Comparison of hybrid guided home-based and outpatient
rehabilitation in patients with chronic low back pain: A
randomized controlled trial

J 2025

Comparison of hybrid guided home-based and outpatient rehabilitation in patients with chronic low back pain: A randomized controlled trial

DOSBABA, Filip; Vojtěch ŠENKÝŘ; Daniela VLAŽNÁ; Jitka MINÁRIKOVÁ; Marketa NEVELIKOVA et al.

Základní údaje

Originální název

Comparison of hybrid guided home-based and outpatient rehabilitation in patients with chronic low back pain: A randomized controlled trial

Autoři

DOSBABA, Filip; Vojtěch ŠENKÝŘ; Daniela VLAŽNÁ; Jitka MINÁRIKOVÁ; Marketa NEVELIKOVA; Michaela SLÁDEČKOVÁ; Peter KRKOŠKA; Blanka ADAMOVÁ; Jing Jing SU a Ladislav BAŤALÍK

Vydání

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES, AMSTERDAM, ELSEVIER, 2025, 1360-8592

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30210 Clinical neurology

Stát vydavatele

Nizozemské království

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 1.400 v roce 2024

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/25:00142711

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Chronic low back pain; Hybrid rehabilitation; Home-based exercise; Telemonitoring; Trunk endurance; Pain; Patient adherence; Quality of life; Safety

Štítky

14110221, 14110234, 14110525, 14110614, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 25. 11. 2025 13:45, Mgr. Tereza Miškechová

Anotace

V originále

Background: Chronic low back pain (CLBP) is a leading cause of disability globally, often requiring multidisciplinary management. Hybrid rehabilitation models, combining home-based exercises with telemonitoring and periodic check-ins, may offer improved outcomes and adherence compared to standard outpatient care. Objective: To evaluate the effectiveness of a hybrid guided home-based rehabilitation (HGHR) compared to standard outpatient rehabilitation (SOR) in patients with CLBP. Methods: A randomized controlled trial was conducted with 56 participants assigned to a HGHR or a SOR group. Both groups completed an 18-week intervention with seven scheduled physiotherapy sessions. The HGHR group performed structured home-based exercises supported by weekly phone monitoring and in-person check-ins, while the SOR group attended traditional supervised outpatient sessions. Outcomes were assessed at baseline, after the 18-week intervention, and at the end of a 24-week follow-up period (week 42 in total). Results: At 42 weeks, the HGHR group demonstrated significantly greater improvements in trunk extensor endurance (mean difference: +34.3 s; p = 0.009; Hedges' g = 0.688) and pain reduction (mean difference: 1.67 points; p = 0.001; Hedges' g = 0.910) compared to the SOR group. No significant between-group differences were found in disability or most SF-36 quality of life domains. Adherence exceeded 89 % in both groups, with no serious adverse events reported. Conclusions: Hybrid guided home-based rehabilitation is effective in improving trunk endurance and reducing pain in patients with CLBP. These benefits were maintained up to 24 weeks post-intervention. Future research should explore long-term cost-effectiveness and integration of psychological support to further enhance outcomes.

Citovat

DOSBABA, Filip; Vojtěch ŠENKÝŘ; Daniela VLAŽNÁ; Jitka MINÁRIKOVÁ; Marketa NEVELIKOVA; Michaela SLÁDEČKOVÁ; Peter KRKOŠKA; Blanka ADAMOVÁ; Jing Jing SU a Ladislav BAŤALÍK. Comparison of hybrid guided home-based and outpatient rehabilitation in patients with chronic low back pain: A randomized controlled trial. JOURNAL OF BODYWORK AND MOVEMENT THERAPIES. AMSTERDAM: ELSEVIER, 2025, roč. 45, December 2025, s. 110-118. ISSN 1360-8592. Dostupné z: https://doi.org/10.1016/j.jbmt.2025.08.009.

@article{2535508,
   author = {Dosbaba, Filip and Šenkýř, Vojtěch and Vlažná, Daniela and Mináriková, Jitka and Nevelikova, Marketa and Sládečková, Michaela and Krkoška, Peter and Adamová, Blanka and Su, Jing Jing and Baťalík, Ladislav},
   article_location = {AMSTERDAM},
   article_number = {December 2025},
   doi = {https://doi.org/10.1016/j.jbmt.2025.08.009},
   keywords = {Chronic low back pain; Hybrid rehabilitation; Home-based exercise; Telemonitoring; Trunk endurance; Pain; Patient adherence; Quality of life; Safety},
   language = {eng},
   issn = {1360-8592},
   journal = {JOURNAL OF BODYWORK AND MOVEMENT THERAPIES},
   title = {Comparison of hybrid guided home-based and outpatient rehabilitation in patients with chronic low back pain: A randomized controlled trial},
   url = {https://www.sciencedirect.com/science/article/pii/S1360859225003110?pes=vor&utm_source=clarivate&getft_integrator=clarivate},
   volume = {45},
   year = {2025}
}

TY  - JOUR
ID  - 2535508
AU  - Dosbaba, Filip - Šenkýř, Vojtěch - Vlažná, Daniela - Mináriková, Jitka - Nevelikova, Marketa - Sládečková, Michaela - Krkoška, Peter - Adamová, Blanka - Su, Jing Jing - Baťalík, Ladislav
PY  - 2025
TI  - Comparison of hybrid guided home-based and outpatient rehabilitation in patients with chronic low back pain: A randomized controlled trial
JF  - JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
VL  - 45
IS  - December 2025
SP  - 110-118
EP  - 110-118
PB  - ELSEVIER
SN  - 13608592
KW  - Chronic low back pain
KW  - Hybrid rehabilitation
KW  - Home-based exercise
KW  - Telemonitoring
KW  - Trunk endurance
KW  - Pain
KW  - Patient adherence
KW  - Quality of life
KW  - Safety
UR  - https://www.sciencedirect.com/science/article/pii/S1360859225003110?pes=vor&utm_source=clarivate&getft_integrator=clarivate
N2  - Background: Chronic low back pain (CLBP) is a leading cause of disability globally, often requiring multidisciplinary management. Hybrid rehabilitation models, combining home-based exercises with telemonitoring and periodic check-ins, may offer improved outcomes and adherence compared to standard outpatient care. Objective: To evaluate the effectiveness of a hybrid guided home-based rehabilitation (HGHR) compared to standard outpatient rehabilitation (SOR) in patients with CLBP. Methods: A randomized controlled trial was conducted with 56 participants assigned to a HGHR or a SOR group. Both groups completed an 18-week intervention with seven scheduled physiotherapy sessions. The HGHR group performed structured home-based exercises supported by weekly phone monitoring and in-person check-ins, while the SOR group attended traditional supervised outpatient sessions. Outcomes were assessed at baseline, after the 18-week intervention, and at the end of a 24-week follow-up period (week 42 in total). Results: At 42 weeks, the HGHR group demonstrated significantly greater improvements in trunk extensor endurance (mean difference: +34.3 s; p = 0.009; Hedges' g = 0.688) and pain reduction (mean difference: 1.67 points; p = 0.001; Hedges' g = 0.910) compared to the SOR group. No significant between-group differences were found in disability or most SF-36 quality of life domains. Adherence exceeded 89 % in both groups, with no serious adverse events reported. Conclusions: Hybrid guided home-based rehabilitation is effective in improving trunk endurance and reducing pain in patients with CLBP. These benefits were maintained up to 24 weeks post-intervention. Future research should explore long-term cost-effectiveness and integration of psychological support to further enhance outcomes.
ER  -

DOSBABA, Filip; Vojtěch ŠENKÝŘ; Daniela VLAŽNÁ; Jitka MINÁRIKOVÁ; Marketa NEVELIKOVA; Michaela SLÁDEČKOVÁ; Peter KRKOŠKA; Blanka ADAMOVÁ; Jing Jing SU a Ladislav BAŤALÍK. Comparison of hybrid guided home-based and outpatient rehabilitation in patients with chronic low back pain: A randomized controlled trial. \textit{JOURNAL OF BODYWORK AND MOVEMENT THERAPIES}. AMSTERDAM: ELSEVIER, 2025, roč.~45, December 2025, s.~110-118. ISSN~1360-8592. Dostupné z: https://doi.org/10.1016/j.jbmt.2025.08.009.

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