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

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Listed:
  • Dora Janela

    (SWORD Health, Inc., Draper, UT 84043, USA)

  • Fabíola Costa

    (SWORD Health, Inc., Draper, UT 84043, USA)

  • Maria Molinos

    (SWORD Health, Inc., Draper, UT 84043, USA)

  • Robert G. Moulder

    (Institute for Cognitive Science, University of Colorado Boulder, Boulder, CO 80309, USA)

  • Jorge Lains

    (Rovisco Pais Medical and Rehabilitation Centre, 3064-908 Tocha, Portugal
    Faculty of Medicine, Coimbra University, 3004-504 Coimbra, Portugal)

  • Virgílio Bento

    (SWORD Health, Inc., Draper, UT 84043, USA)

  • Justin K. Scheer

    (Department of Neurological Surgery, University of California, San Francisco, CA 94143, USA)

  • Vijay Yanamadala

    (SWORD Health, Inc., Draper, UT 84043, USA
    Department of Surgery, Frank H. Netter School of Medicine, Quinnipiac University, Hamden, CT 06473, USA
    Department of Neurosurgery, Hartford Healthcare Medical Group, Westport, CT 06103, USA)

  • Steven P. Cohen

    (Department of Anesthesiology & Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA
    Department of Physical Medicine and Rehabilitation, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA
    Department of Neurology, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA
    Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA)

  • Fernando Dias Correia

    (SWORD Health, Inc., Draper, UT 84043, USA
    Department of Neurology, Centro Hospitalar e Universitário do Porto, 4099-001 Porto, Portugal)

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.

Suggested Citation

  • Dora Janela & Fabíola Costa & Maria Molinos & Robert G. Moulder & Jorge Lains & Virgílio Bento & Justin K. Scheer & Vijay Yanamadala & Steven P. Cohen & Fernando Dias Correia, 2022. "Digital Rehabilitation for Elbow Pain Musculoskeletal Conditions: A Prospective Longitudinal Cohort Study," IJERPH, MDPI, vol. 19(15), pages 1-16, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9198-:d:873539
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    References listed on IDEAS

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    1. David H. Seidel & Dirk M. Ditchen & Ulrike M. Hoehne-Hückstädt & Monika A. Rieger & Benjamin Steinhilber, 2019. "Quantitative Measures of Physical Risk Factors Associated with Work-Related Musculoskeletal Disorders of the Elbow: A Systematic Review," IJERPH, MDPI, vol. 16(1), pages 1-23, January.
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