Digital Care Programs for Chronic Hip Pain: A Prospective Longitudinal Cohort Study.
digital therapy
eHealth
motion trackers
musculoskeletal pain
physical therapy
telerehabilitation
Journal
Healthcare (Basel, Switzerland)
ISSN: 2227-9032
Titre abrégé: Healthcare (Basel)
Pays: Switzerland
ID NLM: 101666525
Informations de publication
Date de publication:
22 Aug 2022
22 Aug 2022
Historique:
received:
16
07
2022
revised:
16
08
2022
accepted:
19
08
2022
entrez:
26
8
2022
pubmed:
27
8
2022
medline:
27
8
2022
Statut:
epublish
Résumé
Chronic hip pain is a cause of disability worldwide. Digital interventions (DI) may promote access while providing proper management. This single-arm interventional study assesses the clinical outcomes and engagement of a completely remote multimodal DI in patients with chronic hip pain. This home-based DI consisted of exercise (with real-time biofeedback), education, and cognitive-behavioral therapy. Outcomes were calculated between baseline and program end, using latent growth curve analysis. Primary outcome was the Hip Disability and Osteoarthritis Outcome Score (HOOS). Secondary outcomes were pain, intent to undergo surgery, mental health, productivity, patient engagement (exercise sessions frequency), and satisfaction. Treatment response was assessed using a 30% pain change cut-off. A completion rate of 74.2% (396/534), alongside high patient engagement (2.9 exercise sessions/week, SD 1.1) and satisfaction (8.7/10, SD 1.6) were observed. Significant improvements were observed across all HOOS sub-scales (14.7−26.8%, p < 0.05), with 66.8% treatment responders considering pain. Marked improvements were observed in surgery intent (70.1%), mental health (54%), and productivity impairment (60.5%) (all p < 0.001). The high engagement and satisfaction reported after this DI, alongside the clinical outcome improvement, support the potential of remote care in the management of chronic hip conditions.
Identifiants
pubmed: 36011251
pii: healthcare10081595
doi: 10.3390/healthcare10081595
pmc: PMC9408636
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
Osteoarthritis Cartilage. 2016 Jan;24(1):82-90
pubmed: 26254237
J Bone Joint Surg Am. 2015 Sep 2;97(17):1386-97
pubmed: 26333733
JMIR Rehabil Assist Technol. 2019 Jun 21;6(1):e14523
pubmed: 31228176
Sci Rep. 2018 Jul 26;8(1):11299
pubmed: 30050087
J Pain Res. 2022 Jan 08;15:53-66
pubmed: 35035234
Arthritis Care Res (Hoboken). 2012 Apr;64(4):465-74
pubmed: 22563589
J Med Internet Res. 2013 Nov 22;15(11):e257
pubmed: 24269911
BMC Health Serv Res. 2012 Jul 30;12:225
pubmed: 22846144
J Rheumatol. 2014 Jul;41(7):1385-94
pubmed: 24931956
J Telemed Telecare. 2021 Jan 17;:1357633X20980291
pubmed: 33459120
Curr Rheumatol Rep. 2017 Sep;19(9):57
pubmed: 28752491
Ann Rheum Dis. 2015 Jan;74(1):164-9
pubmed: 24255546
Arch Intern Med. 2006 May 22;166(10):1092-7
pubmed: 16717171
BMJ Open. 2012 Feb 22;2(1):e000435
pubmed: 22357571
Arthritis Care Res (Hoboken). 2019 Sep;71(9):1194-1201
pubmed: 30298990
Cochrane Database Syst Rev. 2014 Apr 22;(4):CD007912
pubmed: 24756895
JMIR Rehabil Assist Technol. 2019 Feb 28;6(1):e13111
pubmed: 30816849
Osteoarthritis Cartilage. 2019 Nov;27(11):1578-1589
pubmed: 31278997
BMC Musculoskelet Disord. 2021 Feb 3;22(1):133
pubmed: 33535999
J Med Internet Res. 2017 Dec 18;19(12):e422
pubmed: 29254906
Arthritis Care Res (Hoboken). 2010 Aug;62(8):1087-94
pubmed: 20235201
JMIR Res Protoc. 2016 Jun 03;5(2):e115
pubmed: 27261271
Cochrane Database Syst Rev. 2018 Apr 17;4:CD010842
pubmed: 29664187
Occup Environ Med. 2018 Apr;75(4):296-302
pubmed: 29382694
Br J Sports Med. 2020 Sep;54(18):1073-1080
pubmed: 31563884
Arthritis Care Res (Hoboken). 2016 Nov;68(11):1631-1639
pubmed: 26881821
Eur J Pain. 2012 Jan;16(1):93-104
pubmed: 21705246
BMC Musculoskelet Disord. 2017 Feb 7;18(1):72
pubmed: 28173795
Eur J Pain. 2018 Jul;22(6):1124-1133
pubmed: 29427310
Behav Res Methods. 2018 Aug;50(4):1398-1414
pubmed: 29067672
PLoS One. 2016 Mar 28;11(3):e0152330
pubmed: 27019277
BMC Musculoskelet Disord. 2019 Nov 3;20(1):506
pubmed: 31679511
J Clin Nurs. 2005 Aug;14(7):798-804
pubmed: 16000093
PLoS One. 2019 Sep 19;14(9):e0222657
pubmed: 31536554
J Pain. 2008 Feb;9(2):105-21
pubmed: 18055266
Pain. 2018 Sep;159(9):1833-1842
pubmed: 29794609
Scand J Rheumatol. 2003;32(1):46-51
pubmed: 12635946
Am J Manag Care. 2015 Feb 01;21(2):e171-85
pubmed: 25880491
BMJ. 2019 Feb 7;364:l185
pubmed: 30733197
JMIR Rehabil Assist Technol. 2021 Sep 30;8(3):e31247
pubmed: 34499038
BMC Musculoskelet Disord. 2022 Jan 4;23(1):29
pubmed: 34983488
Arthritis Care Res (Hoboken). 2020 Feb;72(2):201-207
pubmed: 31325229
Osteoarthritis Cartilage. 2019 Jul;27(7):1026-1032
pubmed: 31002940
Scand J Rheumatol. 2011 May;40(3):225-31
pubmed: 21261551
Br J Sports Med. 2020 May;54(9):504-511
pubmed: 31732651
J Pak Med Assoc. 2022 Jan;72(1):101-107
pubmed: 35099447
Am J Sports Med. 2020 Aug;48(10):2563-2571
pubmed: 31829034
Phys Ther. 2018 Jul 1;98(7):560-570
pubmed: 29788253
Am J Phys Med Rehabil. 2022 Mar 1;101(3):237-249
pubmed: 33935152
Osteoarthritis Cartilage. 2020 Apr;28(4):418-427
pubmed: 32119972
Ann Rheum Dis. 2018 Jun;77(6):797-807
pubmed: 29724726
Educ Psychol Meas. 2020 Oct;80(5):932-954
pubmed: 32855565
Lancet. 2018 Jun 2;391(10136):2225-2235
pubmed: 29893223
J Occup Rehabil. 2018 Sep;28(3):559-567
pubmed: 29236203
Orthopedics. 2021 Jul-Aug;44(4):e577-e582
pubmed: 34292835
Man Ther. 2010 Jun;15(3):220-8
pubmed: 20163979
Ann Intern Med. 2016 Jan 19;164(2):73-83
pubmed: 26720751
J Pain. 2020 Mar - Apr;21(3-4):409-417
pubmed: 31487562
Osteoarthritis Cartilage. 2010 Aug;18(8):1019-26
pubmed: 20488250
Rheumatology (Oxford). 2004 Apr;43(4):497-504
pubmed: 14762225
J Adv Nurs. 2022 Apr;78(4):1154-1165
pubmed: 35170786
Am J Sports Med. 2018 May;46(6):1306-1314
pubmed: 29443538
J Gen Intern Med. 2001 Sep;16(9):606-13
pubmed: 11556941
Br J Sports Med. 2018 May;52(9):581-593
pubmed: 29540366
Health Expect. 2012 Dec;15(4):339-50
pubmed: 21348905
PLoS One. 2020 Mar 4;15(3):e0229783
pubmed: 32130276
Cochrane Database Syst Rev. 2010 Jan 20;(1):CD005956
pubmed: 20091582
Bone Joint J. 2019 Jul;101-B(7):800-807
pubmed: 31256659