PMID- 35930451
OWN - NLM
STAT- MEDLINE
DCOM- 20240411
LR  - 20240411
IS  - 1748-3115 (Electronic)
IS  - 1748-3107 (Linking)
VI  - 19
IP  - 3
DP  - 2024 Apr
TI  - Efficacy of telerehabilitation for spine pain during the Coronavirus pandemic 
      lockdown: a retrospective propensity score-matched analysis.
PG  - 558-565
LID - 10.1080/17483107.2022.2107718 [doi]
AB  - PURPOSE: Despite increased usage of telemedicine to deliver treatment during the 
      coronavirus disease 2019 (COVID-19) pandemic, the efficacy of telerehabilitation 
      for spine pain is unknown. This study aimed to investigate the effect of 
      telerehabilitation on pain and disability in patients with spine pain treated 
      during the COVID-19 pandemic and compare the results to in-clinic rehabilitation. 
      MATERIALS & METHODS: In this propensity score-matched analysis, 428 patients with 
      spine pain who underwent telerehabilitation during the 6 months of COVID-19 
      pandemic lockdown and 428 patients who underwent in-clinic multimodal 
      rehabilitation treatment during the 6-month period prior to lockdown were 
      compared. Propensity score matching was done based on gender, age, pre-treatment 
      pain, and disability. Post-treatment numerical pain rating scale (NPRS), Oswestry 
      or Neck disability index (ODI or NDI), and minimal clinical important difference 
      (MCID) achieved for NPRS and ODI/NDI scores were compared between the 2 groups. 
      RESULTS: Post-treatment, the mean NPRS (mean difference - 1, p < 0.0001) and 
      ODI/NDI (mean difference - 5.8, p < 0.0001) scores, were significantly lower in 
      the telerehabilitation group when compared to control group. Similarly, the 
      percentage of patients who achieved MCID of >/= 2 for NPRS (mean difference - 6%, 
      p = 0.0007) and MCID of >/= 10 for ODI/NDI (mean difference - 7.5%, p = 0.005) 
      scores were significantly higher in the telerehabilitation group. CONCLUSIONS: 
      Telerehabilitation achieved significant reduction in pain and disability among 
      patients with spine pain, better than in-clinic rehabilitation. These encouraging 
      results during the COVID-19 pandemic indicate the need to further explore and 
      test the efficacy and wider application of telerehabilitation for treating spine 
      pain.IMPLICATIONS FOR REHABILITATIONTelerehabilitation can help achieve 
      significant reduction in pain and disability among patients with spine pain.These 
      encouraging results indicate the need to further explore a wider application of 
      telerehabilitation for treating patients with spine pain during non-pandemic 
      times.
FAU - Shah, Nidhi
AU  - Shah N
AD  - National Clinical Expert & Senior Spine Physiotherapist, QI Spine Clinic, Mumbai, 
      India.
FAU - Shetty, Gautam M
AU  - Shetty GM
AUID- ORCID: 0000-0002-5211-2376
AD  - Consultant Orthopaedic Surgeon and Head of Reseach, QI Spine Clinic, Mumbai, 
      India.
FAU - Kanna, Raj
AU  - Kanna R
AD  - Department of Orthopaedics, Madha Medical College and Research Institute, 
      Chennai, India.
FAU - Thakur, Harshad
AU  - Thakur H
AUID- ORCID: 0000-0003-3597-7113
AD  - National Institute of Health and Family Welfare (NIHFW), New Delhi, India.
LA  - eng
PT  - Journal Article
DEP - 20220805
PL  - England
TA  - Disabil Rehabil Assist Technol
JT  - Disability and rehabilitation. Assistive technology
JID - 101255937
SB  - IM
MH  - Humans
MH  - Retrospective Studies
MH  - Pandemics
MH  - *Telerehabilitation
MH  - Propensity Score
MH  - Neck Pain
MH  - *COVID-19
MH  - Treatment Outcome
MH  - Disability Evaluation
OTO - NOTNLM
OT  - COVID-19
OT  - Low back pain
OT  - disability
OT  - neck pain
OT  - telemedicine
OT  - telerehabilitation
EDAT- 2022/08/06 06:00
MHDA- 2024/04/11 06:43
CRDT- 2022/08/05 12:44
PHST- 2024/04/11 06:43 [medline]
PHST- 2022/08/06 06:00 [pubmed]
PHST- 2022/08/05 12:44 [entrez]
AID - 10.1080/17483107.2022.2107718 [doi]
PST - ppublish
SO  - Disabil Rehabil Assist Technol. 2024 Apr;19(3):558-565. doi: 
      10.1080/17483107.2022.2107718. Epub 2022 Aug 5.