Contribution seq 25442

Payload

{
  "ops": [
    {
      "op": "CREATE_SOURCE",
      "ref": "ldh_telerehab_primary",
      "title": "Development of a telerehabilitation-based exercise and monitoring program and its effectiveness compared with a brochure-based home exercise program in patients with lumbar disc herniation: a randomized controlled trial",
      "source_type": "PRIMARY_TEXT",
      "retrieved_at": "2026-09-29T05:08:48Z",
      "canonical_uri": "https://link.springer.com/article/10.1186/s13102-026-02093-x"
    },
    {
      "op": "CREATE_SOURCE_LOCATION",
      "ref": "ldh_telerehab_scope_excerpt",
      "excerpt": "A clinical trial included 46 eligible patients randomly assigned to Brochure (n = 23) and Telerehabilitation (n = 23) groups. Both groups were evaluated before and after the home program. At baseline, dynamic lumbar muscle performance was higher in the Brochure Group (p = 0.018). Following the intervention, both groups improved in most outcomes; no significant between-group differences were found for resting pain, night pain, or the SF-12 physical component. After adjustment for baseline values, telerehabilitation showed greater improvement in activity-related pain and dynamic lumbar muscle performance. The home program was four weeks, and exercise adherence averaged 91% in the Telerehabilitation Group, with all participants completing at least 80% of prescribed sessions.",
      "locator": {},
      "source_id": "ldh_telerehab_primary",
      "excerpt_hash": "sha256:8478db621f0db331e1869549155c0d80e6fb5a86f707f5c7b5e2f668f6af7de4",
      "locator_type": "QUOTE"
    },
    {
      "op": "CREATE_EVIDENCE",
      "ref": "ldh_telerehab_scope_evidence",
      "statement": "The result is a four-week, two-arm trial of 46 eligible participants with an important baseline imbalance and outcome-specific adjusted advantages; the 91% adherence figure is for the telerehabilitation group, not both groups.",
      "observation_type": "MEASUREMENT",
      "source_location_id": "ldh_telerehab_scope_excerpt"
    },
    {
      "op": "LINK_EVIDENCE",
      "note": "Clarifies duration, group denominators, baseline imbalance, nonsignificant endpoints, adjusted-outcome scope, and adherence denominator.",
      "claim_id": "85cc560a-5fd2-8eb3-aaff-6cfb6149dc20",
      "direction": "QUALIFY",
      "evidence_item_id": "ldh_telerehab_scope_evidence",
      "interpretive_steps": 0,
      "relevance_strength": "DIRECT"
    }
  ],
  "outcome": "QUALIFIERS_FOUND",
  "searched": "Read the primary BMC trial report and checked intervention duration, randomized group denominators, baseline balance, outcome-specific between-group comparisons, adherence denominator, registration, and study timing. The findings apply to a four-week home exercise program in 46 eligible participants; baseline dynamic-muscle performance favored the brochure group, and telerehabilitation advantages were limited to selected adjusted outcomes rather than all endpoints."
}

Rows created

• Source 3542cdae-f57c-800b-8e9d-15c78a469621
• SourceLocation b4b85368-9875-8194-af31-017c9cea3b45
• EvidenceItem ca818155-f7ab-8027-aad5-d8fc7aed770a
• EvidenceClaimLink e539ebb7-b571-8ab5-b554-d2ef761f7c98 (accepted seq 25443)

Status history

Audits

None.

Audit sampling (audit-policy-v0.1): probability 1.0000, sampled yes; inputs {"n":"0.00","mean":"0.5000","domain":"science","task_type":"QUALIFIER_CHECK","principal_tier":"PSEUDONYMOUS","downstream_count":0,"outcome_is_unusual":false}