关键词: Smartphone apps low back pain mHealth self-management telerehabilitation

Mesh : Low Back Pain / therapy rehabilitation Humans Smartphone Mobile Applications Self-Management / methods Telerehabilitation Data Collection / methods

来  源:   DOI:10.12688/f1000research.123331.2   PDF(Pubmed)

Abstract:
UNASSIGNED: Smartphone use has grown in providing healthcare for patients with low back pain (LBP), but the literature lacks an analysis of the use of smartphone apps. This scoping review aimed to identify current areas of smartphone apps use for managing LBP. We also aimed to evaluate the current status of the effectiveness or scientific validity of such use and determine perspectives for their potential development.
UNASSIGNED: We searched PubMed, PEDro and Embase for articles published in English up to May 3 rd, 2021 that investigated smartphone use for LBP healthcare and their purpose. All types of study design were accepted. Studies concerning telemedicine or telerehabilitation but without use of a smartphone were not included. The same search strategy was performed by two researchers independently and a third researcher validated the synthesis of the included studies.
UNASSIGNED: We included 43 articles: randomised controlled trials (RCTs) (n=12), study protocols (n=6), reliability/validity studies (n=6), systematic reviews (n=7), cohort studies (n=4), qualitative studies (n=6), and case series (n=1). The purposes of the smartphone app were for 1) evaluation, 2) telerehabilitation, 3) self-management, and 4) data collection. Self-management was the most-studied use, showing promising results derived from moderate- to good-quality RCTs for patients with chronic LBP and patients after spinal surgery. Promising results exist regarding evaluation and data collection use and contradictory results regarding measurement use.
UNASSIGNED: This scoping review revealed a notable interest in the scientific literatures regarding the use of smartphone apps for LBP patients. The identified purposes point to current scientific status and perspectives for further studies including RCTs and systematic reviews targeting specific usage.
摘要:
智能手机在为腰背痛(LBP)患者提供医疗保健方面的使用有所增加,但是文献缺乏对智能手机应用程序使用的分析。此范围审查旨在确定用于管理LBP的智能手机应用程序的当前领域。我们还旨在评估此类使用的有效性或科学有效性的现状,并确定其潜在发展的观点。
我们搜索了PubMed,PEDro和Embase在5月3日之前以英文发表的文章,2021年调查了智能手机在LBP医疗保健中的使用及其用途。接受所有类型的研究设计。不包括有关远程医疗或远程康复但不使用智能手机的研究。由两名研究人员独立进行相同的搜索策略,第三名研究人员验证了所包括研究的综合。
我们纳入了43篇文章:随机对照试验(RCT)(n=12),研究方案(n=6),信度/效度研究(n=6),系统评价(n=7),队列研究(n=4),定性研究(n=6),和案例序列(n=1)。智能手机应用程序的目的是用于1)评估,2)远程康复,3)自我管理,4)数据收集。自我管理是研究最多的用途,对于慢性LBP患者和脊柱手术后的患者,显示出中等至高质量的RCT有希望的结果。在评估和数据收集使用方面存在有希望的结果,而在测量使用方面存在矛盾的结果。
这项范围审查揭示了对LBP患者使用智能手机应用程序的科学文献的显著兴趣。确定的目的指向当前的科学状况和进一步研究的观点,包括RCT和针对特定用法的系统评论。
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