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

Krkoška, Peter; Vlažná, Daniela; Sladeckova, Michaela; Minarikova, Jitka; Barusova, Tamara; Baťalík, Ladislav; Dosbaba, Filip; Voháňka, Stanislav; Adamová, Blanka

doi:10.3390/ijerph20021504

Cited by 5 publications

(1 citation statement)

References 43 publications

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“…Although trunk muscles have a very important function in posture and mobility and probably play a significant role in spinal health, their comprehensive examination is often neglected. In our previous study, we defined a battery of tests that comprehensively assess trunk muscle function (including muscle strength, muscle endurance, and coordination) and have the potential to reveal trunk muscle dysfunction (14,15).…”

Section: Introductionmentioning

confidence: 99%

Trunk muscle dysfunction in patients with myotonic dystrophy type 2 and its contribution to chronic low back pain

Vlazna,

Krkoska,

Sladeckova

et al. 2023

Front. Neurol.

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IntroductionMyotonic dystrophy type 2 (MD2) presents with a varied manifestation. Even though the myopathy in these patients is more widespread, axial musculature involvement is one of the most prominent conditions. MD2 patients also often report chronic low back pain (CLBP). The purpose of this study was to evaluate trunk muscle function, including respiratory muscles, in patients with MD2 and to compare it with healthy controls, to determine the occurrence of CLBP in patients with MD2, and to assess whether trunk muscle dysfunction increases the risk of CLBP in these patients.MethodsWe enrolled 40 MD2 patients (age range 23 to 76 years, 26 women). A comprehensive battery of tests was used to evaluate trunk muscle function. The tests consisted of quantitative muscle strength testing of low back extensor muscles and respiratory muscles and the assessment of trunk muscle endurance. A neurological evaluation contained procedures assessing the distribution of muscle weakness, myotonia, and pain, and used questionnaires focused on these items and on disability, depression, and physical activity.ResultsThe results of this study suggest that patients with MD2 show significant dysfunction of the trunk muscles, including the respiratory muscles, expressed by decreased muscle strength and endurance. The prevalence of CLBP in patients with MD2 was 52.5%. Based on our analysis, the only independent significant risk factor for CLBP in these patients was maximal isometric lower back extensor strength in a prone position ≤ 15.8 kg (OR = 37.3). Other possible risk factors were severity of myotonia and reduced physical activity.ConclusionOutcomes of this study highlighted the presence of axial muscle dysfunction, respiratory muscle weakness, and frequent occurrence of CLBP together with its risk factors in patients with MD2. We believe that the findings of this study may help in management and prevention programs for patients with MD2.

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Section: Introductionmentioning

confidence: 99%

Trunk muscle dysfunction in patients with myotonic dystrophy type 2 and its contribution to chronic low back pain

Vlazna,

Krkoska,

Sladeckova

et al. 2023

Front. Neurol.

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Gamified delivery of at-home rehabilitation for individuals with nonspecific low back pain: a randomized controlled trial

Devorski,

Suppiah,

Fukuda

et al. 2024

Disability and Rehabilitation

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Trajectories of Adherence to Home-Based Exercise Recommendations Among People With Low Back Pain: A Longitudinal Analysis

Arensman,

Heymans,

Kloek

et al. 2023

Physical Therapy

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Objective This study aimed to examine the presence of distinct trajectories of adherence to home-based exercise recommendations among people with low back pain. This study also aimed to identify differences in baseline characteristics among groups. Methods This study was a secondary analysis of a prospective, multicenter cluster randomized controlled trial investigating the cost-effectiveness of a stratified blended physical therapist intervention compared to usual care physical therapy in patients with low back pain. The intervention group received usual care with integrated support via a smartphone app. A total of 208 patients were recruited from 58 primary care physical therapist practices. Baseline data included patient characteristics, physical functioning, pain intensity, physical activity, fear avoidance, pain catastrophizing, self-efficacy, self-management ability, and health-related quality of life. The Exercise Adherence Scale (score range = 0 to 100) was used to measure adherence during each treatment session. Latent class growth analysis was used to estimate trajectories of adherence. Results Adherence data was available from 173 out of 208 patients (83%). Data was collected during an average of 5.1 (SD = 2.5) treatment sessions, with total treatment duration of 51 (SD = 41.7) days. Three trajectory classes were identified: "declining adherence" (12%), "stable adherence" (45%), and "increasing adherence" (43%). No differences in baseline characteristic were found between groups. Conclusions Three adherence trajectories to exercise recommendations were identified in patients with low back pain. However, baseline characteristics cannot identify a patient's trajectory group. Impact Despite the presence of distinct trajectories of adherence in patients with low back pain, physical therapists should not attempt to place a patient in a trajectory group at the start of treatment. Instead, adherence should be closely monitored as treatment progresses and supported when required as part of an ongoing process.

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

Cited by 5 publications

References 43 publications

Trunk muscle dysfunction in patients with myotonic dystrophy type 2 and its contribution to chronic low back pain

Trunk muscle dysfunction in patients with myotonic dystrophy type 2 and its contribution to chronic low back pain

Gamified delivery of at-home rehabilitation for individuals with nonspecific low back pain: a randomized controlled trial

Trajectories of Adherence to Home-Based Exercise Recommendations Among People With Low Back Pain: A Longitudinal Analysis

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