Adherence and Effect of Home-Based Rehabilitation with Telemonitoring Support in Patients with Chronic Non-Specific Low Back Pain: A Pilot Study

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Authors

KRKOŠKA Peter VLAŽNÁ Daniela SLÁDEČKOVÁ Michaela MINÁRIKOVÁ Jitka BARUSOVÁ Tamara BAŤALÍK Ladislav DOSBABA Filip VOHÁŇKA Stanislav ADAMOVÁ Blanka

Year of publication 2023
Type Article in Periodical
Magazine / Source International Journal of Environmental Research and Public Health
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.mdpi.com/1660-4601/20/2/1504
Doi http://dx.doi.org/10.3390/ijerph20021504
Keywords low back pain; paraspinal muscles; muscle strength; muscular endurance; pain; disability; adherence; telemonitoring; home-based rehabilitation
Description Home-based exercises have been on the rise recently. This pilot study aimed to assess the adherence and effect of a home-based rehabilitation programme using telemonitoring in patients with chronic non-specific low back pain (CNLBP). Twenty-seven patients with CNLBP were enrolled in the study, each of whom underwent a neurological assessment, including patient-oriented measures and a functional assessment-a battery of tests that comprehensively evaluated trunk muscle function. The rehabilitation programme lasted 18 weeks and included daily home-based exercises. A mobile application or an exercise diary was used to monitor compliance. Adherence to the programme was excellent for both the diary and mobile application groups, with 82.3% in the diary group exercising at least once a day and 72.9% twice a day, and 94.8% in the mobile application group exercising at least once a day and 86.6% twice a day. Both patient-oriented and functional outcomes improved significantly; however, the relative changes of the parameters in these two groups did not correlate, which supports the idea that trunk muscle function does not directly relate to patient complaints and that CNLBP is a multifactorial issue. This model of rehabilitation programme should be used in clinical practice, as its adherence and effectiveness seem noticeable.
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