Exploring factors associated with changes in pain and function following mhealth-based exercise therapy for chronic musculoskeletal pain: a systematic review with meta-analysis and meta-regression
Exercise therapy is the first-line intervention recommended for those with chronic muscu loskeletal pain (CMP). Smartphone technologies (mHealth) represent a feasible means for exercise prescription and individualization. This systematic review with meta-analysis aimed to identify factors associated...
| Autores: | , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2024 |
| País: | España |
| Institución: | Universidad de Sevilla (US) |
| Repositorio: | idUS. Depósito de Investigación de la Universidad de Sevilla |
| OAI Identifier: | oai:idus.us.es:11441/168544 |
| Acceso en línea: | https://hdl.handle.net/11441/168544 https://doi.org/10.3390/app14156632 |
| Access Level: | acceso abierto |
| Palabra clave: | Chronic pain Exercise Mhealth Meta-analysis Systematic review Telehealth |
| Sumario: | Exercise therapy is the first-line intervention recommended for those with chronic muscu loskeletal pain (CMP). Smartphone technologies (mHealth) represent a feasible means for exercise prescription and individualization. This systematic review with meta-analysis aimed to identify factors associated with changes in pain and function following mHealth-based exercise therapy in patients with CMP. CINAHL (via EBSCOhost), Embase, PubMed, Scopus, and SPORTdiscus were searched from inception to February 2023. Observational and controlled clinical trials with corre lation or regression analysis of factors associated with the effect of mHealth exercise interventions on pain and function were included. The risk of bias, completeness of interventions, spin of infor mation, and certainty in the evidence were evaluated. Eight studies with 51,755 participants were included. Reduced pain intensity after intervention was associated with higher physical function: r (95% CI) = −0.55 (−0.67 to −0.41); I2 = 86%, Tau2 = 0.02; p < 0.01. Meta-regression identified the Body Mass Index (BMI), exercise dose, and completion rate as potential moderators between changes in pain and physical function following mHealth exercise therapy. No association was found between pain and anxiety: r (95% CI) = 0.15 (−0.08 to 0.37); I2 = 87%, Tau2 = 0.02; p = 0.19. Very lowcertainty in the evidence was observed due to serious concerns regarding the risk of bias, in consistency, and indirectness. The limited available evidence detracts from the clinical interpretation of the findings. |
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