App-Based Rehabilitation in Back Pain, a Systematic Review

Smartphones and their associated applications are used frequently by patients and clinicians alike. Despite the technology being widely accessible, their use to aid in rehabilitation is yet to be adopted. The SARS CoV-2 pandemic has presented an opportunity to expedite their integration given the di...

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Main Authors: Claire Stark, John Cunningham, Peter Turner, Michael A. Johnson, Henrik C. Bäcker
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/12/10/1558
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author Claire Stark
John Cunningham
Peter Turner
Michael A. Johnson
Henrik C. Bäcker
author_facet Claire Stark
John Cunningham
Peter Turner
Michael A. Johnson
Henrik C. Bäcker
author_sort Claire Stark
collection DOAJ
description Smartphones and their associated applications are used frequently by patients and clinicians alike. Despite the technology being widely accessible, their use to aid in rehabilitation is yet to be adopted. The SARS CoV-2 pandemic has presented an opportunity to expedite their integration given the difficulty patients currently have in accessing healthcare. The aim of this study was to perform a systematic literature review on the use of smartphone rehabilitation applications compared to standard physiotherapy for back pain. We conducted a search of Medline/Pubmed and google databases using the search terms [APP] AND [[Orthopaedic] OR [Neurosurgery]], following the PRISMA guidelines. All prospective studies investigating rehabilitation applications for back pain or following spine surgery were included. A total of nine studies met the inclusion criteria which investigated 7636 patients, of which 92.4% were allocated to the interventional group (<i>n</i> = 7055/7636) with a follow up of 4 weeks to 6 months. All except one study reported on patients experiencing back pain on average for 19.6 ± 11.6 months. The VAS-pain score was presented in all studies without significance between the interventional and control group (<i>p</i> = 0.399 before and <i>p</i> = 0.277 after intervention). Only one research group found significantly higher improvement in PROMs for the application group, whereas the remaining showed similar results compared to the control group. Using application-based rehabilitation programs provides an easily accessible alternative or substitute to traditional physiotherapy for patients with back pain. Given that smartphones are so prevalent in activities in our daily lives, this will enhance and improve rehabilitation if patients are self-dedicated and compliant.
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spelling doaj.art-3a91eea15cf64cc1890523d555e40df92023-11-24T00:48:26ZengMDPI AGJournal of Personalized Medicine2075-44262022-09-011210155810.3390/jpm12101558App-Based Rehabilitation in Back Pain, a Systematic ReviewClaire Stark0John Cunningham1Peter Turner2Michael A. Johnson3Henrik C. Bäcker4Department of Orthopaedic Surgery, Royal Melbourne Hospital, 300 Grattan Street, Parkville, VIC 3050, AustraliaDepartment of Orthopaedic Surgery, Royal Melbourne Hospital, 300 Grattan Street, Parkville, VIC 3050, AustraliaDepartment of Orthopaedic Surgery, Royal Melbourne Hospital, 300 Grattan Street, Parkville, VIC 3050, AustraliaEpworth Richmond Hospital, 89 Bridge Road, Richmond, VIC 3021, AustraliaDepartment of Orthopaedic Surgery, Royal Melbourne Hospital, 300 Grattan Street, Parkville, VIC 3050, AustraliaSmartphones and their associated applications are used frequently by patients and clinicians alike. Despite the technology being widely accessible, their use to aid in rehabilitation is yet to be adopted. The SARS CoV-2 pandemic has presented an opportunity to expedite their integration given the difficulty patients currently have in accessing healthcare. The aim of this study was to perform a systematic literature review on the use of smartphone rehabilitation applications compared to standard physiotherapy for back pain. We conducted a search of Medline/Pubmed and google databases using the search terms [APP] AND [[Orthopaedic] OR [Neurosurgery]], following the PRISMA guidelines. All prospective studies investigating rehabilitation applications for back pain or following spine surgery were included. A total of nine studies met the inclusion criteria which investigated 7636 patients, of which 92.4% were allocated to the interventional group (<i>n</i> = 7055/7636) with a follow up of 4 weeks to 6 months. All except one study reported on patients experiencing back pain on average for 19.6 ± 11.6 months. The VAS-pain score was presented in all studies without significance between the interventional and control group (<i>p</i> = 0.399 before and <i>p</i> = 0.277 after intervention). Only one research group found significantly higher improvement in PROMs for the application group, whereas the remaining showed similar results compared to the control group. Using application-based rehabilitation programs provides an easily accessible alternative or substitute to traditional physiotherapy for patients with back pain. Given that smartphones are so prevalent in activities in our daily lives, this will enhance and improve rehabilitation if patients are self-dedicated and compliant.https://www.mdpi.com/2075-4426/12/10/1558applicationsbackspinepainrehabilitation
spellingShingle Claire Stark
John Cunningham
Peter Turner
Michael A. Johnson
Henrik C. Bäcker
App-Based Rehabilitation in Back Pain, a Systematic Review
Journal of Personalized Medicine
applications
back
spine
pain
rehabilitation
title App-Based Rehabilitation in Back Pain, a Systematic Review
title_full App-Based Rehabilitation in Back Pain, a Systematic Review
title_fullStr App-Based Rehabilitation in Back Pain, a Systematic Review
title_full_unstemmed App-Based Rehabilitation in Back Pain, a Systematic Review
title_short App-Based Rehabilitation in Back Pain, a Systematic Review
title_sort app based rehabilitation in back pain a systematic review
topic applications
back
spine
pain
rehabilitation
url https://www.mdpi.com/2075-4426/12/10/1558
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AT johncunningham appbasedrehabilitationinbackpainasystematicreview
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AT michaelajohnson appbasedrehabilitationinbackpainasystematicreview
AT henrikcbacker appbasedrehabilitationinbackpainasystematicreview