Evidence map›Paper›PMID 35954555›Full record

ArticleInternational journal of environmental research and public health2022

Digital Rehabilitation for Elbow Pain Musculoskeletal Conditions: A Prospective Longitudinal Cohort Study.

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

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 34% 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.

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 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
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 at 5 institutions in 2 countries.

Dora JanelaSWORD Health, Inc., Draper, UT 84043, USA.
Fabíola CostaSWORD Health, Inc., Draper, UT 84043, USA.ORCID 0000-0001-8981-7049
Maria MolinosSWORD Health, Inc., Draper, UT 84043, USA.ORCID 0000-0002-9679-4639
Robert G MoulderInstitute for Cognitive Science, University of Colorado Boulder, Boulder, CO 80309, USA.ORCID 0000-0001-7504-9560
Jorge LainsRovisco Pais Medical and Rehabilitation Centre, 3064-908 Tocha, Portugal.ORCID 0000-0002-8737-7569
Virgílio BentoSWORD Health, Inc., Draper, UT 84043, USA.
Justin K ScheerDepartment of Neurological Surgery, University of California, San Francisco, CA 94143, USA.
Vijay YanamadalaSWORD Health, Inc., Draper, UT 84043, USA.
Steven P CohenDepartment of Anesthesiology & Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA.
Fernando Dias CorreiaSWORD Health, Inc., Draper, UT 84043, USA.
Draper Laboratory · USJohns Hopkins University · USUniversity of California, San Francisco · USUniversity of Coimbra · PTUniversity of Colorado Boulder · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elbow musculoskeletal pain (EP) is a major cause of disability. Telerehabilitation has shown great potential in mitigating musculoskeletal pain conditions, but EP is less explored. This single-arm interventional study investigates clinical outcomes and engagement levels of a completely remote multimodal digital care program (DCP) in patients with EP. The DCP consisted of exercise, education, and cognitive-behavioral therapy for 8 weeks. Primary outcome: disability change (through the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire (QuickDASH), treatment response cut-offs: 12.0-point reduction and 30% change). Secondary outcomes: pain, analgesic intake, surgery intent, mental health, fear-avoidance beliefs, work productivity, and patient engagement. Of the 132 individuals that started the DCP, 112 (84.8%) completed the intervention. Significant improvements were observed in QuickDASH with an average reduction of 48.7% (11.9, 95% CI 9.8; 14.0), with 75.3% of participants reporting ≥30% change and 47.7% reporting ≥12.0 points. Disability change was accompanied by reductions in pain (53.1%), surgery intent (57.5%), anxiety (59.8%), depression (68.9%), fear-avoidance beliefs (34.2%), and productivity impairment (72.3%). Engagement (3.5 (SD 1.4) sessions per week) and satisfaction 8.5/10 (SD 1.6) were high. The significant improvement observed in clinical outcomes, alongside high engagement, and satisfaction suggests patient acceptance of this care delivery mode.

Indexed as

Musculoskeletal PainArthralgiaCohort StudiesDisability EvaluationElbowHumansLongitudinal StudiesProspective StudiesSurveys and Questionnairesdigital therapyeHealthmotion trackersmusculoskeletal painphysical therapytelerehabilitation

Identifiers

PMID35954555
PMCPMC9367806
OpenAlexW4288067141

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.