@Article{info:doi/10.2196/35867，作者=“Itoh, Naohiro and Mishima, Hirokazu and Yoshida, Yuki and Yoshida, Manami and Oka, Hiroyuki and Matsudaira, Ko”，标题=“评估患者教育和使用移动消息应用程序加强运动治疗对日本慢性腰痛患者工作效率的影响:开放标签，随机，平行组试验”，期刊=“JMIR移动健康Uhealth”，年=“2022”，月=“5”，日=“16”，卷=“10”，号=“5”，页=“e35867”，关键词=“移动应用;病人教育;慢性腰痛;运动疗法;，摘要=“背景:人工智能辅助的交互式健康促进系统是管理肌肉骨骼疾病的有用工具。目的:本研究旨在探讨基于网络的视频患者教育和强化运动疗法，使用移动消息应用程序，对接受药物治疗的慢性腰痛(CLBP)患者的工作效率和疼痛的影响。方法:将CLBP患者随机分为运动组和常规组，运动组使用手机短信应用程序接受教育和运动治疗。对于患者教育，一个基于网络的视频节目被用来提供基于证据的思维，关于认知行为方法对CLBP的重要性。运动疗法是根据对对准、核心肌肉和内源性激活的建议而开发的，包括改善姿势和机动性以正确对准，刺激和/或加强深层肌肉以保持脊柱稳定，以及通过有氧运动激活内源性物质来治疗内在疼痛。 Both groups continued to receive the usual medical care with pharmacological treatment. The end points were changes in work productivity, pain intensity, quality of life, fear of movement, and depression. The observation period for this study was 12 weeks. An analysis adjusted for baseline values, age at the time of consent acquisition, sex, and willingness to strengthen the exercise therapy was performed. Results: The exercise and conventional groups included 48 and 51 patients, with a mean age of 47.9 years (SD 10.2 years; n=27, 56.3{\%} male patients) and 46.9 years (SD 12.3 years; n=28, 54.9{\%} male patients) in the full analysis set, respectively. No significant impact of these interventions on work productivity was observed in the exercise group compared with the conventional group (primary end point: Quantity and Quality method; 0.062 vs 0.114; difference between groups −0.053, 95{\%} CI −0.184 to 0.079; P=.43). However, the exercise group showed consistently better trends for the other end points than did the conventional group. Compared with the conventional group, the exercise group showed a significant improvement in the symptoms of low back pain (3.2 vs 3.8; difference between groups −0.5, 95{\%} CI −1.1 to 0.0; P=.04), quality of life (EuroQoL 5 Dimensions 5 Level: 0.068 vs 0.006; difference between groups 0.061, 95{\%} CI 0.008 to 0.114; P=.03), and fear of movement at week 12 (−2.3 vs 0.5; difference between groups −2.8, 95{\%} CI −5.5 to −0.1; P=.04). Conclusions: This study suggests that patient education and strengthening exercise therapy using a mobile messaging app may be useful for treating CLBP. This study does not reveal the effect of therapeutic interventions on CLBP on work productivity. Thus, further research is required to assess work productivity with therapeutic interventions. Trial Registration: University Hospital Medical Information Network Clinical Trials Registry UMIN000041037; https://center6.umin.ac.jp/cgi-open-bin/ctr{\_}e/ctr{\_}view.cgi?recptno=R000046866 ", issn="2291-5222", doi="10.2196/35867", url="https://mhealth.www.mybigtv.com/2022/5/e35867", url="https://doi.org/10.2196/35867", url="http://www.ncbi.nlm.nih.gov/pubmed/35576560" }