Digital Rehabilitation for Elbow Pain Musculoskeletal Conditions
A Prospective Longitudinal Cohort Study
Bibliographic Data
| ID | 15464340 |
|---|---|
| Authors | Dora Janela (0000-0002-8440-2044, Draper Laboratory), Fabíola Costa (0000-0001-8981-7049, Draper Laboratory), Maria Molinos (0000-0002-9679-4639, Draper Laboratory), Robert Moulder (0000-0001-7504-9560, University of Colorado Boulder), Jorge Laíns (0000-0002-8737-7569, University of Coimbra), Virgílio Bento (0000-0001-6025-8511, Draper Laboratory), Justin K Scheer (0000-0003-2536-601X, University of California, San Francisco), Vijay Yanamadala (0000-0002-2456-5888, Draper Laboratory), Steven P Cohen (0000-0001-5928-2127, Johns Hopkins University), Fernando Dias Correia (0000-0001-8028-926X, Draper Laboratory, corresponding author) |
| Year | 2022 |
| Volume | 19 |
| Issue | 15 |
| Pages | 9198-9198 |
| Publication date | 2022-07-27 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph19159198 |
| PMID | 35954555 |
| OpenAlex | W4288067141 |
| Language | EN |
| References cited | 84 |
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
Anxiety · Cohort study · Depression (economics · Health care · Patient satisfaction · Physical medicine and rehabilitation · Physical therapy · Psychiatry · Telemedicine · Telerehabilitation · Medicine · Musculoskeletal pain and rehabilitation · Nursing · Orthopedic Surgery and Rehabilitation · Stroke Rehabilitation and Recovery · Rehabilitation
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| Citation velocity | historical |
|---|---|
| Highly cited | No |