Effect of telerehabilitation-based core-stability exercise on pain-related disability, pain self-efficacy, and psychological factors in individuals with non-specific chronic low back pain: a randomized controlled study.

Autor:	Akodu, Ashiyat K., Adedeji, Adebola R., Zibiri, Rasheedah A., Bakre, Aishat T.
Předmět:	PHYSICAL therapy MEDICAL protocols SELF-efficacy CHRONIC pain OUTPATIENT services in hospitals T-test (Statistics) CRONBACH'S alpha DISABILITY evaluation BLIND experiment STATISTICAL sampling QUESTIONNAIRES TELEREHABILITATION TREATMENT effectiveness TERTIARY care MANN Whitney U Test DESCRIPTIVE statistics PAIN PSYCHOLOGICAL stress FRIEDMAN test (Statistics) PAIN management HEALTH outcome assessment DATA analysis software ABDOMINAL exercises BACK exercises LUMBAR pain TIME
Zdroj:	Bulletin of Faculty of Physical Therapy; 7/10/2024, Vol. 29 Issue 1, p1-10, 10p
Abstrakt:	Background: Core-stability exercise is an exercise modality used in the management of patients with low back pain (LBP). Telerehabilitation is a new treatment approach that is gaining traction as an alternative rehabilitation approach. This study determined the effect of telerehabilitation-based core stability exercise (TCSE) and clinical-based core stability exercise (CCSE) on pain-related disability, pain self-efficacy, and psychological factors in patients with non-specific chronic low back pain (CLBP). Materials and methods: Fifty participants (24 males and 26 females) with a mean age of 40.28 years participated in this randomized controlled study and were recruited from the out-patients physiotherapy clinic of 2 tertiary hospitals in Lagos State and were allocated into two groups (telerehabilitation-based core stability exercise group and clinical-based core stability exercise group which serves as the control) using computer-generated random number sequence. Pain-related disability, pain self-efficacy, and psychological status were assessed at baseline, and at the completion of the 4th and 8th week. Patients received supervised intervention protocols twice weekly for 8 consecutive weeks. Independent t-test, Mann–Whitney U test, and Friedman test were used in analyzing the data at an alpha level of 5%. Results: There was a statistically significant difference (P = 0.0001) noted within each group (telerehabilitation-based core stability exercise group and clinical-based core stability exercise group) in all the outcome measures assessed (Pain Disability Index, Pain Self-efficacy Questionnaire and Depression-Anxiety-Stress scale) but no group was superior to one another when compared. Conclusion: Telerehabilitation-based core stability exercise was as efficacious as clinical-based core stability exercise in decreasing pain-related disability, improving pain self-efficacy and psychological factors, and should be incorporated as part of the treatment program in musculoskeletal rehabilitation for individuals with non-specific CLBP. Trial registration: PACTR202208607830603, 16th August 2022—retrospectively registered, https://pactr.samrc.ac.za/ [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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