Modern trends in the organization of rehabilitation care for patients with dorsopathy in the form of telemedicine services

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Abstract

Background: Vertebrogenic disorders are among the most common chronic diseases in humans, with degenerative-dystrophic changes in the spine being the most prevalent. Severe clinical manifestations of vertebrogenic diseases typically occur during active working years and are a frequent cause of temporary disability. A particularly important issue is the need for regular rehabilitation courses for patients with chronic dorsopathy to prolong remission. However, due to the working-age status of many patients, logistical and paramedical challenges — particularly in implementing therapeutic exercises — often hinder access to rehabilitation procedures. The development of remote rehabilitation using information and communication technologies, such as smartphones and computers, presents a viable alternative to in-person rehabilitation.

Aim: To assess the effectiveness and safety of motor rehabilitation using telemedicine in patients with dorsopathy of various localizations in remission.

Materials and methods: This retrospective study included 32 patients aged 35 to 70 years with dorsopathy of various localizations in remission who underwent rehabilitation via telemedicine. Upon completing an in-person comprehensive treatment course which included pharmacotherapy and medical rehabilitation, all patients were provided with a link to access a structured motor rehabilitation program. The effectiveness of rehabilitation was assessed using standardized questionnaires and mobility assessment tests.

Results: Telemedicine-based rehabilitation for patients with dorsopathy of various localizations in remission demonstrated positive clinical outcomes.

Conclusion: Specialized therapeutic exercise programs and a structured model for remote rehabilitation may serve as an effective alternative to in-person rehabilitation, particularly in cases where paramedical challenges hinder direct participation.

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About the authors

Ksenia V. Shehovtsova

Medsi; Petrovsky National Research Centre of Surgery

Author for correspondence.
Email: shekhovtsova.kv@medsigroup.ru
ORCID iD: 0009-0006-1461-7935

MD, Cand. Sci. (Medicine), Professor

Russian Federation, Moscow; Moscow

Elizaveta S. Koneva

Medsi; Petrovsky National Research Centre of Surgery; The First Sechenov Moscow State Medical University

Email: elizaveta.coneva@yandex.ru
ORCID iD: 0000-0002-9859-194X
SPIN-code: 8200-2155

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Moscow; Moscow; Moscow

Konstantin V. Lyadov

The First Sechenov Moscow State Medical University; Moscow Rehabilitation Treatment Center

Email: klyadov@mail.ru
ORCID iD: 0000-0001-5468-5074

Professor, academician of the Russian Academy of Sciences

Russian Federation, Moscow; Moscow

Ekaterina N. Zhumanova

Medsi; Petrovsky National Research Centre of Surgery

Email: ekaterinazhumanova@yandex.ru
ORCID iD: 0000-0003-3016-4172
SPIN-code: 3437-7865

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Moscow; Moscow

Larisa V. Smekalkina

The First Sechenov Moscow State Medical University

Email: smekalkina_l_v@staff.sechenov.ru
ORCID iD: 0000-0002-2219-9589
SPIN-code: 7900-3457

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Moscow

Ekaterina O. Sazonova

Russian University of Medicine

Email: ekaterina.sazonova2801@gmail.com
ORCID iD: 0009-0003-8158-9004
Russian Federation, Moscow

Ily M. Silaev

Russian University of Medicine

Email: ilja.silaev2018@yandex.ru
ORCID iD: 0009-0001-3798-2998
Russian Federation, Moscow

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