RT Journal Article
T1 The added value of face-to-face supervision to a therapeutic exercise-based app in the management of patients with chronic low back pain: A randomized clinical trial
A1 López Marcos, José Javier
A1 Díaz Arribas, María José
A1 Valera Calero, Juan Antonio
A1 Navarro Santana, Marcos José
A1 Izquierdo García, Juan
A1 Ortiz Gutiérrez, Rosa
A1 Plaza Manzano, Gustavo
AB Low back pain (LBP) is a significant global health challenge due to its high prevalence, and chronicity and recurrence rates, with projections suggesting an increase in the next years due to population growth and aging. The chronic and recurrent nature of LBP, responsible for a significant percentage of years lived with disability, underscores the need for effective management strategies, including self-management strategies advocated by current guidelines, to empower patients and potentially improve healthcare efficiency and clinical outcomes. Therefore, the aim of this study was to analyze the added value of face-to-face visits in patients with chronic LBP undergoing a self-management program based on therapeutic exercises on pain intensity, disability, quality of life and treatment adherence and satisfaction. A randomized clinical trial was conducted, allocating 49 patients into a experimental group with a mobile health (mHealth) app usage and face-to-face sessions and 49 patients into an active control group without face-to-face sessions. Pain intensity, disability and quality of life were assessed at baseline, 4 weeks postintervention and 12 weeks postintervention. Patients’ satisfaction and adherence were assessed at the end of the study. The multivariate general model revealed no statistically significant time × group interaction for any outcome (p > 0.0068) but mental quality of life (p = 0.006). Within-group differences revealed significant improvements for all the clinical indicators (all, p < 0.001). Patients allocated to the experimental group reported greater satisfaction and adherence (both, p < 0.001) compared to the control group. The use of mHealth apps such as Healthy Back® as part of digital health initiatives may serve as a beneficial approach to enhance the management of LBP.
PB MDPI
YR 2024
FD 2024-01-16
LK https://hdl.handle.net/20.500.14352/103807
UL https://hdl.handle.net/20.500.14352/103807
LA eng
NO López-Marcos, J.J.; Díaz-Arribas, M.J.; Valera-Calero, J.A.; Navarro-Santana, M.J.; Izquierdo-García, J.; Ortiz-Gutiérrez, R.M.; Plaza-Manzano, G. The Added Value of Face-to-Face Supervision to a Therapeutic Exercise-Based App in the Management of Patients with Chronic Low Back Pain: A Randomized Clinical Trial. Sensors 2024, 24, 567. https://doi.org/10.3390/s24020567
NO 2024 Descuento MDPI
DS Docta Complutense
RD 20 abr 2025