European journal of physical and rehabilitation medicine最新文献

{"title":"Authors' reply to comment on: Physiotherapeutic scoliosis-specific exercises (PSSE-Schroth) can reduce the risk for progression during early growth in curves below 25°: prospective control study.","authors":"Nikos Karavidas","doi":"10.23736/S1973-9087.24.08854-3","DOIUrl":"10.23736/S1973-9087.24.08854-3","url":null,"abstract":"","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"157-159"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is dynamic balance impaired in people with non-specific low back pain when compared to healthy people? A systematic review.","authors":"Fulvio Dal Farra, Federico Arippa, Mauro Arru, Martina Cocco, Elisa Porcu, Federico Solla, Marco Monticone","doi":"10.23736/S1973-9087.25.08383-2","DOIUrl":"10.23736/S1973-9087.25.08383-2","url":null,"abstract":"<p><strong>Introduction: </strong>Low back pain (LBP) represents a frequent health issue in most of the countries; in recent years, there was a growing interest concerning the role of balance and postural stability in individuals with non-specific LBP (NS-LBP). The aim of this systematic review is to provide a synthesis of the evidence on the association between NS-LBP and an impaired dynamic balance.</p><p><strong>Evidence acquisition: </strong>The reporting of this study followed the 2020 PRISMA statement. Analytical observational studies, investigating the dynamic balance performance via functional or motor-tasks tests in LBP in comparison to healthy people, were searched in PubMed, Embase and Scopus up to December 2023. Their characteristics were reported in a standardized form, and their methodological quality was evaluated using the Joanna Briggs Institute Critical Appraisal Checklist for cross-sectional studies.</p><p><strong>Evidence synthesis: </strong>A qualitative synthesis of the study findings and a discussion of the results are provided. 19 cross-sectional studies were included in this review, with an overall sample size of 894. A meta-analysis was not possible due to high levels of heterogeneity across the studies. None of the included studies were deemed to be of a good methodological quality. Overall, most studies reported differences between NS-LBP and healthy people in terms of dynamic balance, showing worst performances in NS-LBP, both at motor-task tests and at the posturography.</p><p><strong>Conclusions: </strong>Impaired dynamic balance seems to be correlated to NS-LBP. However, due to the presence of methodological issues in the included studies, further confirmations are needed. Clinicians should take into consideration the importance of a balance assessment in NS-LBP, by implementing proper functional tests. High-quality observational research is recommended, to assess dynamic balance with standardized and uniform modalities, in relation to specific stages of the condition.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":"61 1","pages":"72-81"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11920752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise rehabilitation in post COVID-19 patients: a randomized controlled trial of different training modalities.","authors":"Johanna Sick, Verena Steinbacher, Daniel Kotnik, Florian König, Tim Recking, Dominik Bengsch, Daniel König","doi":"10.23736/S1973-9087.24.08487-9","DOIUrl":"10.23736/S1973-9087.24.08487-9","url":null,"abstract":"<p><strong>Background: </strong>Long-lasting symptoms (>12 weeks) following a COVID-19 infection are defined as the post-COVID-19 syndrome (PCS), often manifesting as fatigue and reduced exercise capacity. Thus, exercise has been suggested as a non-pharmacological therapy.</p><p><strong>Aim: </strong>To investigate the effects of endurance vs. concurrent exercise on physical function, symptoms and quality of life in individuals with PCS, that did not need hospital admission during acute COVID-19.</p><p><strong>Design: </strong>Parallel-group, single-center, randomized controlled trial.</p><p><strong>Setting: </strong>This study was conducted at the University of Vienna.</p><p><strong>Population: </strong>Adult individuals with a SARS-CoV-2 infection at least 12 weeks prior to enrollment who reported at least one symptom specific to PCS and did not experience post-exertional malaise.</p><p><strong>Methods: </strong>Participants were randomized to either 12 weeks of supervised endurance training (ED) or concurrent training (CT), or a non-exercising control group (C). As the primary outcome, VO<inf>2</inf>peak was assessed pre and post intervention. Secondary outcomes were handgrip and lower body strength, heart rate variability, symptoms, health-related quality of life (HRQoL) and concentration performance. The main effects for time and group as well as the time*group interaction were assessed via a 2x2 analysis of variance. Additionally, within-group pre-post testing was performed.</p><p><strong>Results: </strong>Taking the study protocol into account, 42 subjects could be included in the analysis (N.=14 in each group). A significant time*group interaction favoring both exercise conditions was found for VO<inf>2</inf>peak (partial Eta²=0.267; ED: +3.9 mL/min/kg; CT: +3.2 mL/min/kg). The Fatigue Severity Score significantly decreased in ED (Hedges' g=0.63) and CT (Hedges' g=0.82) from pre to post, but not in C. Breathlessness and lower body strength improved most in CT. Significant within-group improvements in HRQoL and the number of PCS symptoms occurred in all groups.</p><p><strong>Conclusions: </strong>Both exercise regimes led to increases in VO<inf>2</inf>peak and lower fatigue scores in subjects with PCS. Improvements in HRQoL occurred in all groups, however more pronounced after the exercise interventions. No definite conclusion about the superiority of either training modality can be drawn.</p><p><strong>Clinical rehabilitation impact: </strong>The results show that in this population both exercise regimes are feasible and safe and lead to improvements in various health domains.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"130-140"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EURO-MUSCULUS/USPRM phantom recipe for (musculoskeletal) interventional ultrasound training.","authors":"Gregorio Salce, Jakub Jačisko, Vincenzo Ricci, Kamal Mezian, Levent Özçakar","doi":"10.23736/S1973-9087.24.08643-X","DOIUrl":"10.23736/S1973-9087.24.08643-X","url":null,"abstract":"<p><p>Considering the growing role of ultrasound-guided procedures in musculoskeletal medicine, training as regards these interventions is pivotal. While hands-on training on cadavers can be considered optimal, it has several drawbacks, e.g., high cost, poor availability, and technical challenges regarding preservation. Apart from cadavers, different approaches to practicing needle guidance are taught in ultrasound workshops whereby phantoms from meat (e.g., chicken breast), cheese or gelatin are used. Likewise, this article aims to provide a detailed description as to how different gelatin-based phantoms can be prepared. In line with the EURO-MUSCULUS/USPRM (European Musculoskeletal Ultrasound Study Group/Ultrasound Study Group of the International Society of Physical and Rehabilitation Medicine) protocols/background, the authors describe particular basic and advanced phantoms to be used for practicing different technical/manual skills pertaining to common ultrasound-guided procedures. The present manuscript can be considered a practical and ready-to-use \"recipe book\" for readers who are interested in the wide spectrum of interventional ultrasound.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":"61 1","pages":"102-108"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: Physiotherapeutic Scoliosis-Specific Exercises (PSSE-Schroth) can reduce the risk for progression during early growth in curves below 25°: prospective control study.","authors":"Tuğba Kuru Çolak, Burçin Akçay, Nikola Jevtic, Garikoitz Aristegui","doi":"10.23736/S1973-9087.24.08805-1","DOIUrl":"10.23736/S1973-9087.24.08805-1","url":null,"abstract":"","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"155-156"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shear wave elastography in the assessment of gastrocnemius spastic muscle elasticity: influences of ankle position and muscle contraction.","authors":"Marine Devis, Frédéric Lecouvet, Thierry Lejeune, Gaëtan Stoquart","doi":"10.23736/S1973-9087.24.08733-1","DOIUrl":"10.23736/S1973-9087.24.08733-1","url":null,"abstract":"<p><strong>Background: </strong>Following upper motor neuron syndromes (UMNS), intrinsic viscoelastic muscle properties such as elastic stiffness may be altered, which leads to muscle hyper-resistance to passive mobilization. So far, no gold standard assessment of hyper-resistance, whether clinical or instrumental, is available. Shear wave elastography (SWE) has been increasingly used for non-invasive evaluation of elastic stiffness of skeletal muscles in people with hyper-resistance.</p><p><strong>Aim: </strong>Our study aimed to evaluate the validity of SWE at ankle neutral resting position (ANRP). Additional objectives included assessing the influence of ankle position, muscle contraction, and laterality on elastic stiffness, and evaluating the reproducibility and responsiveness of SWE.</p><p><strong>Design: </strong>Observational cohort study.</p><p><strong>Setting: </strong>Outpatients of the physical and rehabilitation medicine department of a university hospital in Brussels.</p><p><strong>Population: </strong>Thirty hemiparetic patients following UMNS with hyper-resistance in gastrocnemii muscles.</p><p><strong>Methods: </strong>Elastic stiffness was quantified by shear wave velocity (SWV) measurements of gastrocnemii muscles. A higher SWV corresponds to a higher elastic stiffness. Measurements were performed on the affected and less-affected limbs in ANRP, in passive dorsiflexion and during isometric contraction. Assessments were performed 3 times. Criterion validity, reproducibility, and responsiveness were evaluated. A linear mixed model was used to study position and laterality effect.</p><p><strong>Results: </strong>In ANRP, reproducibility was excellent and SWV was significantly higher in the affected limb than in the less-affected limb. This laterality effect disappeared in passive dorsiflexion and was even reversed during isometric contraction. SWV was significantly higher on both sides in passive dorsiflexion and during contraction than in ANRP.</p><p><strong>Conclusions: </strong>Our results suggest that SWE measurements in ANRP are reliable and may provide a more valid measurement of gastrocnemii elastic stiffness following UMNS.</p><p><strong>Clinical rehabilitation impact: </strong>SWE may be a useful clinical tool as an extension of the physical exam for longitudinal monitoring of passive muscle elastic stiffness, to assist with treatment decisions and to better quantify the therapeutic effect of procedures to reduce muscle overactivity. However, a standardized protocol should be used. ANRP seems to be the most valid position for assessing gastrocnemius elastic stiffness in neurological populations. This should be kept in mind for the choice of positioning in further studies.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"52-60"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11919459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of ambulation functions through kinematic analysis in individuals with stroke: a systematic review.","authors":"Jiaqi Li, Patrick W Kwong, Wang Lin, Kenneth N Fong, Wenping Wu, Ananda Sidarta","doi":"10.23736/S1973-9087.25.08767-2","DOIUrl":"10.23736/S1973-9087.25.08767-2","url":null,"abstract":"<p><strong>Introduction: </strong>Although kinematic assessments for stroke-induced lower limb impairments offer a promising alternative to conventional scale evaluations, interpreting high-dimensional kinematic data remains challenging due to numerous metrics reported in past studies. This study aimed to provide an exhaustive overview of existing studies using kinematics data to assess the gait impairments in individuals with stroke, along with examining their clinimetric properties for future clinical applications.</p><p><strong>Evidence acquisition: </strong>A systematic search was conducted across PubMed (08/2024), Scopus (08/2024), Web of Science (08/2024), CINAHL (08/2024), EMBASE (08/2024), and IEEE (08/2024). We included articles that recruited individuals over 18 years old with stroke and utilized motion capture technologies to evaluate lower limb kinematics. Similar metrics were consolidated in the analysis, and the COSMIN Risk of Bias Checklist was used to evaluate the methodological quality of studies investigating the clinimetric properties of kinematic metrics. Convergent validity of metrics was evaluated by examining their association with the Fugl-Meyer scale of lower limbs and walking speed. Moreover, the GRADE approach was used to rate the quality of evidence.</p><p><strong>Evidence synthesis: </strong>A total of 383 studies were classified into 10 categories. Seven studies on metric reliability were rated high for methodological quality. Metrics with satisfactory reliability included spatiotemporal, spatial metrics, and a data-driven score. Six studies with high methodological quality assessed convergent validity. The dynamic gait index, angular component of the coefficient of correspondence (ACC), change in cadence, stride length, and hip range of motion showed satisfactory validity. Among the 13 studies, 12 studies were rated as moderate quality of evidence using the GRADE approach.</p><p><strong>Conclusions: </strong>There are significant variations in measurements across studies, and high-quality studies evaluating clinimetric properties are scarce. For a more standardized evidence-based approach to kinematic lower limb assessment, further high-quality research validating these assessments' clinimetric properties is essential.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":"61 1","pages":"28-40"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11920755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary care and outpatient rehabilitation: complementary approaches for comprehensive healthcare.","authors":"Alessandro Giustini, Giorgio Ferriero, Mauro Zampolini","doi":"10.23736/S1973-9087.25.08889-6","DOIUrl":"10.23736/S1973-9087.25.08889-6","url":null,"abstract":"","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"1-3"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11920750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A continuum of balance performance between children with developmental coordination disorder, spastic cerebral palsy, and typical development.","authors":"Charlotte Johnson, Ann Hallemans, Pieter Meyns, Silke Velghe, Nina Jacobs, Evi Verbecque, Katrijn Klingels","doi":"10.23736/S1973-9087.24.08472-7","DOIUrl":"10.23736/S1973-9087.24.08472-7","url":null,"abstract":"<p><strong>Background: </strong>Balance deficits are one of the most common impairments in developmental coordination disorder (DCD) and cerebral palsy (CP), with shared characteristics between both groups. However, balance deficits in DCD are very heterogeneous, but unlike in CP, they are poorly understood.</p><p><strong>Aim: </strong>To unravel the heterogeneity of balance performance in children with DCD by comparing them with CP and typical development (TD).</p><p><strong>Design: </strong>Cross-sectional case-control study.</p><p><strong>Setting: </strong>Different outpatient settings and the community.</p><p><strong>Population: </strong>Children aged 5-10.9 years with TD (N.=64, boys: 34, mean [SD] age: 8.1 [1.6]), DCD (N.=39, boys: 32, mean [SD] age: 8.1 [1.5], formal diagnosis [N.=27]), and CP (N.=24, boys: 14, mean [SD] age: 7.5 [1.4], GMFCS level I [N.=14]/II [N.=10], unilateral [N.=13]/bilateral [N.=11]).</p><p><strong>Methods: </strong>We evaluated balance performance with the extended version of the Kids-Balance Evaluation Systems Test (Kids-BESTest). Between-group differences in domain and total scores (%) were assessed via ANCOVA (covariate: age), with Tukey post-hoc analyses (P≤0.01).</p><p><strong>Results: </strong>Children with DCD and CP performed poorer than TD children on total and domain scores with large effects (domains: η²=0.25-0.66 [P<0.001], total: η²=0.71 [P<0.001]). Still, post hoc comparisons revealed that DCD children scored significantly better than CP on the total score and four domains (P≤0.009), while performing similarly on tasks related to stability limits (P=0.999) and gait stability (P=0.012).</p><p><strong>Conclusions: </strong>There is a continuum of balance performance between children with TD, DCD and CP, but with great inter- and intra-individual heterogeneity in DCD and CP. DCD and CP children have difficulties with tasks requiring anticipatory postural adjustments, fast reactive responses, and with tasks that require complex sensory integration, suggesting an internal modeling deficit in both groups. This implies that these children must rely on slow conscious feedback-based control rather than fast feedforward control and fast automatic feedback. The performance of both DCD and CP children on their stability limits/verticality is similarly poor which further emphasizes a potential deficit in their sensory input and/or integration. Future research must focus on unraveling the control mechanisms, to further understand the heterogeneity of these balance deficits.</p><p><strong>Clinical rehabilitation impact: </strong>The heterogeneous balance performances in both children with DCD and CP underscore the importance of comprehensively evaluating balance deficits in both groups. This comprehensive assessment contributes to a better understanding of individual balance deficits, thereby facilitating more tailored treatment programs.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"956-969"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11713626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-inferiority of hybrid outpatient telerehabilitation for patients with back pain: 3-month follow-up of a randomized controlled trial.","authors":"Richard Albers, Stella Lemke, David Fauser, Sebastian Knapp, Gert Krischak, Matthias Bethge","doi":"10.23736/S1973-9087.24.08458-2","DOIUrl":"10.23736/S1973-9087.24.08458-2","url":null,"abstract":"<p><strong>Background: </strong>International studies identified comparable or better effects for telerehabilitation compared with face-to-face rehabilitation or no rehabilitation in people with back pain. In German rehabilitation centers, a standardized back school for patients with back pain is provided usually face-to-face as part of a multimodal rehabilitation program.</p><p><strong>Aim: </strong>To examine the non-inferiority of a three-week, digitally assisted, multimodal rehabilitation that applies a digital version of a standardized back school (intervention group [IG]) against the same rehabilitation program applying the back school face-to-face (control group [CG]).</p><p><strong>Design: </strong>Our study was a non-blinded multicenter randomized controlled trial. Recruitment was conducted from 2022 to 2023. We analyzed outcomes at the end of rehabilitation and 3 months later.</p><p><strong>Setting: </strong>Implementation of the study and enrollment of participants was conducted in 8 German outpatient rehabilitation centers.</p><p><strong>Population: </strong>Rehabilitants aged 18-65 years with back pain were included.</p><p><strong>Methods: </strong>284 patients with back pain were randomized into the IG or CG using computer-generated block randomization. We excluded 14 patients as they withdrew their consent and requested removal of their data. We finally included 270 patients (IG: N.=127, CG: N.=143). The primary outcome was self-reported pain self-efficacy (10-60 points). Secondary outcomes were, amongst others, current health status and pain.</p><p><strong>Results: </strong>Our primary adjusted intention-to-treat analysis demonstrated that hybrid digitally assisted rehabilitation was non-inferior to face-to-face rehabilitation at the end of rehabilitation (b=-0.55; 95% CI=-2.75 to ∞) and at the 3-month follow-up (b=0.24; 95% CI=-2.86 to ∞). These results were in line with a non-adjusted intention-to-treat analysis, an adjusted complete case analysis, and an adjusted per-protocol analysis. Secondary outcomes were tested for superiority. Our primary adjusted intention-to-treat analysis found no significant group differences in the secondary outcomes.</p><p><strong>Conclusions: </strong>This study provides evidence that hybrid digitally assisted rehabilitation in patients with back pain is a sound alternative to face-to-face rehabilitation in an outpatient rehabilitation setting.</p><p><strong>Clinical rehabilitation impact: </strong>Hybrid digitally assisted rehabilitation can improve flexibility and access to rehabilitation. Further studies should examine which components and which time frame of rehabilitation can be digitized without any loss of effectiveness.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"1009-1018"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11713625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}