Comparison of hybrid guided home-based and outpatient rehabilitation in patients with chronic low back pain: A randomized controlled trial

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216224:14110/25:00142693 RIV/00216208:11130/25:10501066

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

Comparison of hybrid guided home-based and outpatient rehabilitation in patients with chronic low back pain: A randomized controlled trial

Popis výsledku v původním jazyce

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&apos; g = 0.688) and pain reduction (mean difference: 1.67 points; p = 0.001; Hedges&apos; 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.

Název v anglickém jazyce

Comparison of hybrid guided home-based and outpatient rehabilitation in patients with chronic low back pain: A randomized controlled trial

Popis výsledku anglicky

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&apos; g = 0.688) and pain reduction (mean difference: 1.67 points; p = 0.001; Hedges&apos; 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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30300 - Health sciences

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Journal Of Bodywork And Movement Therapies

ISSN

1360-8592

e-ISSN

1532-9283

Svazek periodika

45

Číslo periodika v rámci svazku

2025

Stát vydavatele periodika

NL - Nizozemsko

Počet stran výsledku

9

Strana od-do

110-118

Kód UT WoS článku

001565787700001

EID výsledku v databázi Scopus

2-s2.0-105013750521