Use of a modified treatment-based classification system for subgrouping patients with low back pain: Agreement between telerehabilitation and face-to-face assessments.
Objective: To examine the agreement between telerehabilitation and face-to-face assessments of patients with acute and subacute low back pain (LBP) using a modified treatment-based classification (TBC) system. A secondary aim was to evaluate patient satisfaction with the telerehabilitation assessmen...
| Publicado en: | Physiotherapy Theory & Practice Vol. 35; no. 11; pp. 1078 - 1087 |
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| Autores principales: | , , |
| Formato: | algorithm research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Nov2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138454593&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 138454593 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Nov2019 vid: 35 iid: 11 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 138454593 138454593 138454593 10.1080/09593985.2018.1470210 138454593 ppf: 1078 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Use of a modified treatment-based classification system for subgrouping patients with low back pain: Agreement between telerehabilitation and face-to-face assessments. aug: au: Peterson, Seth Kuntz, Chad Roush, Jim affil: ProActive Physical Therapy, Tucson, Arizona, USA sug: subj: Low Back Pain Classification Low Back Pain Rehabilitation Patient Satisfaction Evaluation Classification Methods Telerehabilitation Risk Assessment Human Female Male Adult Middle Age Consent (Research) Repeated Measures Correlational Studies Physical Examination Questionnaires Scales Summated Rating Scaling Power Analysis Data Analysis Software Sample Size Descriptive Statistics Correlation Coefficient Probability McNemar's Test Wilcoxon Signed Rank Test Effect Size Interrater Reliability Confidence Intervals Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Objective: To examine the agreement between telerehabilitation and face-to-face assessments of patients with acute and subacute low back pain (LBP) using a modified treatment-based classification (TBC) system. A secondary aim was to evaluate patient satisfaction with the telerehabilitation assessment. Methods: Patients with LBP of less than 90 days' duration underwent both telerehabilitation and face-to-face assessments. After physical examination, patients were classified into one of three intervention groups (mobilization/manipulation, specific exercise, and stabilization). The assessment order and clinicians were randomized, and the clinicians were blinded to each other's classification decision. Results: Forty-seven patients participated (mean [SD] age, 48.6 [15.0] years; 70% female). The overall rate of percentage agreement was 68.1% (κ = 0.52; 95% confidence interval, 0.32–0.72). There was no difference in classification distributions between assessments (χ2 = 2.14, p = 0.54). The percentage agreement was 48.9%–59.6% for the modified TBC algorithm variables except for straight leg raise greater than 91°, which was markedly lower at 35.1%. This was the only variable that was significantly different between the telerehabilitation and face-to-face scenarios. The overall satisfaction with the telerehabilitation assessment was good. Conclusions: The results suggest that a telerehabilitation assessment using the modified TBC system may be able to direct treatment of patients with acute and subacute LBP. However, challenges still remain in applying this approach to clinical practice. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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