  Tele rehabilitation based Mat Pilates Program   The tele rehabilitation intervention consists of a structured mat Pilates exercise program specifically designed for individuals with acute non-specific low back pain. It will be delivered online through live video conferencing platforms such as Zoom or Google Meet. Participants will receive supervised sessions conducted by a qualified physiotherapist, three times per week, with each session lasting approximately 35 minutes, over a period of 2 weeks. The sessions will include a warm-up phase, core strengthening exercises, flexibility training, and a cool-down phase. The program will be individually tailored based on the participant’s initial assessment, and real-time feedback will be provided to ensure proper technique and safety. This intervention will be implemented as part of a non-randomized crossover study design. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Both male and female participants will be included.

Participants aged between 20 years and 40 years will be included.

Patients presenting with a Numerical Pain Rating Scale score of greater than or equal to 6 will be included.

Individuals diagnosed with acute non-specific low back pain of less than 6 weeks duration will be included.

Participants who are willing to take part in tele rehabilitation will be included.

Patients currently undergoing conventional physiotherapy interventions will be included.

Participants who have access to and are able to operate the necessary technology required for tele rehabilitation will be included.

 
 
ExclusionCriteria 
Details  Individuals with chronic pain syndromes will be excluded.

Individuals who have undergone previous lumbar surgeries will be excluded.

Patients diagnosed with lumbar pathologies such as spondylosis, spondylitis, or spondylolisthesis will be excluded.

Patients currently undergoing alternative treatment protocols, for example ayurvedic and acupuncture will be excluded.

Patients with co-morbidities such as cardiovascular, respiratory, or metabolic conditions will be excluded.

Patients with chest and vertebral column deformities will be excluded.

Patients with psychiatric disorders, including depression and schizophrenia, will be excluded.

Pregnant women with low back pain symptoms will be excluded. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The Numerical Pain Rating Scale

The Roland-Morris Disability Questionnaire

The Patient Satisfaction Questionnaire 18 
The Numerical Pain Rating Scale - Baseline (Day 0)

End of Intervention 1 (after 2 weeks of tele rehabilitation)

End of Intervention 2 (after 2 weeks of conventional Pilates)

The Roland-Morris Disability Questionnaire - Baseline (Day 0)

End of Intervention 1 (after 2 weeks of tele rehabilitation)

End of Intervention 2 (after 2 weeks of conventional Pilates)

The Patient Satisfaction Questionnaire 18 - End of Intervention 1 (after 2 weeks of tele rehabilitation)

End of Intervention 2 (after 2 weeks of conventional Pilates)
 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   26/05/2025 
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="1"
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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response - Informed Consent Form

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response (Others) - 

  5. By what mechanism will data be made available?
    Response (Others) -  Not yet decided about the journal where to be published. Will decide it during the end of the research process and update the link further in 6 months of time from the date of commercement of research study.

  6. For how long will this data be available start date provided 31-05-2026 and end date provided 30-06-2026?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   The present study aims to compare the effectiveness of tele rehabilitation versus the conventional mode of mat Pilates in individuals with acute non specific low back pain. This is a non randomized crossover study involving participants aged between 20 to 40 years who experience acute non specific low back pain of less than six weeks duration. Participants will first undergo two weeks of tele rehabilitation based mat Pilates followed by a crossover into two weeks of conventional in person mat Pilates, completing both interventions over a total duration of four weeks. There will be no washout period due to the short duration and acute nature of the condition. The tele rehabilitation sessions will be delivered through online platforms under the supervision of a qualified physiotherapist while the conventional mode will be delivered face to face in a clinical setting. Each phase will consist of three sessions per week each lasting approximately 35 minutes. The primary outcomes measured will be pain intensity using the Numerical Pain Rating Scale, disability level using the Roland Morris Disability Questionnaire and patient satisfaction assessed using the Patient Satisfaction Questionnaire 18. Assessments will be conducted at baseline and after completion of both intervention phases. This study aims to assess the clinical effectiveness and feasibility of tele rehabilitation as an alternative to conventional physiotherapy for managing acute non specific low back pain. 
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