Evidence map›Paper›PMID 41840701›Full record

ArticleTrials2026

Effect of telerehabilitation on the treatment of chronic nonspecific low back pain in the Afro-Brazilian population: a randomized controlled trial protocol.

Ingred Merllin Batista de Souza, Jaiane Rodrigues Vidali, Rauisa Gonçalves Macena, Isabela Souza Jorge, David R Williams, Amélia Pasqual Marques

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06443229 (Effect of Telerehabilitation Use in the Treatment of Non-specific Chronic Low Back Pain in the Brazilian Afrodescendants Population), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06443229 naunknown statusnot on this map

Effect of Telerehabilitation Use in the Treatment of Non-specific Chronic Low Back Pain in the Brazilian Afrodescendants Population: a Randomized Controlled Trial Protocol

TypeinterventionalSponsorUniversity of Sao Paulo General HospitalRan2023 to 2025Enrolled102ConditionsTelerehabilitation, Low Back PainArmsGraded Activity based in exercises and educational approach, Educational Approach
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ingred Merllin Batista de SouzaPh.D., PT. Postgraduate Program in Rehabilitation Sciences, Department of Physical Therapy, Speech and Audiology Therapy and Occupational Therapy, Faculty of Medicine at University of Sao Paulo, Cipotanea Street, 51, Cidade Universitaria, Sao Paulo, 05360-000, Brazil. ingredmerllin@alumni.usp.br.ORCID http://orcid.org/0000-0003-3101-9604
Jaiane Rodrigues VidaliPhysical Therapy Undergraduate Student, Department of Physical Therapy, Speech and Audiology Therapy and Occupational Therapy, Faculty of Medicine at University of Sao Paulo, Sao Paulo, Brazil.
Rauisa Gonçalves MacenaPhysical Therapy Undergraduate Student, Department of Physical Therapy, Speech and Audiology Therapy and Occupational Therapy, Faculty of Medicine at University of Sao Paulo, Sao Paulo, Brazil.
Isabela Souza JorgePhysical Therapy Undergraduate Student, Department of Physical Therapy, Speech and Audiology Therapy and Occupational Therapy, Faculty of Medicine at University of Sao Paulo, Sao Paulo, Brazil.
David R WilliamsFlorence Sprague Norman and Laura Smart Norman Professor of Public Health, Professor of African and African American Studies and Sociology, Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Amélia Pasqual MarquesProfessor at Postgraduate Program in Rehabilitation Sciences, Department of Physical Therapy, Speech and Audiology Therapy and Occupational Therapy, Faculty of Medicine at University of Sao Paulo, Sao Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow back pain (LBP) is prevalent in 30-70% of populations in developed and industrialized nations, imposing substantial healthcare costs and work absenteeism. However, research addressing chronic nonspecific low back pain (CNLBP) within the Black population globally, remains limited, particularly studies considering the specific sociocultural and demographic factors affecting this group. Telerehabilitation offers a novel opportunity for physiotherapists to manage musculoskeletal conditions to facilitate remote care delivery. This study aims to evaluate the effect of graded activity (gradual increases in difficulty) on the Afro-Brazilian adult population with CNLBP through the use of telerehabilitation.

methodsThis randomized, double-blind clinical trial employs a 1:1 allocation ratio with 102 Afro-Brazilian participants divided into two groups of 51 each. Eligibility criteria include both sexes, aged 18-65, with CNLBP persisting for ≥ 3 months, residing in Brazil. Participants are allocated to the Experimental Group (Graded Activity and Educational Program; EG) or the Control Group (Educational Program; CG). The intervention consists of a telerehabilitation program delivered via a mobile health (mHealth) application, conducted across 12 sessions over 4 weeks. Pain intensity serves as the primary outcome, while secondary outcomes include functional capacity, quality of life, anxiety, and fear-avoidance beliefs. We will also examine the extent to which the reduction in pain intensity varies by perceived discrimination. Assessments occur at baseline, post-intervention (4 weeks), and follow-ups at 3 and 6 months. Data are managed through a secure, web-based electronic data capture system. DISCUSSION: Telerehabilitation, as a remote, home-based intervention, holds promise for managing CNLBP, especially among historically underserved populations such as Afro-Brazilians. This study addresses gaps in research by focusing on racial and ethnic disparities in health access and outcomes, offering insights into the potential of telerehabilitation to mitigate inequities.

trial registrationThe study protocol is registered with ClinicalTrials.gov (NCT06443229, June 5, 2024).

Indexed as

Black PeopleChronic PainLow Back PainAdolescentAdultAfrican PeopleAgedBrazilDouble-Blind MethodFemaleHumansMaleMiddle AgedPain MeasurementRandomized Controlled Trials as TopicTelemedicineBlack populationsEthnic health disparitiesLow back painRehabilitationTelerehabilitation

Identifiers

PMID41840701
PMCPMC13104248

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.