Agreement Between Telerehabilitation and Face-to-Face Clinical Outcome Assessments for Low Back Pain in Primary
Agreement Between Telerehabilitation and Face-to-Face Clinical Outcome Assessments for Low Back Pain in Primary
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DOI：
10.1097/brs.0b013e318281a36c
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发表时间：
2013-05-15
期刊：
影响因子：
3
通讯作者：
Arroyo-Morales, Manuel
中科院分区：
文献类型：
--
作者：
Palacin-Marin, Fuensanta;Esteban-Moreno, Bernabe;Arroyo-Morales, Manuel
研究设计。目的：采用交叉设计对重复测量进行描述性研究。确定通过远程康复获得的评估与传统面对面方法获得的评估在初级保健机构慢性腰痛（LBP）患者群体中的一致性水平。背景资料摘要。在不同的疾病中，使用远程康复的肌肉骨骼评估显示出足够的内部和内部的一致性和面对面的临床评估。目前还没有发表过关于远程康复系统评估lbp的可靠性的研究。15名慢性下腰痛患者（6名男性，平均年龄37岁）参加了临床访谈，随后进行了面对面和实时在线远程康复评估。两次评估之间有30分钟的间隔，每个患者随机选择评估顺序。远程康复系统使用了通过两台个人计算机之间的Internet连接（17kb /s）进行的Internet应用程序。实时视频连接促进了治疗师和受试者之间的交流。结果测量包括腰椎活动度、Sorensen试验、前直腿抬高试验、Oswestry残疾指数、疼痛视觉模拟量表、12项简短健康调查问卷和坦帕运动恐惧症量表。9项结果测量中有7项面对面和远程康复评估的信度大于0.80。可靠性最低的是侧屈运动范围（alpha = 0.75）。得到了很好的类间和类内相关系数（rho）（0.92 0.96）。我们的初步研究结果表明，这种远程康复系统可能有助于评估慢性腰痛患者，为其在初级保健中的实施提供初步支持。
Study Design. A descriptive study of repeated measures using a crossover design.Objective. To determine the level of agreement between assessments obtained via telerehabilitation and those obtained by traditional face-to-face method in a population of individuals with chronic low back pain (LBP) in a primary care setting.Summary of Background Data. Musculoskeletal assessment using telerehabilitation has shown adequate inter-and intrarater agreement and concordance with face-to-face clinical assessment in different diseases. There have been no published studies on the reliability of a telerehabilitation system to assess LBP.Methods. Fifteen individuals (6 males; mean age, 37 yr) with chronic LBP attended a session for a clinical interview, followed by face-to-face and real-time online telerehabilitation evaluations. There was a 30-minute interval between the 2 assessments, the order of which was randomly selected for each patient. The telerehabilitation system used an Internet application conducted via Internet connection (17 kB/s) between 2 personal computers. Real-time video connection facilitated communication between the therapist and the subject. Outcome measures included lumbar spine mobility, Sorensen test, anterior straight leg raise test, Oswestry Disability Index, visual analogue scale for pain, 12-Item Short Form Health Survey questionnaire, and Tampa Kinesiophobia Scale.Results. The a reliability between face-to-face and telerehabilitation evaluations was more than 0.80 for 7 of the 9 outcome measures. Lowest reliability was for lateral flexion range of motion (alpha = 0.75). Very good inter-and intrarater intraclass correlation coefficients (rho) were obtained (0.92 0.96).Conclusion. The findings of our pilot study suggest that this telerehabilitation system may be useful to assess individuals with chronic LBP, providing initial support for its implementation in primary care.