AI-Enhanced Telerehabilitation Program Using Automated Video Analysis and Personalized Feedback on Pain, Disability, Mobility, Endurance, for Chronic Non-Specific Low Back Pain in College Students.

This study tests whether an artificial intelligence (AI)-enhanced telerehabilitation program can effectively treat chronic non-specific low back pain in college students. Low back pain affects 40-52% of university students due to prolonged sitting during lectures and study sessions, poor posture from laptop use, and lack of physical activity. While exercise therapy is the recommended treatment, many students cannot access traditional physiotherapy due to cost, scheduling conflicts, and location barriers. This randomized controlled trial compares three treatment approaches: (1) AI-enhanced telerehabilitation with automated video analysis and personalized feedback, (2) standard telerehabilitation with video instructions only, and (3) usual care. The AI system uses computer vision technology (Google MediaPipe Pose) to analyze exercise videos through a standard webcam or smartphone, automatically tracking joint movements, counting repetitions, and providing real-time feedback on exercise form. College students with chronic low back pain (lasting more than 3 months) will be randomly assigned to one of the three groups. The AI-enhanced group will receive personalized exercise programs delivered remotely, with the AI system monitoring their performance and physiotherapists providing guidance through video consultations. The study will measure changes in pain levels, disability, physical function, trunk muscle endurance, and quality of life over 8 weeks of treatment and 3 months of follow-up. Researchers will also evaluate how well participants stick to their exercise programs and how easy the technology is to use. This research aims to determine if AI technology can make remote physiotherapy more effective and accessible for college students, potentially transforming how young adults receive treatment for back pain and improving their long-term health outcomes.

NCT Number	NCT07145996
Lead Sponsor	Majmaah University Collaborators: Galgotias University
Conditions	Non Specific Low Back Pain
Enrollment	120 participants
Start Date	2025-10-01
Primary Completion	2026-08-01 (estimated)
Study Completion	2026-09-01 (estimated)
Updated on ClinicalTrials.gov	2025-09-30