Şimşek Ayşe, Ülger Özlem
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Karabuk University, Karabuk, Turkey.
Spine Health Unit, Faculty of Physical Therapy and Rehabilitation, Institute of Health Sciences, Hacettepe University, 06100, Samanpazarı, Ankara, Turkey.
Ir J Med Sci. 2025 Aug 13. doi: 10.1007/s11845-025-04051-x.
Low back pain (LBP) is a leading cause of disability globally, necessitating effective and accessible treatments. Telerehabilitation, which delivers exercise interventions via telecommunication technologies, has emerged as a promising alternative, particularly for individuals with limited access to traditional care.
This systematic review assessed the effectiveness of telerehabilitation exercises on pain, disability, and quality of life (QoL) in adults with LBP compared to control and other interventions.
A systematic search was conducted across Scopus, Web of Science, the Cochrane Library, CINAHL, EMBASE, and PEDro databases through July 26, 2023. Ten randomized controlled trials (RCTs) involving 461 participants with chronic or subacute LBP were analyzed. Interventions included video-based exercises and web applications compared to clinic-based exercises, standard care, home exercises, waiting list, or placebo.
Significant improvements in pain in 6 of 8 studies, disability in 6 of 10 studies, and QoL in all 6 studies where it was assessed. No adverse events or worse outcomes were reported.
These findings suggest telerehabilitation exercises are effective, safe, and accessible alternatives to traditional rehabilitation, with cost-effectiveness and better adherence. However, the heterogeneity in methods and short follow-up durations highlight the need for high-quality, long-term RCTs to strengthen evidence and guide clinical practice.
腰痛（LBP）是全球致残的主要原因，需要有效的可及治疗方法。远程康复通过电信技术提供运动干预，已成为一种有前景的替代方法，特别是对于难以获得传统护理的个体。
本系统评价评估了与对照及其他干预措施相比，远程康复运动对成人腰痛患者疼痛、残疾和生活质量（QoL）的有效性。
截至2023年7月26日，在Scopus、科学网、Cochrane图书馆、CINAHL、EMBASE和PEDro数据库中进行了系统检索。分析了10项随机对照试验（RCT），涉及461名慢性或亚急性腰痛患者。干预措施包括基于视频的运动和网络应用程序，并与基于诊所的运动、标准护理、家庭运动、等待名单或安慰剂进行比较。
在8项研究中的6项中疼痛有显著改善，在10项研究中的6项中残疾状况有改善，在所有6项评估生活质量的研究中生活质量均有改善。未报告不良事件或更差的结果。
这些发现表明，远程康复运动是传统康复的有效、安全且可及的替代方法，具有成本效益且依从性更好。然而，方法的异质性和较短的随访时间突出表明需要高质量、长期的RCT来加强证据并指导临床实践。
