Effectiveness of physiotherapy for low back pain supported by digital resources

Authors

Keywords:

pain in the lumbar region, back pain, telemedicine, physiotherapy, physiotherapy modalities.

Abstract

The number of therapeutic interventions supported by the use of digital resources is increasing every day as a way to facilitate access to any type of health care. A systematic review was carried out with the aim of analyzing the effectiveness (functional status, pain intensity and adherence to treatment) of the physiotherapy intervention, supported by digital resources, compared to conventional physiotherapy in adult patients with back pain. This study consulted the scientific databases such as PubMed, Virtual Health Library, Cochrane, Evidence-Based Physiotherapy Database, Science Direct, Scopus, Episteminikos, and Google Scholar. The initial selection of the studies, the exhaustive evaluation of the full articles and the extraction of the characteristics necessary for the investigation were carried out by the six research fellows and reviewed by two independent reviewers. Twelve articles were included (10 clinical trials and two cohort studies). The results of the systematic review support the use of available digital resources for the management of low back pain, with an important relationship with the reduction of pain levels and the improvement in functionality. It is necessary to carry out more high-quality studies to demonstrate these results, since the criteria for the intervention are yet to be determined.

Author Biographies

Andrea Patricia Calvo Soto, Universidad Santiago de Cali

Docente de tiempo completo Programa de Fisioterapia

Angela María Hoyos Quintero, Institución Universitaria Escuela Nacional del Deporte

Docente medio tiempo 

Epidemiologa Secretaría Departamental de Salud del Valle del Cauca

Diana Katherine Herrera López, Universidad Santiago de Cali

Docente hora cátedra programa de Fisioterapia

Esperanza Gómez Ramírez, Institución Universitaria Escuela Nacional del Deporte

Docente de tiempo completo programa de fisioterapia, investigadora

Carlos Andrés Rosas Soliman, Universidad Santiago de Cali

Estudiante de último año Fisioterapia

Angie Seleny Góngora Cortés, Universidad Santiago de Cali

Estudiante de último año Fisioterapia

References

Maher C, Underwood M, Buchbinder R. Non-specific low back pain. The Lancet. 2017;389(10070):736-47. DOI: https://doi.org/10.1016/S0140-6736(16)30970-9

Hurwitz E, Randhawa K, Torres P, Yu H, Verville L, Hartvigsen J, et al. The Global Spine Care Initiative: a summary of the global burden of low back and neck pain studies. European Spine Journal. 2018;27(6):802-15. DOI: https://doi.org/10.1007/s00586-017-5393-z

Chou R, Deyo R, Friedly J, Skelly A, Hashimoto R, Weimer M, et al. Nonpharmacologic therapies for low back pain: a systematic review for an American College of Physicians Clinical Practice Guideline. Annals of internal medicine. 2017;166(7):493-505. DOI: https://doi.org/10.7326/M16-2459

Nicholl B, Sandal L, Stochkendahl M, McCallum M, Suresh N, Vasseljen O, et al. Digital support interventions for the self-management of low back pain: a systematic review. Journal of medical Internet research. 2017;19(5):e179. DOI: https://doi.org/10.2196/jmir.7290

Acevedo JC. Teoría de la compuerta (Ronald Melzack y Patrick D. Wall, 1965). Universitas Médica. 2012;53(4):395-419. DOI: https://doi.org/10.11144/Javeriana.umed53-4.tcrm

Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J. Methodological index for non-randomized studies (minors): development and validation of a new instrument. J. Surg. 2003;73:712-6. DOI: https://doi.org/10.1046/j.1445-2197.2003.02748.x

De Morton NA. The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Australian Journal of Physiotherapy. 2009;5(2):129-33. DOI: https://doi.org/10.1016/s0004-9514(09)70043-1

Shebib R, Bailey J, Smittenaar P, Perez D, Mecklenburg G, Hunter S. Randomized controlled trial of a 12-week digital care program in improving low back pain. NPJ Digit Med. 2019;2:1-8. DOI: https://doi.org/10.1038/s41746-018-0076-7

Mayer J, Charity L, O’Dane B, Chen H, Yuanyuan L, Johnson, B, et al. Comparison of Supervised and Telehealth Delivery of Worksite Exercise for Prevention of Low Back Pain in Firefighters: A Cluster Randomized Trial. Journal of Occupational and Environmental Medicine. 2020;62(10): e586-e92. DOI: https://doi.org/10.1097/JOM.0000000000001993

Almhdawi K, Obeidat D, Kanaan S, Oteir A, Mansour Z, Alrabbaei H. Efficacy of an innovative smartphone application for office workers with chronic non-specific low back pain: a pilot randomized controlled trial. Clinical Rehabilitation. 2020;34(10):1282-91. DOI: https://doi.org/10.1177/0269215520937757

Priebe J, Haas K, Moreno L, Schoefmann K, Utpadel-Fischler D, Stockert, et al. Digital treatment of back pain versus standard of care: the cluster-randomized controlled trial, rise-uP. Journal of Pain Research. 2020;13:1823-38. DOI: https://doi.org/10.2147/JPR.S260761

Fatoye F, Gebrye T, Fatoye C, Mbada C, Olaoye M, Odole A, et al. The clinical and cost-effectiveness of telerehabilitation for people with nonspecific chronic low back pain: randomized controlled trial. JMIR mHealth and uHealth. 2020;8(6):e15375. DOI: https://doi.org/10.2196/15375

Suman A, Schaafsma F, Van Dongen J, Elders P, Buchbinder R, Van Tulder M, et al. Effectiveness and cost-utility of a multifaceted eHealth strategy to improve back pain beliefs of patients with non-specific low back pain: a cluster randomised trial. BMJ open. 2019;9(12): e030879. DOI: https://doi.org/10.1136/bmjopen-2019-030879

Mbada C, Olaoye M, Dada O, Ayanniyi O, Johnson O, Odole A, et al. Comparative efficacy of clinic-based and telerehabilitation application of Mckenzie therapy in chronic low-back pain. International Journal of Telerehabilitation. 2019;11(1):41-58. DOI: https://doi.org/10.5195/ijt.2019.6260

Toelle T, Utpadel-Fischler D, Haas K, Priebe J. App-based multidisciplinary back pain treatment versus combined physiotherapy plus online education: a randomized controlled trial. NPJ digital medicine. 2019;2(1):1-9. DOI: https://doi.org/10.1038/s41746-019-0109-x

Amorim A, Pappas E, Simic M, Ferreira M, Jennings M, Tiedemann A, et al. Integrating Mobile-health, health coaching, and physical activity to reduce the burden of chronic low back pain trial (IMPACT): a pilot randomised controlled trial. BMC musculoskeletal disorders. 2019;20(1):1-14. DOI: https://doi.org/10.1186/s12891-019-2454-y

Chhabra H, Sharma S, Verma S. Smartphone app in self-management of chronic low back pain: a randomized controlled trial. European Spine Journal. 2018;27(11):2862-74. DOI: https://doi.org/10.1007/s00586-018-5788-5

Bailey J, Agarwal V, Zheng P, Smuck M, Fredericson M, Kennedy D, et al. Digital care for chronic musculoskeletal pain: 10,000 participant longitudinal cohort study. Journal of medical Internet research. 2020;22(5):e18250. DOI: https://doi.org/10.2196/18250

Huber S, Priebe J, Baumann K, Plidschun A, Schiessl C, Tölle T. Treatment of low back pain with a digital multidisciplinary pain treatment app: short-term results. JMIR rehabilitation and assistive technologies. 2017;4(2):e11. DOI: https://doi.org/10.2196/rehab.9032

Kloek C, Van Tilburg M, Staal J, Veenhof C, Bossen D. Development and proof of concept of a blended physiotherapeutic intervention for patients with non-specific low back pain. Physiotherapy. 2019;105(4):483-91. DOI: https://doi.org/10.1016/j.physio.2018.12.006

Thomson S, Huygen F, Prangnell S, De Andrés J, Baranidharan G, Belaïd H, et al. Appropriate referral and selection of patients with chronic pain for spinal cord stimulation: European consensus recommendations and e-health tool. Eur J Pain. 2020;24:1169-81. DOI: https://doi.org/10.1002/ejp.1562

Seron P, Oliveros M, Gutiérrez R, Fuentes R, Torres R, Merino C et al. Effectiveness of Telerehabilitation in Physical Therapy: A Rapid Overview. Phys Ther. 2020;101(6): pzab053. DOI: https://doi.org/10.1093/ptj/pzab053

Martínez de la Cal J, Fernández-Sánchez M, Matarán-Peñarrocha GA, Hurley DA, Castro-Sánchez AM, Lara-Palomo IC. Physical Therapists' Opinion of E-Health Treatment of Chronic Low Back Pain. Int J Environ Res Public Health. 2021;18(4):1889. DOI: https://doi.org/10.3390/ijerph18041889

Palazzo C, Klinger E, Dorner V, Kadri A, Thierry O, Boumenir Y, et al. Barriers to home-based exercise program adherence with chronic low back pain: Patient expectations regarding new technologies. Ann Phys Rehabil Med. 2016;59(2):107-13. DOI: https://doi.org/10.1016/j.rehab.2016.01.009

Published

2023-03-23

How to Cite

1.
Calvo Soto AP, Hoyos Quintero AM, Herrera López DK, Gómez Ramírez E, Rosas Soliman CA, Góngora Cortés AS. Effectiveness of physiotherapy for low back pain supported by digital resources. Rev. cuba. inf. cienc. salud [Internet]. 2023 Mar. 23 [cited 2025 Feb. 21];34. Available from: https://acimed.sld.cu/index.php/acimed/article/view/2189

Issue

Section

Artículos de Revisión