Comparison of hybrid guided home-based and outpatient rehabilitation in patients with chronic low back pain: A randomized controlled trial
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F25%3A00082615" target="_blank" >RIV/65269705:_____/25:00082615 - isvavai.cz</a>
Alternative codes found
RIV/00216224:14110/25:00142693 RIV/00216208:11130/25:10501066
Result on the web
<a href="https://www.sciencedirect.com/science/article/pii/S1360859225003110" target="_blank" >https://www.sciencedirect.com/science/article/pii/S1360859225003110</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.jbmt.2025.08.009" target="_blank" >10.1016/j.jbmt.2025.08.009</a>
Alternative languages
Result language
angličtina
Original language name
Comparison of hybrid guided home-based and outpatient rehabilitation in patients with chronic low back pain: A randomized controlled trial
Original language description
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.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30300 - Health sciences
Result continuities
Project
—
Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2025
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Journal Of Bodywork And Movement Therapies
ISSN
1360-8592
e-ISSN
1532-9283
Volume of the periodical
45
Issue of the periodical within the volume
2025
Country of publishing house
NL - THE KINGDOM OF THE NETHERLANDS
Number of pages
9
Pages from-to
110-118
UT code for WoS article
001565787700001
EID of the result in the Scopus database
2-s2.0-105013750521