The effect of video exercise-based telerehabilitation on clinical outcomes, expectation, satisfaction, and motivation in patients with chronic low back pain
IRISH JOURNAL OF MEDICAL SCIENCE, cilt.191, sa.3, ss.1229-1239, 2022 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 191 Sayı: 3
- Basım Tarihi: 2022
- Doi Numarası: 10.1007/s11845-021-02727-8
- Dergi Adı: IRISH JOURNAL OF MEDICAL SCIENCE
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Biotechnology Research Abstracts, EMBASE, MEDLINE
- Sayfa Sayıları: ss.1229-1239
- Anahtar Kelimeler: Exercise video, Low back pain, Remote rehabilitation, Telehealth, Telemedicine, TURKISH VERSION, SCALE, MANAGEMENT, REHABILITATION, KINESIOPHOBIA, DISABILITY, THERAPY, PROGRAM
- Marmara Üniversitesi Adresli: Evet
Özet
Background The efficacy of exercise-based telerehabilitation in chronic low back pain (CLBP) has not been well studied. To our knowledge, no other studies have investigated the efficacy of video exercise-based telerehabilitation software in the remote management of home exercises in patients with CLBP. Aims The purpose of the study was to investigate the effect of the video-based exercise software on pain, function, quality-of-life, expectation, satisfaction, and motivation in individuals with CLBP. Methods A double-blind, two-armed randomized controlled trial was carried out with 50 individuals with CLBP. Participants were randomly allocated to either the telerehabilitation group (n = 25) or the conventional rehabilitation group (n = 25). The telerehabilitation group was followed up with a video exercise-based telerehabilitation software called Fizyoweb. The clinician was able to communicate with the patients through the software. The conventional rehabilitation group was given the same home exercises as the paper-based exercise instruction form. Pain, function, quality-of-life, and kinesiophobia were evaluated at baseline and after 8 weeks of intervention. In addition, patient expectations were questioned at the initial evaluation; afterward, patient satisfaction and motivation were questioned at the eighth week. Results After 8 weeks of treatment, the telerehabilitation group achieved significant improvement in pain, function, quality-of-life, kinesiophobia, satisfaction, and motivation (p < 0.05). In addition, the telerehabilitation group reported more significant gains in all parameters compared with the conventional rehabilitation group (p < 0.05). Conclusions The video exercise-based telerehabilitation software positively affects clinical parameters and adherence to rehabilitation in patients with CLBP.