Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jan 13;20(2):1504.
doi: 10.3390/ijerph20021504.

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

Peter Krkoska  1   2 , Daniela Vlazna  1   2   3 , Michaela Sladeckova  1   3   4 , Jitka Minarikova  3   5 , Tamara Barusova  6 , Ladislav Batalik  3   4 , Filip Dosbaba  3 , Stanislav Vohanka  1   2 , Blanka Adamova  1   2
Affiliations

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

Peter Krkoska et al. Int J Environ Res Public Health. .

Abstract

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.

Keywords: adherence; disability; home-based rehabilitation; low back pain; muscle strength; muscular endurance; pain; paraspinal muscles; telemonitoring.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Timeline of the rehabilitation programme.
Figure 2
Figure 2
Study flowchart, including subject recruitment.
Figure 3
Figure 3
Correlation of relative changes in particular parameters after the HBRP. Significance of correlations is expressed through asterisks at levels: * p < 0.05, ** p < 0.01 and *** p < 0.001. † Maximal isometric lower back extensor strength in different positions.
See this image and copyright information in PMC

References

    1. Saragiotto B.T., Maher C.G., Yamato T.P., Costa L.O., Menezes Costa L.C., Ostelo R.W., Macedo L.G. Motor Control Exercise for Chronic Non-specific Low-back Pain. Cochrane Database Syst. Rev. 2016;2016:CD012004. doi: 10.1002/14651858.CD012004. - DOI - PMC - PubMed
    1. Airaksinen O., Brox J.I., Cedraschi C., Hildebrandt J., Klaber-Moffett J., Kovacs F., Mannion A.F., Reis S., Staal J.B., Ursin H., et al. Chapter 4. European Guidelines for the Management of Chronic Nonspecific Low Back Pain. Eur. Spine J. 2006;15((Suppl. S2)):S192–S300. doi: 10.1007/s00586-006-1072-1. - DOI - PMC - PubMed
    1. Panjabi M.M. A Hypothesis of Chronic Back Pain: Ligament Subfailure Injuries Lead to Muscle Control Dysfunction. Eur. Spine J. 2006;15:668–676. doi: 10.1007/s00586-005-0925-3. - DOI - PMC - PubMed
    1. Agten A., Verbrugghe J., Stevens S., Boomgaert L., O Eijnde B., Timmermans A., Vandenabeele F. Feasibility, Accuracy and Safety of a Percutaneous Fine-Needle Biopsy Technique to Obtain Qualitative Muscle Samples of the Lumbar Multifidus and Erector Spinae Muscle in Persons with Low Back Pain. J. Anat. 2018;233:542–551. doi: 10.1111/joa.12867. - DOI - PMC - PubMed
    1. Mannion A.F. Fibre Type Characteristics and Function of the Human Paraspinal Muscles: Normal Values and Changes in Association with Low Back Pain. J. Electromyogr. Kinesiol. 1999;9:363–377. doi: 10.1016/S1050-6411(99)00010-3. - DOI - PubMed

Publication types