Clinically Meaningful Improvement in Pain and Function from Digital Physical Therapy
| Autor: | Lauren Beresford, Todd Norwood |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Remote Consultation business.industry Visual analogue scale Rehabilitation Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Retrospective cohort study Physical function Telerehabilitation Health care Physical therapy Medicine Observational study business |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 102:e87-e88 |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2021.07.733 |
| Popis: | Research Objectives To examine the impact of digital physical therapy (DPT) on reducing pain and improving physical function for people with a variety of musculoskeletal conditions. Design An observational, longitudinal, retrospective study examined data collected at entry to DPT and at the end of treatment. Setting DPT was delivered via a smartphone app. The program was offered nationwide to privately insured employees as a healthcare benefit from their employer. Participants The study sample included 652 participants, ages 18 years and older, enrolled from February 2019 through December 2020. Interventions DPT consisted of a remote consultation with a physical therapist followed by a course of PT-guided physical therapy delivered through a smartphone app. Main Outcome Measures Primary outcome was pain measured by the Visual Analogue Scale (VAS) from 0 “no pain” to 10 “worst pain imaginable”. Physical function was measured by the Patient Specific Functional Scale (PSFS) on a scale from 0 “completely unable to perform” to 10 “able to perform normally.” Results Average age of the sample was 40.9 years, 48% were female, 21% sought care for the back, 14% for knees, 14% for shoulder and 13% for neck; 53% obtained their initial visit within 24 hours. After controlling for demographics, comorbid conditions and symptoms, the results from multi-level random intercept models showed decreased pain (- 2.51 points, p Conclusions DPT was associated with clinically meaningful benefit for pain and function among a diverse set of program users. This early data is an encouraging indicator of the benefit of DPT. Author(s) Disclosures I am a shareholder of Omada Health. |
| Databáze: | OpenAIRE |
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