A case of home-visit rehabilitation with an educational approach to low back pain

• Published in: Journal of Physical Therapy for Prevention Vol. 1; pp. 32 - 38
• Main Authors: ISHIMOTO, Taisei, TONOO, Morihiro, MIKI, Takahiro
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society of physical therapy for prevention 31.03.2022; 一般社団法人 日本予防理学療法学会
• Subjects: Educational approach; Home-visit rehabilitation; Low back pain; 教育的アプローチ; 腰痛; 訪問リハビリテーション
• ISSN: 2436-9950
• DOI: 10.57304/jptp.1.0_32

Objective: The purpose of this study is to report the successful experience of home-visit rehabilitation, which mainly focuses on an educational approach to cases with low back pain.Methods: The subject was a woman in her 70s 70 days after spinal fusion. Subjects were provided with 40-minute home-visit rehabilitation twice a week for 3 months. The contents included an educational approach, exercise therapy and aerobic exercise, and work practice. With the Japanese version of Roland-Morris Disability Questionnare (RDQ) as the main outcome, pain, catastrophic thinking, mental state, and physical function were measured at the start and end of home-visit rehabilitation and 6 months after the end of home-visit rehabilitation.Results: As a result of conducting multifaceted intervention mainly on an educational approach for 3 months, in the Japanese version of RDQ that reflects not only pain and physical function but also the degree of dysfunction in daily life in catastrophic thinking, mental state, and low back pain. Also showed a significant improvement, and the effect was maintained 6 months after the end of the home-visit rehabilitation.Conclusions: It was suggested that multifaceted interventions in home-visit rehabilitation may have a positive effect on dysfunction of daily life due to low back pain, catastrophic thinking, and mental state.