The effects of in-person-supervised, tele-supervised, and unsupervised stabilization exercises on pain, functionality, and kinesiophobia in patients with chronic low back pain: a randomized, single-blind trial.

研究概要

Sixty-six patients with chronic low back pain were randomized to receive in-person-supervised stabilization exercises (n=22), tele-supervised stabilization exercises (n=22), or unsupervised stabilization exercises (n=22). The primary outcome of interest was functionality, assessed using the Oswestry Disability Index (ODI). Secondary outcomes included pain intensity (Numeric Rating Scale), kinesiophobia (Tampa Scale of Kinesiophobia), and adherence to the intervention. Outcomes were assessed at baseline and after four weeks. Overall, the study revealed that while all three groups experienced improvements, the in-person-supervised group had the most significant gains in functionality and the greatest reduction in kinesiophobia. Tele-supervised stabilization exercises were more effective than unsupervised exercises in improving functionality and reducing pain intensity. These findings suggest that supervised stabilization exercises, particularly in-person supervision, may offer superior benefits for managing CLBP.