Virtual back pain showdown: can Brain-Focused therapy beat pilates for seniors?
NCT ID NCT05480982
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a special type of talk-and-movement therapy (Cognitive Functional Therapy) delivered via video calls works better than online Pilates classes for older adults with chronic low back pain. About 200 people aged 60+ with pain lasting over 12 weeks will participate from home. The goal is to see which approach reduces disability and pain more effectively.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2022
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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65 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * A main complaint of pain in the area between the 12th rib and buttock crease with or without accompanying non-radicular leg pain; * Episode of ongoing low back pain for at least 12 weeks' duration; * Presenting to a primary care clinician at least 6 weeks ago for this episode of LBP; * Being able to walk independently (with or without aids); * Ability to understand Portuguese well enough to be able to fill in the questionnaires. * Medium or high risk score on STartback screening tool. Exclusion Criteria: * Known or suspected red flag disorders like fracture, malignancy/cancer, cauda equina syndrome or progressive neurological disorder, inflammatory or infective diseases of the spine; * Suspected radicular pain (dominant leg pain, positive neural tissue provocation tests and/or any two of altered strength, reflexes or sensation for the same nerve root, assessed clinically); * Spinal surgery \< 6 months previously; * Invasive procedures for pain relief (ex: epidural injection, rhizotomy) in the last three months; * Scoliosis (if considered the primary cause of pain); * Unstable heart conditions; * Chikungunya or Dengue virus disease transmitted by mosquitoes; * Relevant cognition deficit measured by 10 point cognitive screener, with a cut-off point of less than 8 points, 18 for participants with elementary education, and 26 for participants with secondary and/or higher education; * Post Covid-19 sequelae of pain.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Centro Universitário Augusto Motta
RECRUITINGRio de Janeiro, Rio de Janeiro, 22793520, Brazil
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Other studies related to the condition(s) this trial covers.
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