{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T03:55:12Z","timestamp":1790654112542,"version":"4.1.0"},"reference-count":88,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Remote physical exercise training offers a more accessible alternative for the management of chronic low back pain (CLBP). However, the effectiveness of various remote delivery methods for this population is unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was a randomized controlled trial comparing live interactive training via videoconference to individual pre\u2010recorded video training sessions in patients with CLBP. Ninety\u2010four individuals with CLBP were randomly assigned to a waitlist or to a 12\u2010week general exercise program delivered by a certified kinesiologist, either through live interactive or pre\u2010recorded video sessions. The training intensity for the 3 weekly one\u2010hour sessions was adapted to each participant's fitness level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 57 patients (average age 48.4\u2009\u00b1\u200912.5\u2009years, 36 women) completed the study, with comparable rates of attrition in the three groups. Those performing exercise, irrespective of modality, experienced significant and clinically worthwhile (&gt;\u200920%) reductions in pain intensity ratings compared to waitlist. Similarly, exercise training (vs. waitlist) decreased movement\u2010evoked pain. No differences were observed between both forms of training for pain intensity, perceived difficulty, effort, fatigue, satisfaction or pain evoked during the training sessions. The therapeutic effects of physical exercise training were moderated by sex, with women reporting less pain relief, and mediated by improvements in self\u2010perceived general health, increased levels of physical activity and greater gait speed (4\u2010m gait task).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Altogether, these results support that, independently of the mode of delivery (live vs. pre\u2010recorded), remote exercise training is an accessible alternative to effectively alleviate CLBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Significance Statement<\/jats:title>\n                    <jats:p>Live and pre\u2010recorded remote physical exercise training were equally effective in reducing pain intensity and movement\u2010evoked pain. Across modalities, the clinical effects of remote exercise appeared to be mediated by increased engagement in physical activity, faster gait speed, and improvements in self\u2010rated general health. Together, these findings suggest that exercise training may reduce pain by improving general health\u2013related behaviours and beliefs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ejp.70388","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T03:01:43Z","timestamp":1790650903000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness, Mediators and Moderators of Remote Live vs. Pre\u2010Recorded Physical Exercise Training for Chronic Low Back Pain"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5031-8808","authenticated-orcid":false,"given":"Carlos","family":"Gevers\u2010Montoro","sequence":"first","affiliation":[{"name":"Psychology Department McGill University  Montr\u00e9al Quebec Canada"},{"name":"Alan Edwards Centre for Research on Pain (AECRP) McGill University  Montreal Quebec Canada"},{"name":"Chiropractic Department Universit\u00e9 du Qu\u00e9bec \u00e0 Trois\u2010Rivi\u00e8res  Trois\u2010Rivi\u00e8res Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0343-8900","authenticated-orcid":false,"given":"Maxime","family":"Bergevin","sequence":"additional","affiliation":[{"name":"\u00c9cole de Kin\u00e9siologie et Des Sciences de l'Activit\u00e9 Physique (EKSAP) Facult\u00e9 de M\u00e9decine  Montr\u00e9al Quebec Canada"},{"name":"Centre de Recherche de l'Institut Universitaire de G\u00e9riatrie de Montr\u00e9al (CRIUGM)  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4798-1091","authenticated-orcid":false,"given":"Florian","family":"Bobeuf","sequence":"additional","affiliation":[{"name":"Centre de Recherche de l'Institut Universitaire de G\u00e9riatrie de Montr\u00e9al (CRIUGM)  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myl\u00e8ne","family":"Aubertin\u2010Leheudre","sequence":"additional","affiliation":[{"name":"\u00c9cole de Kin\u00e9siologie et Des Sciences de l'Activit\u00e9 Physique (EKSAP) Facult\u00e9 de M\u00e9decine  Montr\u00e9al Quebec Canada"},{"name":"Centre de Recherche de l'Institut Universitaire de G\u00e9riatrie de Montr\u00e9al (CRIUGM)  Montr\u00e9al Quebec Canada"},{"name":"D\u00e9partement des Sciences de l'Activit\u00e9 Physique Facult\u00e9 Des Sciences, Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9302-5183","authenticated-orcid":false,"given":"Benjamin","family":"Pageaux","sequence":"additional","affiliation":[{"name":"\u00c9cole de Kin\u00e9siologie et Des Sciences de l'Activit\u00e9 Physique (EKSAP) Facult\u00e9 de M\u00e9decine  Montr\u00e9al Quebec Canada"},{"name":"Centre de Recherche de l'Institut Universitaire de G\u00e9riatrie de Montr\u00e9al (CRIUGM)  Montr\u00e9al Quebec Canada"},{"name":"Centre Interdisciplinaire de Recherche sur le Cerveau (CIRCA)  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathieu","family":"Roy","sequence":"additional","affiliation":[{"name":"Psychology Department McGill University  Montr\u00e9al Quebec Canada"},{"name":"Alan Edwards Centre for Research on Pain (AECRP) McGill University  Montreal Quebec Canada"},{"name":"Centre de Recherche de l'Institut Universitaire de G\u00e9riatrie de Montr\u00e9al (CRIUGM)  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2474-14-196","article-title":"Detecting Insomnia in Patients With Low Back Pain: Accuracy of Four Self\u2010Report Sleep Measures","volume":"14","author":"Alsaadi S. 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