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Is physiotherapy integrated virtual walking effective on pain, function, and kinesiophobia in patients with non-specific low-back pain? Randomised controlled trial.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
February 1, 2017
Gul Deniz Yilmaz Yelvar et al. (6 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine the short-term effects of virtual walking integrated physiotherapy on pain, function, and kinesiophobia in patients with subacute and chronic non-specific low-back pain.

Results Summary

Both groups improved, but the virtual walking group showed significantly better outcomes in pain (VAS), kinesiophobia (TKS), mobility (TUG), and endurance (6MWT). Virtual walking integrated physiotherapy was more effective than traditional physiotherapy for these parameters.

Population

Patients with subacute and chronic non-specific low-back pain (44 participants, 22 per group).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
virtual walking integrated physiotherapy
decrease
pain
patients with subacute and chronic non-specific low-back pain
-
reduces
#1
virtual walking integrated physiotherapy
decrease
kinesiophobia
patients with subacute and chronic non-specific low-back pain
-
reduces
#2
virtual walking integrated physiotherapy
increase
function
patients with subacute and chronic non-specific low-back pain
-
improved
#3
virtual walking integrated physiotherapy
decrease
VAS scores
patients with subacute and chronic non-specific low-back pain
-
showed significant differences in favor of
#4
virtual walking integrated physiotherapy
decrease
TKS scores
patients with subacute and chronic non-specific low-back pain
-
showed significant differences in favor of
#5
virtual walking integrated physiotherapy
decrease
TUG scores
patients with subacute and chronic non-specific low-back pain
-
showed significant differences in favor of
#6
virtual walking integrated physiotherapy
increase
6MWT scores
patients with subacute and chronic non-specific low-back pain
-
showed significant differences in favor of
#7
Abstract

PURPOSE: According to literature, virtual reality was found to reduce pain and kinesiophobia in patients with chronic pain. The purpose of the study was to investigate short-term effect of the virtual reality on pain, function, and kinesiophobia in patients with subacute and chronic non-specific low-back pain METHODS: This randomised controlled study in which 44 patients were randomly assigned to the traditional physiotherapy (control group, 22 subjects) or virtual walking integrated physiotherapy (experimental group, 22 subjects). Before and after treatment, Visual Analog Scale (VAS), TAMPA Kinesiophobia Scale (TKS), Oswestry Disability Index (ODI), Nottingham Health Profile (NHP), Timed-up and go Test (TUG), 6-Minute Walk Test (6MWT), and Single-Leg Balance Test were assessed. The interaction effect between group and time was assessed by using repeated-measures analysis of covariance. RESULTS: After treatment, both groups showed improvement in all parameters. However, VAS, TKS, TUG, and 6MWT scores showed significant differences in favor of the experimental group. CONCLUSION: Virtual walking integrated physiotherapy reduces pain and kinesiophobia, and improved function in patients with subacute and chronic non-specific low-back pain in short term.

Medical Subject Headings (MeSH)
AdultExercise TestFearFemaleHumansLow Back PainMaleMiddle AgedPhysical Therapy ModalitiesVideo RecordingVisual Analog ScaleWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations70
Citations/Year8.8
Relative Citation Ratio5.13
NIH Percentile93.3%
Research Impact Scores
APT Score0.95
Weight Score2.18
Normalized Score0.70
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