Home-Based Telemedicine in Patients with Chronic Neck Pain
| Autor: | Simonetta Scalvini, Bernardo Gialanella, Teresa Ettori, Sabrina Faustini, Doriana Baratti, Palmira Bernocchi, Laura Comini |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Telemedicine medicine.medical_specialty Visual Analog Scale Visual analogue scale MEDLINE Home Care Services Hospital-Based Physical Therapy Sports Therapy and Rehabilitation law.invention Disability Evaluation 03 medical and health sciences Chronic neck pain 0302 clinical medicine Randomized controlled trial law medicine Humans In patient Prospective Studies 030212 general & internal medicine Prospective cohort study Neck Pain business.industry Rehabilitation Middle Aged Home based Exercise Therapy Italy Physical therapy Patient Compliance Female Chronic Pain business 030217 neurology & neurosurgery |
| Zdroj: | American Journal of Physical Medicine & Rehabilitation. 96:327-332 |
| ISSN: | 0894-9115 |
| DOI: | 10.1097/phm.0000000000000610 |
| Popis: | To investigate if a structured physician-directed, nurse-managed, home-based telemedicine (HBT) program, consisting of scheduled/unscheduled phone surveillance, can reduce pain in patients with chronic neck pain.This is a prospective randomized controlled study conducted on outpatients. Following outpatient rehabilitation, patients (n = 100) were consecutively randomized to a 6-month HBT program (HBT group) or no HBT but only the recommendation to continue exercising at home (control group). At baseline and after 6 months, pain severity (visual analog scale) and disability (Neck Disability Index) were evaluated.At 6 months, neck pain and disability declined in both groups (P0.001 for both groups, both parameters), but the decline was significantly more marked in the HBT group (P = 0.001, both parameters). At 6 months, 87.2% of HBT patients and 65.9% of control subjects were performing home exercises (in the range of 2-7 exercise sessions/wk). Pain and disability scores were correlated to participation in the HBT program, patients' perception of HBT, and adherence to home exercises.Home-based telemedicine may be a useful additional tool to help physicians in the management of chronic neck pain. |
| Databáze: | OpenAIRE |
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