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Telerehabilitation booster sessions and remote patient monitoring in the management of chronic low back pain

PETERSON S
PHYSIOTHER THEORY PRACT , 2018, vol. 34, n° 5, p. 393-402
Doc n°: 187385
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1080/09593985.2017.1401190
Descripteurs : CE51 - LOMBALGIE, VE1 - TELEMEDECINE

Improvements in chronic low back pain (CLBP) seen in physical therapy
do not appear to be retained over the long term. Booster sessions have been
proposed, but barriers exist to their implementation. Telerehabilitation (TR) and
remote patient monitoring (RPM) may be ways to circumvent these barriers. The
purpose of this case series was to describe the implementation of TR booster
sessions and RPM in three patients with CLBP. CASE SERIES: Three females with
CLBP tracked their daily pain level and home exercise program adherence using a
mobile phone application for 12 months following discharge from traditional
face-to-face physical therapy. Synchronous audio and video TR booster sessions
were conducted at months 1, 3, 6, and 12. OUTCOMES: All patients met their
individual goals. They demonstrated excellent home exercise program adherence and
self-efficacy. A temporary increase in pain was seen in all patients, but they
managed solely with the TR booster sessions and without other healthcare
resources. Satisfaction with the program was very high. CONCLUSIONS: This case
series describes the use of TR booster sessions and RPM in three patients with
CLBP. The positive results suggest this approach may be helpful in improving
long-term management of patients with CLBP but demand further investigation.

Langue : ANGLAIS

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