The Effectiveness and Safety of Utilizing Mobile Phone-Based Programs for Rehabilitation After Lumbar Spinal Surgery: Multicenter, Prospective Randomized Controlled Trial

JMIR MHealth and UHealth
Jingyi HouHuiyong Shen

Abstract

Rehabilitation is crucial for postoperative patients with low back pain (LBP). However, the implementation of traditional clinic-based programs is limited in developing countries, such as China, because of the maldistribution of medical resources. Mobile phone-based programs may be a potential substitute for those who have no access to traditional rehabilitation. The aim of this study was to examine the efficacy of mobile phone-based rehabilitation systems in patients who underwent lumbar spinal surgery. Patients who accepted spinal surgeries were recruited and randomized into 2 groups of rehabilitation treatments: (1) a mobile phone-based eHealth (electronic health) program (EH) or (2) usual care treatment (UC). The primary outcomes were (1) function and pain status assessed by the Oswestry Disability Index (ODI) and (2) the visual analog scale (VAS). Secondary outcomes were (1) general mental health and (2) quality of life (Likert scales, EuroQol-5 Dimension health questionnaire, and 36-item Short-Form Health Survey). All the patients were assessed preoperatively and then at 3, 6, 12, and 24 months postoperatively. A total of 168 of the 863 eligible patients were included and randomized in this study. Our analysis showed that...Continue Reading

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Citations

Jul 20, 2019·Journal of Telemedicine and Telecare·Xiaoshi Yang, Carrie L Kovarik
Nov 19, 2020·World Neurosurgery·Won Hyung A RyuVincent C Traynelis
Nov 17, 2020·Frontiers in Surgery·Michael Y BaiCallum Betteridge
Aug 24, 2021·The Journal of Pain : Official Journal of the American Pain Society·Martine BordeleauJames Thomas
Oct 31, 2020·Journal of Neurosurgery. Spine·John Paul G KolcunVincent C Traynelis

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