Digital Telerehabilitation for Lumbar Disc Herniation: Real-World Evidence and Protocol Development

Digital telerehabilitation may improve access to conservative treatment for patients with low back pain by supporting continuity of therapeutic exercise, remote monitoring, and structured clinical follow-up. This article analyzes real-world outcomes from a Romanian
digital telerehabilitation platform in patients with valid baseline and final low back pain scores and links these outcomes to the development of a standardized online physiotherapy protocol for lumbar disc herniation. A retrospective analysis was performed on 93 patients with low back pain who completed paired pain assessments. Mean low back pain decreased from 5.23 to 3.49 points, with a mean reduction of 1.73 points. A clinically relevant improvement of at least two points was observed in 53.76% of patients. The greatest improvements were recorded in patients with severe baseline pain. These findings support the feasibility of digital telerehabilitation and justify prospective validation of a pathology-specific online protocol.