PMID- 36553873
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221225
IS  - 2227-9032 (Print)
IS  - 2227-9032 (Electronic)
IS  - 2227-9032 (Linking)
VI  - 10
IP  - 12
DP  - 2022 Nov 23
TI  - Long-Term Clinical Outcomes of a Remote Digital Musculoskeletal Program: An Ad 
      Hoc Analysis from a Longitudinal Study with a Non-Participant Comparison Group.
LID - 10.3390/healthcare10122349 [doi]
LID - 2349
AB  - Digital solutions have emerged as an alternative to conventional physiotherapy, 
      particularly for chronic musculoskeletal pain (CMP) management; however, its 
      long-term effects remain largely unexplored. This study focuses on patients 
      reporting CMP, assessing 1-year clinical outcomes after a multimodal digital care 
      program (DCP) versus non-participants, who enrolled in the program but never 
      engaged in a single exercise session or partook of the educational content made 
      available to them. In this longitudinal study ad-hoc analysis, pain and 
      functionality outcomes at 1-year reassessment were studied, focusing on the odds 
      of reaching minimal clinically important difference (MCID) and, overall average 
      reduction in both outcomes. Healthcare utilization was additionally studied 
      within the same period. From 867 individuals allocated to the study, 460 
      completed the 1-year reassessment (intervention group: 310; comparison group: 
      150). The intervention group presented sustained and greater pain reduction until 
      1-year reassessment than the comparison group, reflecting greater odds ratio of 
      achieving the MCID both in pain and functionality (1.90 95% CI: 1.27-2.86, p = 
      0.002 and 2.02 95% CI: 1.31-3.12, p = 0.001, respectively). A lower healthcare 
      utilization during the 1-year follow-up was observed in the intervention group 
      than in the comparison group. This study suggests that a digital CMP program may 
      have a lasting impact on improved pain and functionality in patients with CMP.
FAU - Areias, Anabela C
AU  - Areias AC
AUID- ORCID: 0000-0002-1807-7386
AD  - Sword Health Inc., Draper, UT 84043, USA.
FAU - Costa, Fabiola
AU  - Costa F
AUID- ORCID: 0000-0001-8981-7049
AD  - Sword Health Inc., Draper, UT 84043, USA.
FAU - Janela, Dora
AU  - Janela D
AUID- ORCID: 0000-0002-8440-2044
AD  - Sword Health Inc., Draper, UT 84043, USA.
FAU - Molinos, Maria
AU  - Molinos M
AD  - Sword Health Inc., Draper, UT 84043, USA.
FAU - Moulder, Robert G
AU  - Moulder RG
AD  - Institute for Cognitive Science, University of Colorado Boulder, Boulder, CO 
      80309, USA.
FAU - Lains, Jorge
AU  - Lains J
AUID- ORCID: 0000-0002-8737-7569
AD  - Rovisco Pais Medical and Rehabilitation Centre, 3064-908 Tocha, Portugal.
AD  - Faculty of Medicine, Coimbra University, 3004-504 Coimbra, Portugal.
FAU - Scheer, Justin K
AU  - Scheer JK
AD  - Department of Neurological Surgery, University of California, San Francisco, CA 
      94143, USA.
FAU - Bento, Virgilio
AU  - Bento V
AD  - Sword Health Inc., Draper, UT 84043, USA.
FAU - Yanamadala, Vijay
AU  - Yanamadala V
AD  - Sword Health Inc., Draper, UT 84043, USA.
AD  - Department of Surgery, Frank H. Netter School of Medicine, Quinnipiac University, 
      Hamden, CT 06473, USA.
AD  - Department of Neurosurgery, Hartford Healthcare Medical Group, Westport, CT 
      06103, USA.
FAU - Correia, Fernando Dias
AU  - Correia FD
AD  - Sword Health Inc., Draper, UT 84043, USA.
AD  - Neurology Department, Centro Hospitalar e Universitario do Porto, 4099-001 Porto, 
      Portugal.
LA  - eng
PT  - Journal Article
DEP - 20221123
PL  - Switzerland
TA  - Healthcare (Basel)
JT  - Healthcare (Basel, Switzerland)
JID - 101666525
PMC - PMC9778537
OTO - NOTNLM
OT  - chronic musculoskeletal pain
OT  - eHealth
OT  - follow-up
OT  - functionality
OT  - physical therapy
OT  - telerehabilitation
COIS- A.C.A., D.J., F.C., M.M., V.B., F.D.C. and V.Y. are employees at Sword Health, 
      the study sponsor. J.K.S., R.M. and J.L. received a scientific advisor honorarium 
      from Sword Health.
EDAT- 2022/12/24 06:00
MHDA- 2022/12/24 06:01
PMCR- 2022/11/23
CRDT- 2022/12/23 01:24
PHST- 2022/10/14 00:00 [received]
PHST- 2022/11/18 00:00 [revised]
PHST- 2022/11/20 00:00 [accepted]
PHST- 2022/12/23 01:24 [entrez]
PHST- 2022/12/24 06:00 [pubmed]
PHST- 2022/12/24 06:01 [medline]
PHST- 2022/11/23 00:00 [pmc-release]
AID - healthcare10122349 [pii]
AID - healthcare-10-02349 [pii]
AID - 10.3390/healthcare10122349 [doi]
PST - epublish
SO  - Healthcare (Basel). 2022 Nov 23;10(12):2349. doi: 10.3390/healthcare10122349.