Evidence map›Paper›PMID 33402161›Full record

ArticleBMC musculoskeletal disorders2021

EHealth to empower patients with musculoskeletal pain in rural Australia (EMPoweR) a randomised clinical trial: study protocol.

Carlos I Mesa-Castrillon, Milena Simic, Manuela L Ferreira, Kristy Hatswell, Georgina Luscombe, Antonio Michell de Gregorio, Phillip R Davis, Adrian Bauman, Stephen Bunker, Ornella Clavisi and 3 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07129356 (Feasibility a Combining Rehabilitation Program at Field Exercises and Tele-exercises to Enhance Daily Life Activities to Rural Women in Iraq), which is not on this map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
1.8field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07129356 nacompletednot on this mapstarted 2024, after this paper: background citation

Feasibility a Combining Rehabilitation Program at Field Exercises and Tele-exercises to Enhance Daily Life Activities to Rural Women in Iraq

TypeinterventionalSponsorUniversity of MosulRan2024 to 2024Enrolled66ConditionsChronic Pain, Rural Health, Physical Therapy, RehabilitationArmsCombined Exercise
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Models of care for managing non-specific low back pain.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Exercise for osteoarthritis of the knee.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Pooled it
  4. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Carlos I Mesa-CastrillonMusculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, 75 East Street, Lidcombe, Sydney, NSW, 1825, Australia. cmes2692@uni.sydney.edu.au.ORCID http://orcid.org/0000-0003-1900-5795
Milena SimicMusculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, 75 East Street, Lidcombe, Sydney, NSW, 1825, Australia.
Manuela L FerreiraFaculty of Medicine and Health, The Institute of Bone and Joint Research, The Kolling Institute, The University of Sydney, Sydney, NSW, Australia.
Kristy HatswellPhysiotherapy department, Dubbo Health Service, Western NSW Local Health District, Dubbo, NSW, Australia.
Georgina LuscombeSchool of Rural Health, The University of Sydney, Orange Campus, Orange, NSW, Australia.
Antonio Michell de GregorioMusculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, 75 East Street, Lidcombe, Sydney, NSW, 1825, Australia.
Phillip R DavisMusculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, 75 East Street, Lidcombe, Sydney, NSW, 1825, Australia.
Adrian BaumanSchool of Public Health, The University of Sydney, Sydney, NSW, Australia.
Stephen BunkerMedibank Private, Melbourne, VIC, Australia.
Ornella ClavisiMusculoskeletal Australia, Muscle Bone & Joint Health Ltd, Melbourne, Australia.
Grahame KnoxPhysiotherapy department, Orange Health Service, Western NSW Local Health District, Orange, NSW, Australia.
Kim L BennellCentre for Health, Exercise and Sports Medicine, University of Melbourne, Melbourne, VIC, Australia.
Paulo H FerreiraMusculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, 75 East Street, Lidcombe, Sydney, NSW, 1825, Australia.
The University of Sydney · AUWestern NSW Local Health District · AUCamden and Campbelltown Hospitals · AUInstitute for Musculoskeletal Health · AUThe University of Melbourne · AU

Funding

Sydney Musculoskeletal, Bone & Joint Health Alliance Musculoskeletal Enabling Research Grant (MSK ERG) 2017
6 · The paper itself

Abstract

backgroundLow back pain (LBP) and knee osteoarthritis (OA) are major contributors to disability worldwide. These conditions result in a significant burden at both individual and societal levels. Engagement in regular physical activity and exercise programs are known to improve physical function in both chronic LBP and knee OA populations. For people residing in rural areas, musculoskeletal conditions are often more frequent and disabling compared to urban populations, which could be the result of reduced access to appropriate health services and resources in rural settings. EHealth is an innovative solution to help provide equitable access to treatment for people with musculoskeletal pain living in rural settings. METHODS/

designWe will conduct a randomised clinical trial investigating the effects of an eHealth intervention compared to usual care, for people with chronic non-specific LBP or knee OA in rural Australia. We will recruit 156 participants with non-specific chronic LBP or knee OA. Following the completion of baseline questionnaires, participants will be randomly allocated to either the eHealth intervention group, involving a tailored physical activity and progressive resistance exercise program remotely delivered by a physiotherapist (n = 78), or usual care (n = 78) involving referral to a range of care practices in the community. Outcomes will be measured at baseline, 3 and 6 months post-randomisation. The primary outcome will be physical function assessed by the Patient-Specific Functional Scale (PSFS). Secondary outcomes include pain intensity, physical activity levels, activity limitations, quality of life, pain coping. We will also collect process evaluation data such as recruitment rate, attendance and adherence, follow-up rate, participants' opinions and any barriers encountered throughout the trial. DISCUSSION: The findings from this trial will establish the effectiveness of eHealth-delivered interventions that are known to be beneficial for people with LBP and knee OA when delivered in person. As a result, this trial will help to inform health care policy and clinical practice in Australia and beyond for those living in non-urban areas.

trial registrationThis study was prospectively registered on the Australian New Zealand Clinical Trials Registry ( ACTRN12618001494224 ) registered 09.05.2018.

Indexed as

Musculoskeletal PainOsteoarthritis, KneeTelemedicineAustraliaExercise TherapyHumansPain MeasurementQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeeHealthKnee osteoarthritisLow back painPhysical activityResistance exerciseRural healthTelehealth

Identifiers

PMID33402161
PMCPMC7783996
OpenAlexW3119455116

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.