Background: Remote therapeutic monitoring in rehabilitation is an emerging tool that has the potential to improve patient adherence to their rehabilitation programs, addressing a critical challenge in care [1, 3]. While it is already reimbursed in countries like the United States and Germany, to our knowledge, no direct evidence currently demonstrates its positive impact on adherence or outcomes [2].

Objectives: The objective is to assess the impact of remote monitoring of patients with chronic low back pain on adherence with their programme during the first month of follow-up. The secondary objectives were to compare adherence at 2 and 3 months.

Methods: This presents the interim results of a retrospective observational study on the use of AXOMOVE THERAPY software from June 2023 to June 2024. Adults treated for chronic low back pain with a three-month self-rehabilitation program after discharge from the centre were included. They were divided into two groups: those with remote monitoring (‘Remote Monitoring’) and those without (‘Self-Rehabilitation’). The primary endpoint was the rate of monthly adherence with the program in the first month. Rates in the second and third months were the secondary endpoints.

Results: By 23 June 2024, 69 patients in the telemonitoring group and 720 patients in the self-education group had been included (mean age 48.7±11.3 years, 37.5% male). The adherence rate, assessed during the first month of follow-up, was almost three times higher in the Remote monitoring group than in the Self-Rehabilitation group (56.99% vs. 18.00%, p=<0.0001). For the 2nd month, the adherence rate was almost 4 times higher in the Remote monitoring group than in the Self-education group (60.0% vs. 16.0%, p=<0.0001), and for the 3rd month almost 4.5 times higher (50.0% vs. 11.00%, p=<0.0001 respectively).

Conclusion: Remote monitoring can be an effective tool for improving patient adherence with rehabilitation. This effect seems to increase over time. Further studies are needed to confirm these results.

REFERENCES: [1] Hartvigsen, Jan, Mark J. Hancock, Alice Kongsted, Quinette Louw, Manuela L. Ferreira, Stéphane Genevay, Damian Hoy, et al. 2018. « What Low Back Pain Is and Why We Need to Pay Attention ». The Lancet 391 (10137): 2356‑67.

[2] Nowell, W. Benjamin, et Jeffrey R. Curtis. 2023. « Remote Therapeutic Monitoring in Rheumatic and Musculoskeletal Diseases: Opportunities and Implementation ». Medical research archives 11 (72): 3957.

[3] Thurah, Annette de, Philipp Bosch, Andrea Marques, Yvette Meissner, Chetan B. Mukhtyar, Johannes Knitza, Aurélie Najm, et al. 2022. « 2022 EULAR Points to Consider for Remote Care in Rheumatic and Musculoskeletal Diseases ». Annals of the Rheumatic Diseases 81 (8): 1065-71.

Acknowledgements: NIL.

Disclosure of Interests: Thomas Davergne Axomove, Laura Mroueh Digital Medical Hub.

© The Authors 2025. This abstract is an open access article published in Annals of Rheumatic Diseases under the CC BY-NC-ND license ( http://creativecommons.org/licenses/by-nc-nd/4.0/ ). Neither EULAR nor the publisher make any representation as to the accuracy of the content. The authors are solely responsible for the content in their abstract including accuracy of the facts, statements, results, conclusion, citing resources etc.