Evidence map›Paper›PMID 35813029›Full record

ArticleJournal of pain research2022

Digital Rehabilitation for Acute Low Back Pain: A Prospective Longitudinal Cohort Study.

Fabíola Costa, Dora Janela, Maria Molinos, Robert G Moulder, Jorge Lains, Virgílio Bento, Justin Scheer, Vijay Yanamadala, Fernando Dias Correia, Steven P Cohen

Abstract 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. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
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

10 authors.

Fabíola CostaSWORD Health, Inc, Clinical Research, Draper, UT, USA.ORCID 0000-0001-8981-7049
Dora JanelaSWORD Health, Inc, Clinical Research, Draper, UT, USA.ORCID 0000-0002-8440-2044
Maria MolinosSWORD Health, Inc, Clinical Research, 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
Virgílio BentoSWORD Health, Inc, Clinical Research, Draper, UT, USA.ORCID 0000-0001-6025-8511
Justin ScheerDepartment of Neurological Surgery, University of California, San Francisco, CA, USA.ORCID 0000-0003-2536-601X
Vijay YanamadalaSWORD Health, Inc, Clinical Research, Draper, UT, USA.ORCID 0000-0002-2456-5888
Fernando Dias CorreiaSWORD Health, Inc, Clinical Research, Draper, UT, USA.ORCID 0000-0001-8028-926X
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

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Low back pain (LBP) has a lifetime prevalence of 70-80%. Access to timely and personalized, evidence-based care is key to prevent chronic progression. Digital solutions may ease accessibility to treatment while reducing healthcare-related costs. Purpose: We aim to report the results of a fully remote digital care program (DCP) for acute LBP. Patients and Methods: This was an interventional, single-arm, cohort study of patients with acute LBP who received a DCP. Primary outcome was the mean change in disability (Oswestry Disability Index - ODI) after 12 weeks. Secondary outcomes included change in pain (NPRS), analgesic consumption, surgery likelihood, depression (PHQ-9), anxiety (GAD-7), fear-avoidance beliefs (FABQ-PA), work productivity (WPAI) and engagement. Results: A total of 406 patients were enrolled in the program and of those, 332 (81.8%) completed the intervention. A significant disability reduction of 55.1% (14.93, 95% CI 13.95; 15.91) was observed, corresponding to a 76.1% responder rate (30% cut-off). Disability reduction was accompanied by significant improvements in pain (61.0%), depression (55.4%), anxiety (59.5%), productivity (65.6%), fear-avoidance beliefs (46.3%), intent to pursue surgery (59.1%), and analgesic consumption (from 35.7% at baseline to 10.8% at program end). DCP-related patient satisfaction score was 8.7/10.0 (SD 1.4). Conclusion: This study demonstrated the utility of a multimodal DCP for patients with acute LBP. Very high adherence rates and patient satisfaction were observed, alongside significant reductions in all assessed outcomes, consistent with the growing body of evidence supporting the management of acute LBP with DCPs.

Indexed as

digital therapyeHealthmusculoskeletal conditionsphysical therapytelerehabilitation

Identifiers

PMID35813029
PMCPMC9261956

What OpenQuestion holds

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Registered trials

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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.