Evidence map›Paper›PMID 35035234›Full record

ArticleJournal of pain research2022

Asynchronous and Tailored Digital Rehabilitation of Chronic Shoulder Pain: A Prospective Longitudinal Cohort Study.

Dora Janela, Fabíola Costa, Maria Molinos, Robert G Moulder, Jorge Lains, Gerard E Francisco, Virgílio Bento, Steven P Cohen, Fernando Dias Correia

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are 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
6.5field-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.

NCT05402514 completednot on this map

Digitally Delivered Exercise and Education Treatment for Shoulder Pain: 3 Months Follow-up

TypeobservationalSponsorJoint AcademyRan2021 to 2022Enrolled682ConditionsShoulder Pain, Subacromial Pain SyndromeArmsDigitally delivered exercise and education treatment Joint Academy
NCT05903768 nacompletednot on this map

Comparison of Capsular Stretching and Passive Joint Mobilization in Idiopathic Adhesive Capsulitis

TypeinterventionalSponsorRiphah International UniversityRan2022 to 2023Enrolled38ConditionsAdhesive CapsulitisArmsMobilization, Cyriax capsular stretching
NCT06842381 nacompletednot on this mapstarted 2025, after this paper: background citation

Electrotherapy Combined With Neck Exercises for Non-Specific Neck Pain: Telerehabilitation Versus Face-to-Face Program: Study Protocol for a Multicenter Randomized Controlled Trial

TypeinterventionalSponsorAdelaida María Castro-SánchezRan2025 to 2026Enrolled100ConditionsChronic PainArmsTelerehabilitation Program, Face to Face Program
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 30 citations in OpenAlex.

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  9. Compliance of Tonsillitis e-Health Patients: A Prospective Cohort Study.Laryngoscope investigative otolaryngology · 2025
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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

9 authors at 5 institutions in 2 countries.

Dora JanelaSWORD Health Technologies, Inc, Clinical Validation, Draper, UT, USA.ORCID 0000-0002-8440-2044
Fabíola CostaSWORD Health Technologies, Inc, Clinical Validation, Draper, UT, USA.ORCID 0000-0001-8981-7049
Maria MolinosSWORD Health Technologies, Inc, Clinical Validation, Draper, UT, USA.ORCID 0000-0002-9679-4639
Robert G MoulderInstitute for Cognitive Science, University of Colorado Boulder, Boulder, CO, USA.ORCID 0000-0001-7504-9560
Jorge LainsRovisco Pais Medical and Rehabilitation Centre, Tocha, Portugal.ORCID 0000-0002-8737-7569
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.ORCID 0000-0002-5681-1916
Virgílio BentoSWORD Health Technologies, Inc, Clinical Validation, Draper, UT, USA.ORCID 0000-0001-6025-8511
Steven P CohenDepartments of Anesthesiology & Critical Care Medicine, Physical Medicine and Rehabilitation, Neurology, and Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0001-5928-2127
Fernando Dias CorreiaSWORD Health Technologies, Inc, Clinical Validation, Draper, UT, USA.ORCID 0000-0001-8028-926X
Draper Laboratory · USJohns Hopkins University · USMemorial Hermann Institute for Rehabilitation and Research Foundation · USUniversity of Coimbra · PTUniversity of Colorado Boulder · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic shoulder pain (SP) is responsible for significant morbidity, decreased quality of life and impaired work ability, resulting in high socioeconomic burden. Successful SP management is dependent on adherence and compliance with effective evidence-based interventions. Digital solutions may improve accessibility to such treatments, increasing convenience, while reducing healthcare-related costs. PURPOSE: Present the results of a fully remote digital care program (DCP) for chronic SP. PATIENTS AND

methodsInterventional, single-arm, cohort study of individuals with chronic SP applying for a digital care program. Primary outcome was the mean change between baseline and 12 weeks on the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire. Secondary outcomes were change in pain (NPRS), analgesic consumption, intention to undergo surgery, anxiety (GAD-7), depression (PHQ-9), fear-avoidance beliefs (FABQ-PA), work productivity (WPAI) and engagement.

resultsFrom 296 patients at program start, 234 (79.1%) completed the intervention. Changes in QuickDASH between baseline and end-of-program were both statistically (p < 0.001) and clinically significant, with a mean reduction of 51.6% (mean -13.45 points, 95% CI: 11.99; 14.92). Marked reductions were also observed in all secondary outcomes: 54.8% in NPRS, 44.1% ceased analgesics consumption, 55.5% in surgery intent, 37.7% in FABQ-PA, 50.3% in anxiety, 63.6% in depression and 66.5% in WPAI overall. Higher engagement was associated with higher improvements in disability. Mean patient satisfaction score was 8.7/10.0 (SD 1.6).

conclusionThis is the first real-world cohort study reporting the results of a multimodal remote digital approach for chronic SP rehabilitation. High completion and engagement rates were observed, which were associated with clinically significant improvement in all health-related outcomes, as well as marked productivity recovery. These promising results support the potential of digital modalities to address the global burden of chronic musculoskeletal pain.

Indexed as

chronic paindigital therapeuticeHealthphysical therapytelerehabilitation

Identifiers

PMID35035234
PMCPMC8755939
OpenAlexW4206346329

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.