The Effects of Synchronous Versus Asynchronous Telerehabilitation Programs for Chronic Non-specific Low Back Pain: A 3-Arm randomized controlled trial
Abstract
OBJECTIVE
This study aimed to assess the effectiveness of synchronous and asynchronous telerehabilitation programs in managing CNLBP.
DESIGN
A 3-Arm Parallel group randomized trial SETTING: University hospital, department of orthopedics and traumatology PARTICIPANTS: This randomized controlled trial was carried out on 72 (31 females, 41 males; mean age 41.26±10.97 years) individuals with CNLBP.
INTERVENTIONS
Participants were randomly assigned to three groups: synchronous telerehabilitation group (STG) (n = 24), asynchronous telerehabilitation group (ASTG) (n = 24), and a control group (CG) (n = 24). A structured exercise program was delivered in real time to the STG, via pre-recorded videos to the ASTG, and through a digital book to the CG (12 weeks).
MAIN OUTCOME MEASURES
Pain levels as the prespecified primary outcome were measured using the Visual Analogue Scale (VAS). Disability was assessed with the Roland Morris Disability Questionnaire (RMDQ) and Oswestry Disability Index (ODI). Fear of movement was evaluated with the Tampa Scale (TSK), and quality of life was determined using the SF-12.
RESULTS
Pain levels, disability status, fear of movement, and quality of life showed improvement at week 12 in all groups (p<0.05). In addition, the STG showed greater improvements than the CG in VAS (mean difference: 1.28, 95% CI: 0.50-2.05). Moreover, the ASTG obtained more significant results than the CG group only in the sub-parameters of SF-12 (PCS and MCS).
CONCLUSIONS
A…
How strong is the evidence?
Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 24 participants or records.
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