Enhancing client-centered care with the ENBORTH-Telerehabilitation program in chronic neck and back pain: A...

Area of Science:

• Rehabilitation Medicine
• Occupational Therapy
• Pain Management

Background:

• Neck and/or back pain (NBP) significantly impacts daily functioning and quality of life.
• Client-centered (CC) interventions are standard for managing NBP.
• Telerehabilitation offers a scalable approach to delivering healthcare interventions.

Purpose of the Study:

• To evaluate the additional benefits of the ENBORTH-TR intervention when integrated with standard CC treatment for NBP.
• To assess the impact on pain, kinesiophobia, occupational performance, and satisfaction.

Main Methods:

• A 4-week randomized controlled trial involving 136 participants with NBP.
• Intervention group received CC treatment plus ENBORTH-TR (pain education, ergonomic/environmental adaptations, sleep/psychosocial management) via telerehabilitation.
• Control group received CC treatment only, delivered via telerehabilitation.

Main Results:

• The ENBORTH-TR group demonstrated statistically significant improvements in occupational performance, kinesiophobia, and pain intensity compared to the control group (p < 0.05).
• High effect sizes were observed for occupational performance and satisfaction (η²=0.196-0.303).
• Moderate effect sizes were noted for kinesiophobia (η²=0.061-0.136), with significant pain reduction during activity.

Conclusions:

• Integrating ENBORTH-TR into CC telerehabilitation provides significant short-term benefits for individuals with NBP.
• The intervention effectively enhances occupational performance and reduces kinesiophobia.
• ENBORTH-TR shows promise as an adjunct therapy for improving outcomes in NBP management.