与团体运动疗法相比，基于人工智能的运动计划对颈部疼痛患者疼痛强度和残疾状况的影响：一项队列研究。

Effects of an artificial intelligence-based exercise program on pain intensity and disability in patients with neck pain compared with group exercise therapy: A cohort study.

作者信息

Annika Griefahn, Rica Hartmann, Florian Avermann, Christoff Zalpour, Kerstin Luedtke

机构信息

Universität zu Lübeck, Institute of Health Sciences, Department of Physiotherapy, Ratzeburger Allee 160, 23562 Lübeck, Germany; University of Applied Science, Faculty Business Management and Social Sciences, Albrechtstraße 30, 49076 Osnabrück, Germany; medicalmotion GmbH, Blütenstraße 15, 80799 München, Germany.

University of Applied Science, Faculty Business Management and Social Sciences, Albrechtstraße 30, 49076 Osnabrück, Germany.

出版信息

J Bodyw Mov Ther. 2025 Jun;42:1031-1038. doi: 10.1016/j.jbmt.2025.02.018. Epub 2025 Feb 27.

DOI:10.1016/j.jbmt.2025.02.018

PMID:40325632

Abstract

OBJECTIVES

This study compares the effects of an artificial intelligence app-based exercise program with group exercise therapy on pain intensity and neck-related disability in patients with neck pain.

PARTICIPANTS

84 patients with neck pain. 70 fulfilled the study requirements. 52 were in the intervention and 18 in the comparison group.

INTERVENTION

The intervention group utilized an AI-based exercise program accessible via digital devices. The AI provided 3-5 daily exercises tailored to individual feedback, pain intensity, and well-being. The exercise duration was up to 15 min per day. The comparison group attended up to two 45-min group exercise sessions weekly.

METHODS

Pain intensity and neck-related disability were assessed using an 11-point numerical rating scale and the Neck Disability Index via online questionnaires at baseline, 4 weeks, and 8 weeks. The non-parametric Mann-Whitney U test was used to test for between group differences.

RESULTS

After 8 weeks, the intervention group showed a significantly lower pain intensity than the comparison group (U = 287, Z = -2.447, p = 0.042, r = 0.3). Compared to baseline, the intervention group showed a significant reduction in neck pain (Chi (2) = 15.775, p < 0.001, W = 0.15) and an improvement in neck-related disability (Chi (2) = 25.094, p < 0.001, W = 0.24). The comparison group showed no significant change over time.

CONCLUSION

The app-based exercise program demonstrated promising results for the reduction of pain intensity and neck-related disability, offering a personalized and mobile alternative to group exercise therapy for patients with neck pain.

摘要

目的

本研究比较基于人工智能应用程序的锻炼计划与团体运动疗法对颈部疼痛患者疼痛强度和颈部相关功能障碍的影响。

参与者

84名颈部疼痛患者。70名符合研究要求。52名在干预组，18名在对照组。

干预措施

干预组使用通过数字设备访问的基于人工智能的锻炼计划。人工智能根据个人反馈、疼痛强度和健康状况提供3至5项每日锻炼。锻炼时长为每天最多15分钟。对照组每周参加最多两次每次45分钟的团体锻炼课程。

方法

在基线、4周和8周时，通过在线问卷使用11点数字评分量表和颈部功能障碍指数评估疼痛强度和颈部相关功能障碍。使用非参数曼-惠特尼U检验来检验组间差异。

结果

8周后，干预组的疼痛强度显著低于对照组（U = 287，Z = -2.447，p = 0.042，r = 0.3）。与基线相比，干预组的颈部疼痛显著减轻（卡方(2) = 15.775，p < 0.001，W = 0.15），颈部相关功能障碍有所改善（卡方(2) = 25.094，p < 0.001，W = 0.24）。对照组随时间未显示出显著变化。