Navigation Links
Telerehabilitation allows accurate assessment of patients with low back pain
Date:5/20/2013

Philadelphia, Pa. (May 20, 2013) - A new "telerehabilitation" approach lets physical therapists assess patients with low back pain (LBP) over the Internet, with good accuracy compared with face-to-face examinations, reports a study in the May 15 issue of Spine. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

Taking advantage of Skype and other widely-used services may make telerehabilitation a more feasible alternative to in-person clinic visits, according to the new research by Prof. Manuel Arroyo-Morales and colleagues of University of Granada, Spain. They believe their results "give preliminary support to the implementation of web-based LBP assessment systems using video recordings that can be evaluated by different therapists."

Can Back Pain Assessments Be Performed Over the Internet?

The researchers designed and evaluated a web-based telerehabilitation system for performing routine clinical assessments of patients with LBP. The telerehabilitation setup operated across a low-bandwidth Internet connection between two personal computers equipped with webcams.

The system included the popular Skype videoconferencing service, allowing the patient and physical therapist could see and talk to each other in real time. The therapist guided the patient in performing specific movements, and captured video clips for analysis using video motion analysis software (Kinovea). The therapist and patient were also able to complete standard back pain questionnaires using the web-based system.

Fifteen patients with chronic LBP underwent two assessments in random order: once face-to-face and once using the telerehabilitation setup. Accuracy was assessed by comparing the results of telerehabilitation assessment with those of in-person assessment.

The results showed good agreement between the two evaluations, supporting the use of telerehabilitation for clinical assessment of LBP. There was good correlation for measures made on video motion analysis, such as spine mobility and back muscle endurance; as well as questionnaire-based assessments such as disability, pain, and health-related quality of life.

Skype and Other Tools Make Telerehabilitation More Feasible

The telerehabilitation setup showed consistent results for the same therapist at different times (intra-rater reliability) as well as for assessment by independent therapists (inter-rater reliability).

There is growing interest in Internet-based systems for assessment of patients with musculoskeletal disorders. Telerehabilitation approaches could be especially valuable for patient in rural or remote areas, who don't have easy access to healthcare providers.

In the past, the use of telerehabilitation was limited by high equipment costs. The new study shows the successful use of telerehabilitation using widely available and familiar technology, including the use of free software such as Skype.

The telerehabilitation system evaluated in the new study may be useful in assessing patients with the very common problem of LBP, showing good agreement with the results of face-to-face assessment. However, there are still some factors limiting more widespread useincluding the need for "potentially unwieldy" security software to protect patient privacy.

Prof. Arroyo-Morales and coauthors also note that many patients who would otherwise have been eligible for the study weren't included because of a lack of familiarity and experience with computers. The researchers call for further studies in larger groups of patientsfocusing on those who don't have easy access to in-person evaluations.


'/>"/>

Contact: Connie Hughes
connie.hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health
Source:Eurekalert

Related medicine news :

1. Simulation technology allows users to safely practice phacoemulsification cataract surgery
2. Loss of protein SPDEF allows prostate cancer cells to gain foothold at possible sites of metastasis
3. Undergoing multiple ACL surgeries allows patients to regain basic function, but not full activity
4. Accuracy of narrow band imaging with colonoscopy allows for distal non-cancerous polyps to be left in place
5. Does gallows humor among physicians encourage accusations of murder and euthanasia?
6. Kinsey Reporter: Free app allows public to anonymously report, share information on sexual behavior
7. Scientists at IRB BARCELONA discover a key process that allows colon cancer to metastasize
8. New technology allows scientists to capture and preserve cancer cells circulating in the bloodstream
9. All Energy Solar Now Allows Clients To Track Solar System Energy Performance
10. Robot allows remote presence in programming brain and spine stimulators
11. DrugRisk Update: Court Allows Charges of Prior Fraud Into Pradaxa Lawsuit
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/20/2017)... ... June 20, 2017 , ... Kenneth Mayer, MD, has been appointed a new ... Mayer, who joined the JIAS Editorial Board in 2016, has co-authored more than 800 ... Fenway Health and Co-Chair of The Fenway Institute, a member of the ...
(Date:6/20/2017)... Houston, Texas (PRWEB) , ... June 20, 2017 , ... ... of their new website and a host of new options for today’s modern ... helping seniors maintain the active, independent lifestyle they love while offering them the services ...
(Date:6/20/2017)... ... June 20, 2017 , ... MindTouch , the leading ... proud to announce Touchpoints integrations. MindTouch Touchpoints easily integrate product documentation ... to provide a seamless customer experience. , Truly “plug and play,” Touchpoints are ...
(Date:6/20/2017)... ... 20, 2017 , ... Dr. Manju R. Kejriwal currently accepts ... whether or not they have a referral. Dr. Kejriwal offers state-of-the-art treatment through ... targets bacteria and damaged tissue without affecting the surrounding tissue. This technology virtually ...
(Date:6/20/2017)... (PRWEB) , ... June 20, 2017 , ... With certifications ... Invisalign® in Denville, NJ, Drs. Adam and Hal Kimowitz are currently accepting new ... complications that traditional orthodontics can cause for some patients, which is why they offer ...
Breaking Medicine News(10 mins):
(Date:6/19/2017)... Pa. , June 19, 2017  Researchers from ... today that they will host a live, complimentary webinar ... from the benchtop to the real world" on Wednesday ... EDT. This webinar will feature interviews ... rare look into the manipulation techniques abusers use to ...
(Date:6/14/2017)... 2017  In 2016, Embodied Labs took ... competition and came away with $25,000 in seed-fund investment. ... Forbes as "entering the life of another" and by ... "empathy to medical professionals in an entirely new dimension." ... a finalist for the Department of Education,s EdSimChallenge, where ...
(Date:6/9/2017)... 2017 AirXpanders, Inc. (ASX: AXP) (AirXpanders or ... manufacture, sale and distribution of the AeroForm® Tissue Expander ... its commercial roll-out in the United States ... one hundred (100) medical institutions and health systems, located ... needle-free alternative for women who choose reconstructive surgery following ...
Breaking Medicine Technology: