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||Matheve, T., Brumagne, S., & Timmermans, A. A. A. (2017). AmericaThe effectiveness of technology-supported exercise therapy for low back pain: A systematic review. Journal of Physical Medicine and Rehabilitation, 96(5), 347-356.
||Back pain, biofeedback, computer applications, electrical stimulation, electrophysiology, exercise, internet, literature reviews, rehabilitation technology, robotics, technology, telecommunications
||This systematic review provides an overview and assesses the effectiveness of the available technology-supported exercise therapy (TSET) programs for low back pain (LBP). Electronic databases were searched up to January 2016 for randomized controlled trials (RCTs) using electronic technological systems simultaneously with exercise therapy for patients with LBP. Twenty-five RCTs were included that compared TSET to other forms of rehabilitation, a placebo intervention, or no treatment. Seventeen studies involved patients with chronic LBP, and electromyography biofeedback was the most prevalent type of technological support. The evidence shows that TSET seems to improve pain, disability, and quality of life for patients with subacute and chronic LBP, but seems not to provide beneficial effects for patients with acute LBP. This review also found that a standard treatment combined with an additional TSET program might be superior to a standard treatment alone. However, TSET seems no more effective than other interventions or a placebo intervention for improving these outcomes, which may partially be explained by the analytical approach of the current TSET-programs. For most technologies, only a limited number of RCTs are available, making it difficult to draw firm conclusions about the effectiveness of individual technological systems.
|Full-Text Availability Options:||https://www.ncbi.nlm.nih.gov/pubmed/27584143|