Feedback-guided exercises performed on a tablet touchscreen improve return to work, function, strength and healthcare usage more than an exercise program prescribed on paper for people with wrist, hand or finger injuries: a randomised trial

Blanquero, Jesús; Cortés-Vega, María-Dolores; Sánchez-Laulhé, Pablo Rodríguez; Corrales-Serra, Berta-Pilar; Gómez-Patricio, Elena; Díaz-Matas, Noemi; Suero-Pineda, Alejandro

doi:10.1016/j.jphys.2020.09.012

Cited by 30 publications

(48 citation statements)

References 36 publications

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“…Similar improvements in productivity were reported by Bailey et al [34] in a cohort study involving more than 10,000 participants with MSK pain, either with or without depression symptoms at baseline. Overall, the results are supportive of the application of multimodal/biopsychosocial approaches to address psychological (mal)adaptation to the pain condition [61,79,80] and maximize treatment outcomes, as previously reported with other telerehabilitation interventions [81,82].…”

Section: Comparison To Prior Worksupporting

confidence: 79%

Impacts of Digital Care Programs for Musculoskeletal Conditions on Depression and Work Productivity: Longitudinal Cohort Study

Costa¹,

Janela²,

Molinos³

et al. 2022

J Med Internet Res

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Background Comorbidity between musculoskeletal (MSK) pain and depression is highly common, and is associated with a greater symptom burden and greater loss of work productivity than either condition alone. Multimodal care programs tackling both physical and mental health components may maximize productivity recovery and return to work. Digital delivery of such programs can facilitate access, ensure continuity of care, and enhance patient engagement. Objective The aim of this study was to assess the impact of a completely remote multimodal digital care program (DCP) for MSK pain on mental health and work-related outcomes stratified by baseline depression levels. Methods Ad hoc analysis of an interventional, single-arm, cohort study of individuals with MSK pain undergoing a DCP was performed. Three subgroups with different baseline depression severity levels were established based on responses to the Patient Health Questionnaire (PHQ-9): cluster 1 (score<5: minimal depression), cluster 2 (scores 5-10: mild depression), and cluster 3 (score≥10: moderate depression). The mean changes in depression, anxiety, fear-avoidance beliefs, work productivity, and activity impairment and adherence between baseline and end of program (8-12 weeks) were assessed across subgroups by latent growth curve analysis. Results From a total of 7785 eligible participants, 6137 (78.83%) were included in cluster 1, 1158 (14.87%) in cluster 2, and 490 (6.29%) in cluster 3. Significant improvements in depression and anxiety scores were observed in clusters 2 and 3 but not in cluster 1, with average end-of-the program scores in clusters 2 and 3 below the initially defined cluster thresholds (score of 5 and 10, respectively). All clusters reported significant improvements in productivity impairment scores (mean changes from –16.82, 95% CI –20.32 to –13.42 in cluster 1 to –20.10, 95% CI –32.64 to –7.57 in cluster 3). Higher adherence was associated with higher improvements in depression in clusters 2 and 3, and with greater recovery in activities of daily living in cluster 3. Overall patient satisfaction was 8.59/10.0 (SD 1.74). Conclusions A multimodal DCP was able to promote improvements in productivity impairment scores comparable to those previously reported in the literature, even in participants with comorbid depression and anxiety. These results reinforce the need to follow a biopsychosocial framework to optimize outcomes in patients with MSK pain. Trial Registration ClinicalTrials.gov NCT04092946; https://clinicaltrials.gov/ct2/show/NCT04092946

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Section: Comparison To Prior Worksupporting

confidence: 79%

Impacts of Digital Care Programs for Musculoskeletal Conditions on Depression and Work Productivity: Longitudinal Cohort Study

Costa¹,

Janela²,

Molinos³

et al. 2022

J Med Internet Res

View full text Add to dashboard Cite

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“… 2 , 70 , 71 , 80 , 92 As with other MSK conditions of the upper limb, 26 , 64 , 72 , 94 telerehabilitation is being explored as a valid alternative for WP conditions management. 8 , 9 , 36 , 53 , 84 , 87 Researchers are exploring telerehabilitation as an adjunctive approach to conventional therapy, 36 , 87 through synchronous video-based interactions, or as stand-alone therapy, 8 , 9 , 53 , 84 either by incorporating feedback systems in the intervention 8 , 9 or through haptic devices. 39 , 88 …”

Section: Discussionmentioning

confidence: 99%

“…The intervention completion rate (78.8%) was high and within the range reported by other telerehabilitation interventions (55.8% - 100%). 8 , 9 , 53 , 84 , 87 Higher completion rates have been reported only in small cohort studies and studies with shorter treatment periods. Engagement was very high, particularly in the first 4 weeks and for completers, where the average number of sessions performed matched the number recommended.…”

Section: Discussionmentioning

confidence: 99%

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Digital rehabilitation for hand and wrist pain: a single-arm prospective longitudinal cohort study

Costa

Janela

Molinos

et al. 2022

PR9

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“…Resultados positivos de la herramienta digital también se mostraron en el estudio de Blanquero et al (23) . Se evaluó el efecto de una tablet táctil (ReHand) para acelerar el RT en personas con lesiones de muñeca, mano y dedos, encontrando que los participantes del grupo de intervención retornaron al trabajo 18 días antes que el grupo de cuidado tradicional.…”

Section: Retorno Al Trabajounclassified

Revisión Sistemática sobre salud digital en la gestión del absentismo y el retorno al trabajo

Alonso¹

2022

Arch Prev Riesgos Labor

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Objetivo: El uso de tecnologías digitales se ha convertido en una estrategia para incrementar la efectividad de los servicios de salud. El objetivo de este estudio es analizar el impacto del uso de las herramientas de salud digital sobre la gestión del absentismo laboral y el retorno al trabajo. Métodos: Se realizó una revisión sistemática siguiendo el formato PRISMA en las bases de datos electrónicas Pubmed, Cochrane, Web of Science, CINAHL y ScienceDirect. La calidad metodológica fue analizada a partir de las herramientas de evaluación crítica del Joanna Briggs Institute (JBI). Resultados: Un total de 24 estudios fueron incluidos en esta revisión, de los cuales se extrajeron resultados muy heterogéneos debido a la variabilidad de métodos de medición. El uso de herramientas digitales contribuía, mayoritariamente, en la mejora de las cifras de absentismo y de retorno a la actividad laboral, no evidenciándose en ninguno que ocasionara un perjuicio. Adicionalmente, en 10 de los estudios se obtuvieron datos sobre presentismo y otros factores influyentes en el absentismo y el retorno a la actividad laboral, como fueron la resiliencia, el compromiso laboral y el desapego psicológico al trabajo. Conclusiones: El uso de herramientas de salud digital contribuye positivamente en la recuperación de los trabajadores que se encuentran en situación de incapacidad temporal, facilitando la gestión del retorno al trabajo y, por consiguiente, favoreciendo la reducción del absentismo laboral.

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Feedback-guided exercises performed on a tablet touchscreen improve return to work, function, strength and healthcare usage more than an exercise program prescribed on paper for people with wrist, hand or finger injuries: a randomised trial

Cited by 30 publications

References 36 publications

Impacts of Digital Care Programs for Musculoskeletal Conditions on Depression and Work Productivity: Longitudinal Cohort Study

Impacts of Digital Care Programs for Musculoskeletal Conditions on Depression and Work Productivity: Longitudinal Cohort Study

Digital rehabilitation for hand and wrist pain: a single-arm prospective longitudinal cohort study

Revisión Sistemática sobre salud digital en la gestión del absentismo y el retorno al trabajo

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