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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