Group telerehabilitation for patients with chronic low back pain: A longitudinal retrospective study




Exercise; Rehabilitation; Self-management; Physical therapy.


Objective: To evaluate the effects of group telerehabilitation on pain and disability in patients with chronic low back pain. Methodology: It is a longitudinal retrospective analytical observational study based on the analysis of medical records of patients who underwent three weeks of on-line physical therapy performed in group between september to december 2020. It was evaluated 25 records, considering as the primary outcome the sensation of pain, using Numerical Pain Rating Scale, and as secondary outcomes the disability related to low back pain, evaluated through Roland Morris Disability Questionnaire, and the patient's perspectives regarding care, before and after the intervention. Results: After data analysis, it was observed a significant reduction in pain intensity (0.007) and disability (0.002) after three weeks of intervention, in addition to positive reports from the patients regarding the experience of telerehabilitation. Conclusion: Group telerehabilitation was effective in improving pain and disability, being satisfactory for patients with chronic low back pain.


Airaksinen, O., et al. (2006). Chapter 4 European guidelines for the management of chronic nonspecific low back pain. Eur spine J. 15(Suppl 2), 192-300.

Barlow, J., Wright, C., Sheasby, J., Turner, A., & Hainsworth, J. (2002). Self-management approaches for people with chronic conditions: a review. Patient Educ Couns. 48(2), 177–87.

Chenot, J-F., Greitemann, B., Kladny, B., Petzke, F., Pfingsten, M., & Schorr, S. G. (2017). Non-Specific Low Back Pain. Dtsch Arztebl Int. 114(51–52), 883–90.

Chou, R, , et al. (2017). Nonpharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline. Ann Intern Med. 166(7), 493–505.

COFFITO. Resolução nº 516 de 20 de Março de 2020. Teleconsulta, Telemonitoramento e Teleconsultoria. Diário Oficial da União.

Cottrell, M. A., et al. (2017). Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clin Rehabil. 31(5), 625–38.

Cottrell, M. A., et al. (2018). Patients are willing to use telehealth for the multidisciplinary management of chronic musculoskeletal conditions: A cross-sectional survey. J Telemed Telecare. 24(7), 445–52.

Dias, J. F., et al. (2021). Effectiveness of exercises by telerehabilitation on pain, physical function and quality of life in people with physical disabilities: a systematic review of randomised controlled trials with GRADE recommendations. Br J Sports Med. 55(3), 155–62.

Du, S., et al. (2017). Self-management program for chronic low back pain: A systematic review and meta-analysis. Patient Educ Couns. 100(1), 37–49.

Du, S., Liu, W., Cai, S., Hu, Y., & Dong, J. (2020). The efficacy of e-health in the self-management of chronic low back pain: A meta analysis. Int J Nurs Stud. 106(103507), 01-12.

Fritz, J. M., Beneciuk, J. M., & George, S. Z. (2011). Relationship between categorization with the STarT Back Screening Tool and prognosis for people receiving physical therapy for low back pain. Phys Ther. 91(5), 722–32.

Geneen, L J., Moore, R. A., Clarke, C., Martin, D., Colvin, L. A., & Smith, B. H. (2017). Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane database Syst Rev. (4), 01-75.

Hartvigsen, J., Hancock, M. J., Kongsted, A., Louw, Q., Ferreira, M. L., Genevay, S., et al. (2018). What low back pain is and why we need to pay attention. Lancet. 391(10137), 2356–67.

Hill, J. C., et al. (2011). Comparison of stratified primary care management for low back pain with current best practice (STarT Back): a randomised controlled trial. Lancet. 378(9802), 1560–71.

Nicholl, B. I., et al. (2017). Digital Support Interventions for the Self-Management of Low Back Pain: A Systematic Review. J Med Internet Res. 19(5), 01-21.

Nusbaum, L., Natour, J, Ferraz, M. B., & Goldenberg, J. (2001). Translation, adaptation and validation of the Roland-Morris questionnaire-Brazil Roland-Morris. Brazilian J Med Biol Res. 34(2), 203–10.

Ostelo, R. W. J. G.,. et al. (2008). Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change. Spine. 33(1), 90–4.

Owen, P. J., Miller, C. T., Mundell, N. L., Verswijveren, S. J. J. M., Tagliaferri, S. D., Brisby, H., et al. (2020). Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. Br J Sports Med. 54(21), 1279–87.

Peterson, S. (2018). Telerehabilitation booster sessions and remote patient monitoring in the management of chronic low back pain: A case series. Physiother Theory Pract. 34(5), 393–402.

Raja, S. N., et al. (2020). The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain. 161(9), 1976–82.

Roland, M., & Morris, R. (1983). A study of the natural history of back pain. Part I: development of a reliable and sensitive measure of disability in low-back pain. Spine. 8(2), 141–4.

Romero, D. E., Santana, D., Borges, P., Marques, A., Castanheira, D., Rodrigues, J. M., et al. (2018). Prevalência, fatores associados e limitações relacionados ao problema crônico de coluna entre adultos e idosos no Brasil. Cad Saude Publica. 34(2), 01-15.

Savigny, P., Watson, P., & Underwood, M. Early management of persistent non-specific low back pain: summary of NICE guidance. (2009). Br J Sports Med. 338(b1805), 1441-45.

Scott, J., & Huskisson, E. C. (1976). Graphic representation of pain. Pain. 2(2), 175–84.

Seron, P., Oliveros, M. J., Gutierrez-Arias, R., Fuentes-Aspe, R., Torres-Castro, R., Merino-Osorio, C., et al. (2021). Effectiveness of telerehabilitation in physical therapy: A rapid overview. Phys Ther. 101(6), 01-52.

Shebib, R., Bailey, J. F., Smittenaar, P., Perez, D. A., Mecklenburg, G., & Hunter, S. (2019). Randomized controlled trial of a 12-week digital care program in improving low back pain. NPJ Digit Med. 2(1), 02-8.

Slattery, B. W., et al. (2017). Protocol for a systematic review with network meta-analysis of the modalities used to deliver eHealth interventions for chronic pain. Syst Rev. 6(45), 01-8.

Taub, N. S., Worsowicz, G. M., Gnatz, S. M., & Cifu, D. X. (1998). 1. Definitions and diagnosis of pain. Arch Phys Med Rehabil. 79(3), 49–53.

Vanti, C., Andreatta, S., Borghi, S., Guccione, A. A., Pillastrini, P., & Bertozzi, L. (2019). The effectiveness of walking versus exercise on pain and function in chronic low back pain: a systematic review and meta-analysis of randomized trials. Disabil Rehabil. 41(6), 622–32.

Yamato, T. P., et al. (2015). Pilates for low back pain. Cochrane database Syst Rev. 1(7), 01-62.



How to Cite

LUCENA, B. C. M. de; SILVA, C. A. M.; ALMEIDA, D. K. F. H. de; ARAÚJO, G. M. de; FRANÇA, M. S. de; FONSECA, R. N. S. .; FERREIRA, W. G. de M. .; LIMA, N. M. F. V. .; PACHECO, T. B. F. .; MACEDO, L. de B. Group telerehabilitation for patients with chronic low back pain: A longitudinal retrospective study. Research, Society and Development, [S. l.], v. 10, n. 9, p. e6710917741, 2021. DOI: 10.33448/rsd-v10i9.17741. Disponível em: Acesso em: 25 sep. 2021.



Health Sciences