Augmenting Back Pain Exercise Therapy Using an Interactive Gaming-based Intervention in the Home Setting

Inclusion Criteria:

- English speaking and reading

- Back pain subject-rated at > 3 on an 11 point VAS scale (0-10), with a duration > six
months)

- Able to commit to all study visits.

- Low back pain attributable to mechanical etiology as opposed to infectious,
neoplastic, or inflammatory causes.

- BMI ≤ 40

- Familiar with tablet use

Exclusion Criteria:

- Impairment in vision or mobility interfere with required participation in the study

- Current or anticipated receipt of payments from Worker's Compensation or other
insurance for disability attributed to low back pain.

- Plans to initiate additional treatment for back pain during the period of the study,
such as acupuncture.

- Unresolved musculoskeletal pathology of the lower limbs.

- Severe radiculopathic pain.

- Alcohol or substance abuse

- Prior discectomy or implantation of rods, screws or plates. (Bulging disc without
radicular pain is not exclusionary; hip or shoulder replacement is not exclusionary)

- Current medication with coumadin or prednisone, chronic use of steroid medications,
daily use of narcotic analgesics, or estrogen supplementation, tricyclic
anti-depressants (if not on a regular steady dose at least one month prior to
enrollment), or any substance that could impair balance.

- Current diagnosis of:

1. Balance problems due to vestibular or other neurological impairments.

2. Osteoporosis (Osteopina is not an exclusionary condition)

3. Fibromyaligia

4. Severe or progressive neurological deficits, including neuromotor impairment

5. Any hypercoagulation condition

6. Eczema, Psoriasis, or skin infectionsdeep vein thrombosis

7. Burns or other acute trauma including unhealed bone fractures or open wounds

8. Psychiatric illness not well controlled, or current episode of exacerbated major
depressive disorder.

9. Rheumatoid arthritis,

- Any other major medical condition that would impair the subject's ability to complete
the study visits.

- Any other major medical condition that has not been stabilized, or that would impair
the subject's ability to complete the activities required by the study