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.
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引用次数: 0
Abstract
Background: The efficacy of various supervision methods for stabilization exercises in patients with chronic low back pain (CLBP) remains uncertain.
Objective: To evaluate the impact of supervised and unsupervised stabilization exercises in patients with CLBP.
Methods: Sixty-six participants were assigned to the in-person-supervised, tele-supervised, or unsupervised groups. All participants received a 20-30-minute exercise program three times a week for 4 weeks. We assessed functionality (Oswestry Disability Index), pain intensity (Numeric Rating Scale), and kinesiophobia (Tampa Scale of Kinesiophobia) before and after the 4 weeks. The outcomes were analyzed using effect size, minimum clinically important difference (MCID), minimal detectable change (MDC), Wilcoxon test, and post hoc analyses.
Results: While the unsupervised group improved in all measures (p < .05) both the tele-supervised (p = .001) and in-person-supervised (p < .001) groups achieved superior functionality exceeding MDC. The in-person-supervised group demonstrated greater functionality (p < .001) than the tele-supervised group, exceeding MCID. Pain intensity decreased in the tele-supervised (p = .011) and in-person-supervised groups (p < .001) compared to the unsupervised group, exceeding MCID and MDC. No significant difference was found in post-treatment NRS score changes between the supervised groups (p = .071). The in-person-supervised group displayed a greater reduction in kinesiophobia than the tele-supervised (p < .001) and unsupervised groups (p < .001) but not exceeding MCID or MDC. Effect sizes were large within and between groups except for a small effect size between the tele-supervised and unsupervised groups in kinesiophobia.
Conclusion: While tele-supervised stabilization exercises alleviate pain and enhance functionality, in-person-supervised exercises may be more effective in improving functionality and reducing kinesiophobia in patients with CLBP.
背景：各种监督方法对慢性腰痛（CLBP）患者进行稳定运动的疗效尚不确定。目的：评价有监督和无监督的稳定训练对慢性腰痛患者的影响。方法：将66名参与者分为现场监督组、远程监督组或无监督组。所有参与者每周接受三次20-30分钟的锻炼计划，每次4次 周。我们评估了4个月前和之后的功能（Oswestry残疾指数）、疼痛强度（数字评定量表）和运动恐惧症（坦帕运动恐惧症量表） 周。使用效应大小、最小临床重要差异（MCID）、最小可检测变化（MDC）、Wilcoxon检验和事后分析对结果进行分析。结果：无监督组在各项指标上均有改善（p p = .001）和亲自监督（p p p = .011）和亲自监督的小组（p p = .071）。面对面监督组的运动恐惧症比远程监督组减少得更多（p p 结论：虽然远程监督的稳定运动可以减轻疼痛并增强功能，但面对面监督的运动可能更有效地改善CLBP患者的功能并减少运动恐惧症。
期刊介绍：
The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.
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