Lower Back Pain Management Through a Digital Musculoskeletal Practice Unit: Pain and Functional Outcomes.

IF 1.5 Q3 RHEUMATOLOGY

Musculoskeletal Care Pub Date : 2026-06-01 DOI:10.1002/msc.70236

Jared Aguilar, Calandra White, Myung Choi, Ryan A Grant, Mary I O'Connor

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引用次数: 0

Abstract

Background: Leading cause of global disability, lower back pain, affects 84% of adults and costs the U.S. $134 billion annually. Traditional care fails to improve outcomes despite rising spending. This study assessed the effectiveness of a digital musculoskeletal integrated practice unit (IPU) in reducing pain and function in adults with back pain.

Methods: We conducted a retrospective cohort study of 784 adults (18-95 years) with low back pain enroled in our IPU between September 2023 and February 2025. Intervention included virtual physician/nurse practitioner and physical therapist assessments, coordinated care with health coaching and nutrition counselling, and digital physical therapy. Primary outcomes were improvement in pain (Numeric Pain Rating Scale) and function (Single Assessment Numeric Evaluation). Analyses used paired t-tests for within-subject changes, multivariable linear regression adjusting for baseline severity, follow-up duration, age, sex, and comorbidities, and engagement-stratified analyses to assess associations between visit frequency and outcomes.

Results: Among 784 patients (mean age 60.1 ± 17.0 years), mean pain scores decreased 4.94 ± 0.07 to 2.61 ± 0.08 (p < 0.001, Cohen's d = -1.02), with 61.9% achieving the MCID of ≥ 2-point pain reduction. Among patients with severe baseline pain (≥ 7), 78.1% achieved pain MCID. Among the 688 patients (87.8%) with paired functional data, SANE scores increased 51.18 ± 0.96 to 74.97 ± 0.83 (p < 0.001, Cohen's d = 0.94), with 58.0% achieving SANE MCID of ≥ 15 points.

Conclusions: Digital musculoskeletal IPU care for low back pain may provide convenient access to care for patients while supporting clinical effectiveness.

查看原文本刊更多论文

通过数字肌肉骨骼练习单元管理下背部疼痛：疼痛和功能结果。

背景：腰痛是全球致残的主要原因，影响着84%的成年人，每年给美国造成1340亿美元的损失。尽管支出不断增加，但传统护理未能改善结果。本研究评估了数字肌肉骨骼综合练习单元（IPU）在减轻成人背痛疼痛和功能方面的有效性。方法：我们对2023年9月至2025年2月期间纳入IPU的784名患有腰痛的成年人（18-95岁）进行了回顾性队列研究。干预措施包括虚拟医生/执业护士和物理治疗师评估、健康指导和营养咨询的协调护理以及数字物理治疗。主要结果是疼痛（数字疼痛评定量表）和功能（单一评估数字评价）的改善。分析采用配对t检验检测受试者内部变化，采用多变量线性回归调整基线严重程度、随访时间、年龄、性别和合并症，采用就诊分层分析评估就诊频率和结果之间的关联。结果：784例患者（平均年龄60.1±17.0岁）的平均疼痛评分从4.94±0.07降至2.61±0.08 （p < 0.05）。结论：指式肌骨骼IPU治疗腰痛可为患者提供方便的护理，同时支持临床疗效。

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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来源期刊

Musculoskeletal Care RHEUMATOLOGY-

CiteScore

2.30

自引率

7.70%

发文量

期刊介绍： Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.