Effects of an intervention program, through telerehabilitation, for patients with chronic low back pain: a clinical protocol
DOI:
https://doi.org/10.5585/22.2023.23662Keywords:
Low back pain, Exercise, Health Education, TelerehabilitationAbstract
Introduction: Low back pain is one of the most widespread public health problems faced in the world. The access to evidence-based treatment, such as pain neuroscience education and therapeutic exercises, is often limited due to numerous barriers.
Objective: To develop an intervention protocol that uses a pain education program associated with therapeutic exercise for the treatment of chronic low back pain, through telerehabilitation.
Method: This protocol describes an experimental design of the type controlled clinical trial, randomized with evaluator and blinded statistician.
Discussion: Our hypothesis is that the telerehabilitation program will benefit patients with chronic low back pain, surprising pain intensity, improving function and psychological factors.
Downloads
References
Hoy D, Bain C, Wlliams G, March L, Brooks P, Blyth F, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012; 64(6): 2028–37. http://dx.doi.org/10.1002/art.34347
Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016; 388(10053):1545–602. http://dx.doi.org/10.1016/s0140-6736(16)31678-6
Breivik H, Eisenberg E, O’Brien T. The individual and societal burden of chronic pain in Europe: The case for strategic prioritisation and action to improve knowledge and availability of appropriate care. BMC Public Health. 2013; 13:1229. http://dx.doi.org/10.1186/1471-2458-13-1229
Foster NE, Anema JR, Cherkin D, Chou R, Cohen SP; Gross DP. Prevention and treatment of low back pain: evidence, challenges, and promising directions. The Lancet. 2018 391(10137):2368-2383. https://doi.org/10.1016/S0140-6736(18)30489-6
National Guideline Centre (UK). Low back pain and sciatica in over 16s: assessment and management. London: National Institute for Health and Care Excellence (NICE); 2016.
Stochkendahl MJ, Kjaer P, Hartvigsen J, Kongsted A, Aaboe J, Andersen M, et al. National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. Eur Spine J. 2018; 27(1):60–75. http://dx.doi.org/10.1007/s00586-017-5099-2
Qaseem A, Wilt TJ, McLean RM, Forciea MA. Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians. Ann Intern Med. 2017; 166(7):514–530. http://dx.doi.org/10.7326/m16-2367
Wood L, Hendrick PA. A systematic review and meta-analysis of pain neuroscience education for chronic low back pain: Short-and long-term outcomes of pain and disability. European Jornal Of Pain. 2019; 23(2):234-249. https://doi.org/10.1002/ejp.1314
Galán-Martín MA, Montero-Cuadrado F, Lluch-Girbes E, Coca-lópez MC, Mayo-Iscar A, Cuesta-Vargas A. Pain neuroscience education and physical exercise for patients with chronic spinal pain in primary healthcare: a randomised trial protocol. BMC Musculoskelet Disord. 2019; 20(1):505. http://dx.doi.org/10.1186/s12891-019-2889-1
Dario AB, Cabral AM, Almeida L, Ferreira ML, Refshauge K, Simic M, et al. Effectiveness of telehealth-based interventions in the management of non-specific low back pain: a systematic review with meta-analysis. Spine J. 2017;17(9):1342–1351. http://dx.doi.org/10.1016/j.spinee.2017.04.008
Eccleston C, Blyth FM, Dear BF, Fisher EA, Keefe FJ, Lynch ME, et al. Managing patients with chronic pain during the COVID-19 outbreak: considerations for the rapid introduction of remotely supported (eHealth) pain management services. Pain. 2020; 161(5):889–893. http://dx.doi.org/10.1097/j.pain.0000000000001885
Organização Pan-Americana de Saúde [Internet] OMS afirma que COVID-19 é agora caracterizada como pandemia [citado em 2020 Abril 10]. Disponível em: https://www.paho.org
Fioratti I, Saragiotto BT, Reis FJJ, Miyamoto GC, Lee H, Yamato TP, et al. Evaluation of the efficacy of an internet-based pain education and exercise program for chronic musculoskeletal pain in comparison with online self-management booklet: A protocol of a randomised controlled trial with assessor-blinded, 12-month follow-up, and economic evaluation. BMC Musculoskelet Disord. 2020; 21(1):404. https://doi.org/10.1186/s12891-020-03423-x
O’Brien KM, Hodder RK, Wiggers J, Williams A, Campbell E, Wolfenden L, et al. Effectiveness of telephone-based interventions for managing osteoarthritis and spinal pain: a systematic review and meta-analysis. PeerJ. 2018; 6:e5846. http://dx.doi.org/10.7717/peerj.5846
Chen M, Wu T, Lv M, Chen C, Fang Z, Zeng Z, et al. Efficacy of Mobile Health in Patients With Low Back Pain: Systematic Review and Meta-analysis of Randomized Controlled Trials. JMIR Mhealth Uhealth. 2021; 9(6):e26095 https://doi.org/10.2196/26095
Chiarotto A, Boers M, Deyo RA, Buchbinder R, Corbin TP, Costa LOP, et al. Core outcome measurement instruments for clinical trials in nonspecific low back pain. Pain. 2018; 159(3):481–95. http://dx.doi.org/10.1097/j.pain.0000000000001117
Gordon R, Bloxham S. A Systematic Review of the Effects of Exercise and Physical Activity on Non-Specific Chronic Low Back Pain. Healthcare. 2016; 4(2):22. http://dx.doi.org/10.1016/s0140-6736(18)30480-x
Butler DS, Moseley GL. Explain Pain. Adelaide: NOI Group Publications; 2003.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 ConScientiae Saúde
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.