Physical Therapists' Opinion of E-Health Treatment of Chronic Low Back Pain

Int J Environ Res Public Health. 2021 Feb 16;18(4):1889. doi: 10.3390/ijerph18041889.

Abstract

(1) Background: Using new technologies to manage home exercise programmes is an approach that allows more patients to benefit from therapy. The objective of this study is to explore physical therapists' opinions of the efficacy and disadvantages of implementing a web-based telerehabilitation programme for treating chronic low back pain (CLBP). (2) Methods: Nineteen physical therapists from academic and healthcare fields in both the public and private sector participated in the qualitative study. Texts extracted from a transcript of semi-structured, individual, in-depth interviews with each consenting participant were analysed to obtain the participants' prevailing opinions. The interviews lasted approximately 40 min each. The participants' responses were recorded. (3) Results: The results suggest that telerehabilitation can only be successful if patients become actively involved in their own treatment. However, exercise programmes for LBP are not always adapted to patient preferences. New technologies allow physical therapists to provide their patients with the follow-up and remote contact they demand, but long-term adherence to treatment stems from knowledge of the exercises and the correct techniques employed by the patients themselves. (4) Conclusions: Physical therapists treating patients with chronic non-specific low back pain believe that new technologies can provide highly effective means of reaching a greater number of patients and achieving significant savings in healthcare costs, despite the limitations of a telerehabilitation approach in developing an appropriate and effective patient-based physiotherapy programme.

Keywords: home-based exercise; low back pain; physical therapists; telerehabilitation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chronic Pain*
  • Exercise Therapy
  • Humans
  • Low Back Pain* / therapy
  • Physical Therapists*
  • Physical Therapy Modalities
  • Telerehabilitation*