The validity of physical therapy assessment of low back pain via telerehabilitation in a Clinical Setting

Truter, Piers, Russell, Trevor and Fary, Robyn (2014) The validity of physical therapy assessment of low back pain via telerehabilitation in a Clinical Setting. Telemedicine and e-Health, 20 2: 161-167. doi:10.1089/tmj.2013.0088


Author Truter, Piers
Russell, Trevor
Fary, Robyn
Title The validity of physical therapy assessment of low back pain via telerehabilitation in a Clinical Setting
Journal name Telemedicine and e-Health   Check publisher's open access policy
ISSN 1530-5627
1556-3669
Publication date 2014-02-01
Sub-type Article (original research)
DOI 10.1089/tmj.2013.0088
Open Access Status Not Open Access
Volume 20
Issue 2
Start page 161
End page 167
Total pages 7
Place of publication New Rochelle, NY United States
Publisher Mary Ann Liebert, Inc. Publishers
Language eng
Subject 2700 Medicine
2718 Health Informatics
3605 Health Information Management
Abstract Background: Back pain is a common and disabling condition for people in rural and remote areas. In these areas, access to rehabilitation services is limited by service availability. Telerehabilitation is suggested as a solution for providing physical therapy services; however, the validity of clinical assessment is largely unproven. The aim of this study was to establish the validity of clinically pragmatic remote assessment of spinal posture, active movements of the lumbar spine, and the passive straight leg raise (SLR) test. Subjects and Methods: Face-to-face physical therapist assessment was compared with telerehabilitation assessment of spinal posture, active movements of the lumbar spine, and the SLR test. Twenty-six participants recruited from a rural population with current or recent low back pain (LBP) were assessed by a face-to-face physical therapist and a remote physical therapist. Pain, disability, and clinical measurements were assessed. Outcomes were compared to establish agreement. Results: High levels of agreement were found with detecting pain with specific lumbar movements, eliciting symptoms, and sensitizing the SLR test. Moderate agreement occurred with identifying the worst lumbar spine movement direction, SLR range of motion, and active lumbar spine range of motion. Poor agreement occurred with postural analysis and identifying reasons for limitations to lumbar movements. Conclusions: Conducted in a rural clinical setting, this study validates elements of the physical assessment of the lumbar spine and identifies technical and clinical issues to be addressed by future research. Important components of the standard musculoskeletal assessment of LBP are valid via telerehabilitation in a clinical setting.
Keyword e-health
Rehabilitation
Telehealth
Telemedicine
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Health and Rehabilitation Sciences Publications
 
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