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Smartphone-based remote self-management of chronic low back pain: a preliminary study |
Yang J, Wei Q, Ge Y, Meng L, Zhao M |
Journal of Healthcare Engineering 2019 Feb 6;(4632946):Epub |
clinical trial |
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
OBJECTIVE: To assess the additional effect of self-management on physiotherapy via the use of APPS on management of chronic low back pain. METHOD: A single-blinded randomized control trial was conducted. 8 participants (male 4; female 4) were recruited from the Rehabilitation Clinic of The Hong Kong Polytechnic University. Participants in the treatment group received self-management plus physiotherapy and the control group received physiotherapy only. Assessment was carried out pretreatment, midterm (week 2), and posttreatment (week 4), including visual analog scale (VAS), Pain Self-Efficacy Questionnaire (PSEQ), Roland Morris Disability Questionnaire (RMDQ), and SF36. RESULTS: Compared with the physiotherapy group, the self-management plus physiotherapy group had significance in PSEQ (p = 0.035), RMDQ (p = 0.035), SF36-Bodily Pain (p = 0.008), and SF36-Mental Health (p = 0.013). VAS showed a positive trend although there was no significant difference. CONCLUSION: This pilot study indicated that smartphone APPS-based self-management program appears to bring additional benefits to physiotherapy for patients with CLBP. Self-management is a potential approach for people with CLBP.
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