Modern trends in the organization of rehabilitation care for patients with dorsopathy in the form of telemedicine services
- Authors: Shehovtsova K.V.1,2, Koneva E.S.1,2,3, Lyadov K.V.3,4, Zhumanova E.N.1,2, Smekalkina L.V.3, Sazonova E.O.5, Silaev I.M.5
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Affiliations:
- Medsi
- Petrovsky National Research Centre of Surgery
- The First Sechenov Moscow State Medical University
- Moscow Rehabilitation Treatment Center
- Russian University of Medicine
- Issue: Vol 23, No 6 (2024)
- Pages: 359-367
- Section: Original studies
- Published: 01.12.2024
- URL: https://rjpbr.com/1681-3456/article/view/642878
- DOI: https://doi.org/10.17816/rjpbr642878
- ID: 642878
Cite item
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.
Full Text

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; MoscowElizaveta 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; MoscowKonstantin 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; MoscowEkaterina 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; MoscowLarisa 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, MoscowEkaterina 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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