Exercise: Digital MSK program improves chronic shoulder pain, disability

Digital musculoskeletal management program improves chronic shoulder pain and function, according to a study published in Newspaper for Injury.

The study used SWORD Health’s digital MSK tool, and some authors were SWORD staff.

“This study supports the usefulness of telerehabilitation – that is, computerized care programs – in the management of shoulder positions, showing results that are comparable to those reported for human care. , ”the authors wrote.


The researchers found a 51.6% reduction in QuickDASH scores, a study that focuses on levels of disability, after 12 weeks of the MSK digital management program.

They also saw an improvement in high performance, with a 54.8% reduction in pain, a 55.5% reduction in feelings of resentment, a 37.7% reduction in fearful beliefs, the There was a 66.5% reduction in job losses, and a 50.3% reduction in anxiety and worry. there was a 63.6% reduction in weight. Of those who used analgesics to relieve pain at the beginning of the study, 44.1% finished eating them by the end of the program.

The researchers also found that older users were more interested in the program, compared to younger ones.

“This study showed some interesting findings, the pattern being more complete than non -complete people, and the majority of patients are over 60 years of age. In addition, it is much higher. of the patients who were treated, “they wrote.

“These two studies compare the perception of low access to digital health by the elderly.


The study included 296 patients who began the digital MSK program, with 234 who completed the procedure. The program includes home education and program -led exercises in a classroom that is measured through visual aids. A physical therapist was monitored remotely and asynchronously, talking or phone calls to participants at least once a week. They have it month video phone.

Participants were asked to practice training at least three times per week for 12 weeks, although they could be excused in advance if the physical therapist decided it was appropriate.

The researchers evaluated the effect on the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire, the Numeric Pain Rating Scale, analgesic diet, intention to make surgery, the GAD-7 measurement for anxiety, the PHQ-9 measurement for depression, the Fear-Avoidance Questionnaire and the performance-enhancing and abusive behavior questionnaire.


There are many digital MSK companies Launching the $ 25 million Series B in January and the $ 85 million Series C.

But SWORD isn’t just in the open. The other ones too Kaia Health, RecoveryOne, SpineZone, DarioHealth and Hinge Health. Hinge, who raised his hefty financial circles last year, recently published results from a study evaluating the long -term effects of his program on pain.

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The researchers said one of the benefits of the study was that it had a large sample size and a diverse population, even though participants came from 43 different states. However, there is no control group or long -term follow -up.

For future research, they recommend randomized controlled trials that compare digital programs to each other or to the drug in humans, preferably with a long follow -up period.

“Significant changes in disability, pain relief, medication intake, sense of fitness, mental health and productivity have been achieved with RCTs related to regular physical activity. , ”the authors wrote. “We believe digital technologies hold the great promise of providing rehabilitation and well -being, addressing the burden of chronic pain.”

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