Retrospective Case-Control Study on the Effect of In-Person Physical Therapy With Remote Therapeutic Monitoring on Functional Outcomes and Plan of Care Adherence Amongst Individuals With Musculoskeletal Conditions

IF 2 Q2 REHABILITATION

Archives of rehabilitation research and clinical translation Pub Date : 2025-09-01 DOI:10.1016/j.arrct.2025.100466

Timothy Marshall PhD, MHA, MS, , Andrew Goldman MS , Robert Lyles PT, DPT, SCS, CSCS , M. Jake Grundstein PT, DPT, MS, MBA , Negar Ahmadian BA , Thomas A. Koc Jr PT, DPT, PhD, CIMT , Marc Gruner DO, MBA

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引用次数: 0

Abstract

Objective

To evaluate the efficacy of in-person physical therapy (PT) coupled with remote therapeutic monitoring (RTM) compared to in-person PT only on patient outcomes and care delivery.

Design

A case-control study

Setting

95 private practice physical therapy clinics. RTM is delivered at home via a mobile application.

Participants

Inclusion criteria included: (1) Adults ≥18 years of age, (2) musculoskeletal diagnosis, (3) clinician-prescribed PT, (4) at least 2 outcome measures. Patients who met the inclusion criteria were enrolled in RTM. A control group was generated using 3:1 matching based on: age, sex, case type, and intake patient-reported outcome score. Three hundred and six cases for the in-person PT + RTM group (N = 306) and 918 (N = 918) controls were identified.

Interventions

RTM Patients were enrolled in a home exercise program administered through a mobile application, with digital exercise therapy videos and care navigation support. Both RTM and control patients were enrolled in in-person PT.

Main Outcome Measures

Achieving the discharge functional status score as measured by the binary yes/no Functional Status Benchmark.

Results

A significantly greater proportion of PT + RTM patients achieved the Functional Statue Benchmark (72%) compared to the control group (63%, P=.004). A statistically greater proportion of PT + RTM patients attended more than 2 visits per week (36%) compared to the control group (24%, P<.001). When controlling all variables, RTM participation was a significant predictor of achieving the discharge functional status score as measured by the binary yes/no Functional Status Benchmark (adjusted odds ratio, 1.53; 95% confidence interval, 1.04-2.22).

Conclusions

The inclusion of RTM with in-person PT facilitated better patient engagement and patient-reported outcomes compared to in-person PT only.

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回顾性病例对照研究：现场物理治疗与远程治疗监测对肌肉骨骼疾病患者功能结局和护理计划依从性的影响

目的评价现场物理治疗（PT）联合远程治疗监测（RTM）与单独现场物理治疗（PT）在患者预后和护理服务方面的疗效。设计一项病例对照研究，设置95家私人理疗诊所。RTM是通过移动应用程序在家中传送的。纳入标准包括：(1)成人≥18岁，(2)肌肉骨骼诊断，(3)临床医生规定的PT，(4)至少2项结果测量。符合纳入标准的患者被纳入RTM。根据年龄、性别、病例类型和入院患者报告的结果评分，采用3:1匹配方法生成对照组。现场PT + RTM组306例，对照组918例。干预srtm患者通过移动应用程序参加了一个家庭锻炼计划，该计划有数字运动治疗视频和护理导航支持。RTM患者和对照组患者均入组进行现场pt。主要结果测量达到出院功能状态评分，采用二元功能状态基准是/否测量。结果PT + RTM患者达到功能状态基准的比例（72%）显著高于对照组（63%，P= 0.004）。与对照组（24%,p < 0.01）相比，PT + RTM患者每周就诊超过2次的比例（36%）在统计学上更高。在控制所有变量的情况下，RTM参与是实现通过二元是/否功能状态基准测量的出院功能状态评分的显著预测因子（调整优势比为1.53；95%置信区间为1.04-2.22）。结论：与单独进行现场PT相比，RTM与现场PT相结合有助于更好的患者参与和患者报告的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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