Evidence map›Paper›PMID 34983488›Full record

ArticleBMC musculoskeletal disorders2022

Telerehabilitation of acute musculoskeletal multi-disorders: prospective, single-arm, interventional study.

Fabíola Costa, Dora Janela, Maria Molinos, Jorge Lains, Gerard E Francisco, Virgílio Bento, Fernando Dias Correia

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04092946 (Home-based Digital Program for Musculoskeletal Disorders), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
6.8field-weighted citation impact, top 3% 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.

NCT04092946 nacompletednot on this map

Home-based Digital Program for Musculoskeletal Disorders: a Large-scale, Multi-disorder, Prospective, Single-arm, Interventional Study

TypeinterventionalSponsorSword Health, SARan2020 to 2023Enrolled48,774ConditionsMusculoskeletal DiseasesArmsDigital intervention
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 34 citations in OpenAlex.

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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

7 authors at 3 institutions in 2 countries.

Fabíola Costa *SWORD Health Technologies, Inc, Draper, UT, USA.
Dora Janela *SWORD Health Technologies, Inc, Draper, UT, USA.
Maria MolinosSWORD Health Technologies, Inc, Draper, UT, USA.
Jorge LainsRovisco Pais Medical and Rehabilitation Centre, Tocha, Portugal.
Gerard E FranciscoDepartment of Physical Medicine and Rehabilitation, The University of Texas Health Science Center McGovern Medical School, and TIRR Memorial Hermann, Houston, TX, USA.
Virgílio BentoSWORD Health Technologies, Inc, Draper, UT, USA.
Fernando Dias CorreiaSWORD Health Technologies, Inc, Draper, UT, USA. fcorreia@swordhealth.com.
Draper Laboratory · USMemorial Hermann Institute for Rehabilitation and Research Foundation · USUniversity of Coimbra · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute musculoskeletal (MSK) pain is very common and associated with impaired productivity and high economic burden. Access to timely and personalized, evidence-based care is key to improve outcomes while reducing healthcare expenditure. Digital interventions can facilitate access and ensure care scalability.

objectivePresent the feasibility and results of a fully remote digital care program (DCP) for acute MSK conditions affecting several body areas.

methodsInterventional single-arm study of individuals applying for digital care programs for acute MSK pain. Primary outcome was the mean change between baseline and end-of-program in self-reported Numerical Pain Rating Scale (NPRS) score and secondary outcomes were change in analgesic consumption, intention to undergo surgery, anxiety (GAD-7), depression (PHQ-9), fear-avoidance beliefs (FABQ-PA), work productivity (WPAI-GH) and engagement.

resultsThree hundred forty-three patients started the program, of which 300 (87.5%) completed the program. Latent growth curve analysis (LGCA) revealed that changes in NPRS between baseline and end-of-program were both statistically (p < 0.001) and clinically significant: 64.3% reduction (mean - 2.9 points). Marked improvements were also noted in all secondary outcomes: 82% reduction in medication intake, 63% reduction in surgery intent, 40% in fear-avoidance beliefs, 54% in anxiety, 58% in depression and 79% recovery in overall productivity. All outcomes had steeper improvements in the first 4 weeks, which paralleled higher engagement in this period (3.6 vs 3.2 overall weekly sessions, p < 0.001). Mean patient satisfaction score was 8.7/10 (SD 1.26). STRENGTHS AND LIMITATIONS: This is the first longitudinal study demonstrating the feasibility of a DCP for patients with acute MSK conditions involving several body areas. Major strengths of this study are the large sample size, the wide range of MSK conditions studied, the breadth of outcomes measured, and the very high retention rate and adherence level. The major limitation regards to the absence of a control group.

conclusionsWe observed very high completion and engagement rates, as well as clinically relevant changes in all health-related outcomes and productivity recovery. We believe this DCP holds great potential in the delivery of effective and scalable MSK care.

trial registrationNCT, NCT04092946 . Registered 17/09/2019.

Indexed as

Musculoskeletal PainTelerehabilitationHumansLongitudinal StudiesProspective StudiesSurveys and QuestionnairesDigital therapyeHealthHome-based digital rehabilitationMusculoskeletal painPhysical therapyRehabilitation

Identifiers

PMID34983488
PMCPMC8728982
OpenAlexW4206240066

What OpenQuestion holds

Textmetadata
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.