PMID- 37776297
OWN - NLM
STAT- Publisher
LR  - 20230930
IS  - 1532-5040 (Electronic)
IS  - 0959-3985 (Linking)
DP  - 2023 Sep 30
TI  - 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.
PG  - 1-11
LID - 10.1080/09593985.2023.2263554 [doi]
AB  - 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.
FAU - Karaduman, Ceren
AU  - Karaduman C
AD  - Graduate Institute, Bahcesehir University, Istanbul, Turkey.
FAU - Atas Balci, Leyla
AU  - Atas Balci L
AD  - Department of Physiotherapy and Rehabilitation, Bahcesehir University, Istanbul, 
      Turkey.
LA  - eng
PT  - Journal Article
DEP - 20230930
PL  - England
TA  - Physiother Theory Pract
JT  - Physiotherapy theory and practice
JID - 9015520
SB  - IM
OTO - NOTNLM
OT  - Chronic pain
OT  - exercise intervention
OT  - fear
OT  - low back pain
OT  - telerehabilitation
EDAT- 2023/10/01 04:43
MHDA- 2023/10/01 04:43
CRDT- 2023/09/30 09:33
PHST- 2023/10/01 04:43 [medline]
PHST- 2023/10/01 04:43 [pubmed]
PHST- 2023/09/30 09:33 [entrez]
AID - 10.1080/09593985.2023.2263554 [doi]
PST - aheadofprint
SO  - Physiother Theory Pract. 2023 Sep 30:1-11. doi: 10.1080/09593985.2023.2263554.