Please use this identifier to cite or link to this item:
|Title:||Asynchronous and Tailored Digital Rehabilitation of Chronic Shoulder Pain: A Prospective Longitudinal Cohort Study||Authors:||Janela, Dora
Moulder, Robert G.
Francisco, Gerard E.
Cohen, Steven P.
Correia, Fernando Dias
|Keywords:||chronic pain; physical therapy; telerehabilitation; digital therapeutic; eHealth||Issue Date:||2022||Serial title, monograph or event:||Journal of Pain Research||Volume:||15||Abstract:||Background: Chronic shoulder pain (SP) is responsible for significant morbidity, decreased quality of life and impaired work ability, resulting in high socioeconomic burden. Successful SP management is dependent on adherence and compliance with effective evidence-based interventions. Digital solutions may improve accessibility to such treatments, increasing convenience, while reducing healthcare-related costs. Purpose: Present the results of a fully remote digital care program (DCP) for chronic SP. Patients and Methods: Interventional, single-arm, cohort study of individuals with chronic SP applying for a digital care program. Primary outcome was the mean change between baseline and 12 weeks on the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire. Secondary outcomes were change in pain (NPRS), analgesic consumption, intention to undergo surgery, anxiety (GAD-7), depression (PHQ-9), fearavoidance beliefs (FABQ-PA), work productivity (WPAI) and engagement. Results: From 296 patients at program start, 234 (79.1%) completed the intervention. Changes in QuickDASH between baseline and end-of-program were both statistically (p < 0.001) and clinically significant, with a mean reduction of 51.6% (mean −13.45 points, 95% CI: 11.99; 14.92). Marked reductions were also observed in all secondary outcomes: 54.8% in NPRS, 44.1% ceased analgesics consumption, 55.5% in surgery intent, 37.7% in FABQ-PA, 50.3% in anxiety, 63.6% in depression and 66.5% in WPAI overall. Higher engagement was associated with higher improvements in disability. Mean patient satisfaction score was 8.7/10.0 (SD 1.6). Conclusion: This is the first real-world cohort study reporting the results of a multimodal remote digital approach for chronic SP rehabilitation. High completion and engagement rates were observed, which were associated with clinically significant improvement in all healthrelated outcomes, as well as marked productivity recovery. These promising results support the potential of digital modalities to address the global burden of chronic musculoskeletal pain.||URI:||http://hdl.handle.net/10316/103346||ISSN:||1178-7090||DOI:||10.2147/JPR.S343308||Rights:||openAccess|
|Appears in Collections:||FMUC Medicina - Artigos em Revistas Internacionais|
Show full item record
Files in This Item:
|Asynchronous-and-Tailored-Digital-Rehabilitation-of-Chronic-Shoulder-Pain-A-Prospective-Longitudinal-Cohort-StudyJournal-of-Pain-Research.pdf||2.82 MB||Adobe PDF||View/Open|
checked on Oct 2, 2023
checked on Oct 2, 2023
This item is licensed under a Creative Commons License