Akodu, Ashiyat K. and Adedeji, Adebola R. and Zibiri, Rasheedah A. and Bakre, Aishat T. (2024) Effect of telerehabilitation-based core-stability exercise on pain-related disability, pain self-efficacy, and psychological factors in individuals with non-specific chronic low back pain: a randomized controlled study. Bulletin of Faculty of Physical Therapy, 29 (1). ISSN 2536-9660
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Abstract
Background: Core-stability exercise is an exercise modality used in the management of patients with low back pain (LBP). Telerehabilitation is a new treatment approach that is gaining traction as an alternative rehabilitation approach. This study determined the effect of telerehabilitation-based core stability exercise (TCSE) and clinical-based core stability exercise (CCSE) on pain-related disability, pain self-efficacy, and psychological factors in patients with non-specific chronic low back pain (CLBP). Materials and methods: Fifty participants (24 males and 26 females) with a mean age of 40.28 years participated in this randomized controlled study and were recruited from the out-patients physiotherapy clinic of 2 tertiary hospitals in Lagos State and were allocated into two groups (telerehabilitation-based core stability exercise group and clinical-based core stability exercise group which serves as the control) using computer-generated random number sequence. Pain-related disability, pain self-efficacy, and psychological status were assessed at baseline, and at the completion of the 4th and 8th week. Patients received supervised intervention protocols twice weekly for 8 consecutive weeks. Independent t-test, Mann–Whitney U test, and Friedman test were used in analyzing the data at an alpha level of 5%. Results: There was a statistically significant difference (P = 0.0001) noted within each group (telerehabilitation-based core stability exercise group and clinical-based core stability exercise group) in all the outcome measures assessed (Pain Disability Index, Pain Self-efficacy Questionnaire and Depression-Anxiety-Stress scale) but no group was superior to one another when compared. Conclusion: Telerehabilitation-based core stability exercise was as efficacious as clinical-based core stability exercise in decreasing pain-related disability, improving pain self-efficacy and psychological factors, and should be incorporated as part of the treatment program in musculoskeletal rehabilitation for individuals with non-specific CLBP. Trial registration: PACTR202208607830603, 16th August 2022—retrospectively registered, https://pactr.samrc.ac.za/
| Item Type: | Article |
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| Additional Information: | ** From Springer Nature via Jisc Publications Router ** History: received 18-10-2023; accepted 01-04-2024; registration 02-04-2024; epub 10-07-2024; online 10-07-2024; collection 01-12-2024. ** Licence for this article: http://creativecommons.org/licenses/by/4.0/ ** Acknowledgements: The authors wish to appreciate the patients who were involved in the study. |
| Uncontrolled Keywords: | Pain self-efficacy, Telerehabilitation, Low back pain, Pain-related disability, Psychological factors |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RM Therapeutics. Pharmacology |
| Divisions: | Institutes and Academies > Institute of Management and Health > Sport Health and Outdoor Education |
| SWORD Depositor: | JISC Publications Router |
| Depositing User: | JISC Publications Router |
| Date Deposited: | 12 Jul 2024 08:30 |
| Last Modified: | 11 Sep 2024 17:05 |
| URI: | https://repository.uwtsd.ac.uk/id/eprint/3040 |
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