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: A randomized controlled trial protocol


Abstract

Background: Chronic non-specific low back pain (CNSLBP) affects 40-52% of college students, representing a significant public health concern that impairs academic performance and quality of life. Traditional physiotherapy faces barriers including cost, accessibility, and time constraints. While telerehabilitation shows promise, current models lack objective exercise quality monitoring. Artificial intelligence (AI)-enhanced video analysis offers potential to bridge this gap by providing real-time movement assessment and personalized feedback. Objective: To determine the effectiveness of an AI-enhanced telerehabilitation program integrating automated video-based posture analysis with personalized feedback on pain reduction in college students with CNSLBP after six weeks, compared to exercise-only telerehabilitation and usual care. Methods: This single-blind, three-arm randomized controlled trial will recruit 120 college students aged 18-30 years with CNSLBP. Participants will be randomized to: (1) AI-enhanced telerehabilitation with automated video analysis and weekly therapist feedback, (2) exercise-only telerehabilitation without AI feedback, or (3) usual care control. The intervention duration is six weeks with assessments at baseline, Week 6, and three-month follow-up. Primary outcome is pain intensity (Numerical Rating Scale). Secondary outcomes include disability (Roland-Morris Disability Questionnaire), mobility (Timed Up and Go), trunk endurance (prone plank test), adherence rates, and platform usability. Expected Outcomes: The AI-enhanced group is hypothesized to demonstrate superior pain reduction, functional improvement, and exercise adherence compared to other groups. This research will provide evidence for integrating AI technology into telerehabilitation for young adults with CNSLBP. Keywords: chronic low back pain, telerehabilitation, artificial intelligence, college students, video analysis, physiotherapy
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