Comparison of hybrid guided home-based and outpatient rehabilitation in patients with chronic low back pain: A randomized controlled trial
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu časopisecké články, randomizované kontrolované studie, srovnávací studie
PubMed
41316561
DOI
10.1016/j.jbmt.2025.08.009
PII: S1360-8592(25)00311-0
Knihovny.cz E-zdroje
- Klíčová slova
- Chronic low back pain, Home-based exercise, Hybrid rehabilitation, Pain, Patient adherence, Quality of life, Safety, Telemonitoring, Trunk endurance,
- MeSH
- ambulantní péče * metody MeSH
- chronická bolest * rehabilitace MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- lumbalgie * rehabilitace MeSH
- služby domácí péče * MeSH
- techniky fyzikální terapie MeSH
- terapie cvičením * metody MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- randomizované kontrolované studie MeSH
- srovnávací studie MeSH
BACKGROUND: Chronic low back pain (CLBP) is a leading cause of disability globally, often requiring multidisciplinary management. Hybrid rehabilitation models, combining home-based exercises with telemonitoring and periodic check-ins, may offer improved outcomes and adherence compared to standard outpatient care. OBJECTIVE: To evaluate the effectiveness of a hybrid guided home-based rehabilitation (HGHR) compared to standard outpatient rehabilitation (SOR) in patients with CLBP. METHODS: A randomized controlled trial was conducted with 56 participants assigned to a HGHR or a SOR group. Both groups completed an 18-week intervention with seven scheduled physiotherapy sessions. The HGHR group performed structured home-based exercises supported by weekly phone monitoring and in-person check-ins, while the SOR group attended traditional supervised outpatient sessions. Outcomes were assessed at baseline, after the 18-week intervention, and at the end of a 24-week follow-up period (week 42 in total). RESULTS: At 42 weeks, the HGHR group demonstrated significantly greater improvements in trunk extensor endurance (mean difference: +34.3 s; p = 0.009; Hedges' g = 0.688) and pain reduction (mean difference: 1.67 points; p = 0.001; Hedges' g = 0.910) compared to the SOR group. No significant between-group differences were found in disability or most SF-36 quality of life domains. Adherence exceeded 89 % in both groups, with no serious adverse events reported. CONCLUSIONS: Hybrid guided home-based rehabilitation is effective in improving trunk endurance and reducing pain in patients with CLBP. These benefits were maintained up to 24 weeks post-intervention. Future research should explore long-term cost-effectiveness and integration of psychological support to further enhance outcomes.
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