Digital interventions for promoting exercise adherence in chronic musculoskeletal pain: a systematic review and meta-analysis
Chronic musculoskeletal disorders are the second largest contributor to disability globally. Exercise is typically recommended by physiotherapists to manage symptoms. However, adherence to the prescribed exercise programme is often poor. Adjunctive digital interventions offer potential to enhance ex...
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| Veröffentlicht in: | Physiotherapy 2021-06, Vol.111, p.23-30 |
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| creator | Bunting, J.W. Withers, T.M. Heneghan, N.R. Greaves, C.J. |
| description | Chronic musculoskeletal disorders are the second largest contributor to disability globally. Exercise is typically recommended by physiotherapists to manage symptoms. However, adherence to the prescribed exercise programme is often poor. Adjunctive digital interventions offer potential to enhance exercise adherence.
To review evidence on the effectiveness of digital interventions for improving exercise adherence in people with chronic musculoskeletal conditions. The study is reported in line with PRISMA guidance and was registered with PROSPERO (CRD42019124502).
MEDLINE, Embase and PsycInfo were searched using a comprehensive search strategy. The reference lists of all included papers and relevant systematic reviews identified during the search were scanned for relevant articles.
Two researchers independently checked articles for inclusion and extracted data.
The search returned a total of 4257 results of which five trials were included in the review and two studies were included in a random effects meta-analysis. There was no statistically significant difference in exercise adherence (SMD: 0.23; 95% CI: −0.10, 0.57). Studies that were not suitable for inclusion in the meta-analysis reported similar results. Heterogeneity of effects was high and study quality ranged from low to moderate. All of the meta-analysed data related to osteoarthritis of the hip and/or knee.
We found no evidence that digital interventions enhance adherence to therapeutic exercise in patients with chronic musculoskeletal disorders. However, further, high quality research is required to draw definitive conclusions on their effectiveness and to identify key components that are associated with effectiveness.
PROSPERO CRD42019124502 |
| doi_str_mv | 10.1016/j.physio.2020.08.001 |
| format | Article |
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To review evidence on the effectiveness of digital interventions for improving exercise adherence in people with chronic musculoskeletal conditions. The study is reported in line with PRISMA guidance and was registered with PROSPERO (CRD42019124502).
MEDLINE, Embase and PsycInfo were searched using a comprehensive search strategy. The reference lists of all included papers and relevant systematic reviews identified during the search were scanned for relevant articles.
Two researchers independently checked articles for inclusion and extracted data.
The search returned a total of 4257 results of which five trials were included in the review and two studies were included in a random effects meta-analysis. There was no statistically significant difference in exercise adherence (SMD: 0.23; 95% CI: −0.10, 0.57). Studies that were not suitable for inclusion in the meta-analysis reported similar results. Heterogeneity of effects was high and study quality ranged from low to moderate. All of the meta-analysed data related to osteoarthritis of the hip and/or knee.
We found no evidence that digital interventions enhance adherence to therapeutic exercise in patients with chronic musculoskeletal disorders. However, further, high quality research is required to draw definitive conclusions on their effectiveness and to identify key components that are associated with effectiveness.
PROSPERO CRD42019124502</description><identifier>ISSN: 0031-9406</identifier><identifier>EISSN: 1873-1465</identifier><identifier>DOI: 10.1016/j.physio.2020.08.001</identifier><identifier>PMID: 33316865</identifier><language>eng</language><publisher>London: Elsevier Ltd</publisher><subject>Digital interventions ; Life Sciences & Biomedicine ; Musculoskeletal ; Osteoarthritis ; Physical activity ; Rehabilitation ; Science & Technology ; Systematic review</subject><ispartof>Physiotherapy, 2021-06, Vol.111, p.23-30</ispartof><rights>2021 Chartered Society of Physiotherapy</rights><rights>Copyright © 2021 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>16</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000647164700003</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c329t-1b98c88063637f92b43d47f946e90e426a5206a9f004569585673c5581170b6c3</citedby><cites>FETCH-LOGICAL-c329t-1b98c88063637f92b43d47f946e90e426a5206a9f004569585673c5581170b6c3</cites><orcidid>0000-0001-7599-3674 ; 0000-0003-4425-2691 ; 0000-0002-5286-7189</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.physio.2020.08.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,39263,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33316865$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bunting, J.W.</creatorcontrib><creatorcontrib>Withers, T.M.</creatorcontrib><creatorcontrib>Heneghan, N.R.</creatorcontrib><creatorcontrib>Greaves, C.J.</creatorcontrib><title>Digital interventions for promoting exercise adherence in chronic musculoskeletal pain: a systematic review and meta-analysis</title><title>Physiotherapy</title><addtitle>PHYSIOTHERAPY</addtitle><addtitle>Physiotherapy</addtitle><description>Chronic musculoskeletal disorders are the second largest contributor to disability globally. Exercise is typically recommended by physiotherapists to manage symptoms. However, adherence to the prescribed exercise programme is often poor. Adjunctive digital interventions offer potential to enhance exercise adherence.
To review evidence on the effectiveness of digital interventions for improving exercise adherence in people with chronic musculoskeletal conditions. The study is reported in line with PRISMA guidance and was registered with PROSPERO (CRD42019124502).
MEDLINE, Embase and PsycInfo were searched using a comprehensive search strategy. The reference lists of all included papers and relevant systematic reviews identified during the search were scanned for relevant articles.
Two researchers independently checked articles for inclusion and extracted data.
The search returned a total of 4257 results of which five trials were included in the review and two studies were included in a random effects meta-analysis. There was no statistically significant difference in exercise adherence (SMD: 0.23; 95% CI: −0.10, 0.57). Studies that were not suitable for inclusion in the meta-analysis reported similar results. Heterogeneity of effects was high and study quality ranged from low to moderate. All of the meta-analysed data related to osteoarthritis of the hip and/or knee.
We found no evidence that digital interventions enhance adherence to therapeutic exercise in patients with chronic musculoskeletal disorders. However, further, high quality research is required to draw definitive conclusions on their effectiveness and to identify key components that are associated with effectiveness.
PROSPERO CRD42019124502</description><subject>Digital interventions</subject><subject>Life Sciences & Biomedicine</subject><subject>Musculoskeletal</subject><subject>Osteoarthritis</subject><subject>Physical activity</subject><subject>Rehabilitation</subject><subject>Science & Technology</subject><subject>Systematic review</subject><issn>0031-9406</issn><issn>1873-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><recordid>eNqNkEGP1CAUgInRuLOr_8AY7qb1USilHkzMqKvJJl70TCh93WFsoYHOrnPwv0vTdY_GA-Edvu8FPkJeMSgZMPn2WM6Hc3KhrKCCElQJwJ6QHVMNL5iQ9VOyA-CsaAXIC3KZ0hGgqlnDnpMLzjmTStY78vuju3WLGanzC8Y79IsLPtEhRDrHMIXF-VuKvzBal5Ca_oARvcWMU3uIwTtLp1OypzGknzjiumk2zr-jhqZzWnAyS0Yi3jm8p8b3dMpMYbwZ89vTC_JsMGPClw_3Ffnx-dP3_Zfi5tv11_2Hm8Lyql0K1rXKKgWSS94MbdUJ3os8CIktoKikqSuQph0ARC3bWtWy4bauFWMNdNLyKyK2vTaGlCIOeo5uMvGsGei1pj7qraZea2pQOtfM2utNm0_dhP2j9DdfBtQG3GMXhmTd2uYRAwApGpZPnoDvc-e17j6c_JLVN_-vZvr9RmOulFtG_WD0LqJddB_cv7_yB3uoqpQ</recordid><startdate>202106</startdate><enddate>202106</enddate><creator>Bunting, J.W.</creator><creator>Withers, T.M.</creator><creator>Heneghan, N.R.</creator><creator>Greaves, C.J.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0001-7599-3674</orcidid><orcidid>https://orcid.org/0000-0003-4425-2691</orcidid><orcidid>https://orcid.org/0000-0002-5286-7189</orcidid></search><sort><creationdate>202106</creationdate><title>Digital interventions for promoting exercise adherence in chronic musculoskeletal pain: a systematic review and meta-analysis</title><author>Bunting, J.W. ; Withers, T.M. ; Heneghan, N.R. ; Greaves, C.J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c329t-1b98c88063637f92b43d47f946e90e426a5206a9f004569585673c5581170b6c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Digital interventions</topic><topic>Life Sciences & Biomedicine</topic><topic>Musculoskeletal</topic><topic>Osteoarthritis</topic><topic>Physical activity</topic><topic>Rehabilitation</topic><topic>Science & Technology</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bunting, J.W.</creatorcontrib><creatorcontrib>Withers, T.M.</creatorcontrib><creatorcontrib>Heneghan, N.R.</creatorcontrib><creatorcontrib>Greaves, C.J.</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Physiotherapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bunting, J.W.</au><au>Withers, T.M.</au><au>Heneghan, N.R.</au><au>Greaves, C.J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Digital interventions for promoting exercise adherence in chronic musculoskeletal pain: a systematic review and meta-analysis</atitle><jtitle>Physiotherapy</jtitle><stitle>PHYSIOTHERAPY</stitle><addtitle>Physiotherapy</addtitle><date>2021-06</date><risdate>2021</risdate><volume>111</volume><spage>23</spage><epage>30</epage><pages>23-30</pages><issn>0031-9406</issn><eissn>1873-1465</eissn><abstract>Chronic musculoskeletal disorders are the second largest contributor to disability globally. Exercise is typically recommended by physiotherapists to manage symptoms. However, adherence to the prescribed exercise programme is often poor. Adjunctive digital interventions offer potential to enhance exercise adherence.
To review evidence on the effectiveness of digital interventions for improving exercise adherence in people with chronic musculoskeletal conditions. The study is reported in line with PRISMA guidance and was registered with PROSPERO (CRD42019124502).
MEDLINE, Embase and PsycInfo were searched using a comprehensive search strategy. The reference lists of all included papers and relevant systematic reviews identified during the search were scanned for relevant articles.
Two researchers independently checked articles for inclusion and extracted data.
The search returned a total of 4257 results of which five trials were included in the review and two studies were included in a random effects meta-analysis. There was no statistically significant difference in exercise adherence (SMD: 0.23; 95% CI: −0.10, 0.57). Studies that were not suitable for inclusion in the meta-analysis reported similar results. Heterogeneity of effects was high and study quality ranged from low to moderate. All of the meta-analysed data related to osteoarthritis of the hip and/or knee.
We found no evidence that digital interventions enhance adherence to therapeutic exercise in patients with chronic musculoskeletal disorders. However, further, high quality research is required to draw definitive conclusions on their effectiveness and to identify key components that are associated with effectiveness.
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| subjects | Digital interventions Life Sciences & Biomedicine Musculoskeletal Osteoarthritis Physical activity Rehabilitation Science & Technology Systematic review |
| title | Digital interventions for promoting exercise adherence in chronic musculoskeletal pain: a systematic review and meta-analysis |
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