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The effect of video exercise-based telerehabilitation on clinical outcomes, expectation, satisfaction, and motivation in patients with chronic low back pain

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A Correction to this article was published on 02 October 2021

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Abstract

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.

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Availability of data and material

All data generated or analyzed during this study are included in this published article.

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Acknowledgements

The authors would like to thank İrem Çetinkaya, PT, PhD(c), for her valuable contribution in video-exercise protocol and recordings. We would like to thank Caner Özden, SSDE, who developed the software called Fizyoweb for this trial purely for academic purposes.

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Authors and Affiliations

  1. Köyceğiz Vocational School of Health Services, Department of Health Care Services, Muğla Sıtkı Koçman University, Muğla, Turkey

    Fatih Özden

  2. Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Marmara University, İstanbul, Turkey

    Zübeyir Sarı

  3. Physical Therapy Unit, Muğla Sıtkı Koçman University, Training and Research Hospital, Muğla, Turkey

    Özgür N. Karaman

  4. Faculty of Medicine, Department of Physical Therapy and Rehabilitation, Muğla Sıtkı Koçman University, Muğla, Turkey

    Hüseyin Aydoğmuş

Authors
  1. Fatih Özden
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  2. Zübeyir Sarı
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  3. Özgür N. Karaman
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  4. Hüseyin Aydoğmuş
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Corresponding author

Correspondence to Fatih Özden.

Ethics declarations

Ethics approval

The study was carried out in accordance with the ethical principles and the Helsinki Declaration. Informed consent of the patients was obtained. The study protocol was approved by the ethics committee of Marmara University (09.2020.518). The study protocol was registered (ClinicalTrials.gov Identifier: NCT04567758).

Consent to participate

Informed consent of the patients was obtained.

Conflict of interest

The authors report no conflicts of interest and certify that no funding has been received for this study and/or the preparation of this manuscript. Fizyoweb is a web application fully developed for the academic purpose of this trial.

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The original online version of this article was revised: The above article was published online with error. The Ethical number found in page 3 of the proof has been captured twice. This should be corrected to “(No: 09.2020.518)”.

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Özden, F., Sarı, Z., Karaman, Ö.N. et al. The effect of video exercise-based telerehabilitation on clinical outcomes, expectation, satisfaction, and motivation in patients with chronic low back pain. Ir J Med Sci 191, 1229–1239 (2022). https://doi.org/10.1007/s11845-021-02727-8

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  • DOI: https://doi.org/10.1007/s11845-021-02727-8

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