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

Int J Environ Res Public Health. 2023 Jan 13;20(2):1504. doi: 10.3390/ijerph20021504.

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chronic Pain*
  • Exercise Therapy
  • Humans
  • Low Back Pain* / rehabilitation
  • Physical Therapy Modalities
  • Pilot Projects
  • Torso
  • Treatment Outcome

Grants and funding

The study was supported by the Ministry of Health of the Czech Republic project for conceptual development in research organisations, ref. no. 65269705 (University Hospital Brno, Brno, Czech Republic), by Specific Research project ref. MUNI/A/1144/2021 and by project ref. MUNI/IGA/1162/2021 from the programme supporting student projects at Masaryk University. Four authors of this publication are members of the European Reference Network for Neuromuscular Diseases—Project ID No. 870177.