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

Acute 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 sca...

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Bibliographic Details
Published in:BMC musculoskeletal disorders 2022-01, Vol.23 (1), p.29-29, Article 29
Main Authors: Costa, Fabíola, Janela, Dora, Molinos, Maria, Lains, Jorge, Francisco, Gerard E, Bento, Virgílio, Dias Correia, Fernando
Format: Article
Language:English
Subjects:
Analgesics
Anxiety
Behavior modification
Biofeedback
Care and treatment
Costs
Diagnosis
Digital therapy
eHealth
Exercise
Fear
Feasibility studies
Health care
Home-based digital rehabilitation
Humans
Independent sample
Injuries
Intervention
Longitudinal Studies
Mental depression
Musculoskeletal diseases
Musculoskeletal pain
Musculoskeletal Pain - diagnosis
Musculoskeletal Pain - therapy
Pain
Patient outcomes
Patients
Physical fitness
Physical therapists
Physical therapy
Productivity
Prospective Studies
Questionnaires
Rehabilitation
Surgery
Surveys and Questionnaires
Technology application
Telemedicine
Telerehabilitation
Therapeutics, Physiological
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Summary:Acute 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. Present the feasibility and results of a fully remote digital care program (DCP) for acute MSK conditions affecting several body areas. Interventional 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. Three 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 
ISSN:1471-2474
1471-2474
DOI:10.1186/s12891-021-04891-5