Effects of Clinic-based and Telerehabilitation-based Motor Control Exercises in Individuals with Chronic Low-back Pain: A Randomized Controlled Trial With 3-Month Follow-up.

研究概要

Forty-two patients with chronic low-back pain were randomized to receive clinic-based motor control exercises (n=21) or telerehabilitation-based motor control exercises (n=21), performed three times per week for eight weeks. The primary outcome was pain intensity (VAS). Secondary outcomes included disability (ODI), health-related quality of life (Nottingham Health Profile subdomains and total), pain catastrophizing (PCS), lumbar flexion ROM, spatiotemporal gait parameters, and perceived improvement/satisfaction. Outcomes were assessed pre-intervention, post-intervention, and at 1 and 3 months. Overall, the results revealed comparable reductions in VAS pain within both groups at all time points and no between-group differences; disability, quality-of-life domains (with exceptions), PCS, and lumbar flexion ROM improved, whereas gait parameters did not change. These findings suggest telerehabilitation-based motor control exercise is as effective as clinic delivery for short-term management of chronic low-back pain.