Akademik Veri Yönetim Sistemi
Journal of Bodywork and Movement Therapies, cilt.47, ss.361-370, 2026 (ESCI, Scopus)
Background Nonspecific low back pain (NSLBP) is a leading cause of disability worldwide. Although exercise therapy is first-line management, persistent symptoms suggest that targeting neurocognitive and sensorimotor processes may enhance outcomes. Objective To explore the preliminary effects of integrating motor imagery into a telerehabilitation-based exercise program in individuals with NSLBP. Design Assessor-blinded pilot randomized controlled trial. Methods Thirty-six participants with NSLBP were randomized to telerehabilitation-based motor imagery training (TR-MIT) or telerehabilitation-based exercise training (TR-ET) (n = 18 per group). Interventions were delivered twice weekly for 10 weeks. As a pilot study, the primary aim was to assess feasibility and estimate treatment effects for a future definitive trial. Outcomes included pain (VAS), disability (Oswestry Disability Index), lumbar flexibility, trunk endurance, motor imagery performance, body awareness, and selected cognitive measures. Group × time interactions were analyzed, and effect sizes with 95% confidence intervals were calculated. Analyses were performed per protocol. Results TR-MIT produced greater improvements than TR-ET in pain and disability, with additional between-group differences in flexibility, trunk endurance, motor imagery performance, body awareness, and selected cognitive outcomes (p < 0.05). Reductions in disability exceeded commonly reported minimal clinically important difference thresholds. Effect sizes were moderate to large, though confidence intervals reflected pilot-level precision. Adherence was high, and no adverse events occurred. Conclusion Within a pilot randomized design, adding motor imagery to telerehabilitation-based exercise was associated with greater improvements in pain and disability than exercise alone in NSLBP. Larger trials are needed to confirm these findings. Clinical trial registration NCT05049772.