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 musculoskeletal 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...

ver descrição completa

Detalhes bibliográficos
Autores: Rodríguez-Sánchez-Laulhé, Pablo, Heredia-Rizo, Alberto Marcos, Salas-González, Jesús, Piña-Pozo, Fernando, Fernández-Seguín, Lourdes María, García-Muñoz, Cristina
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2024
País:España
Recursos:Consejo Superior de Investigaciones Científicas (CSIC)
Repositório:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:digital.csic.es:10261/387604
Acesso em linha:http://hdl.handle.net/10261/387604
https://api.elsevier.com/content/abstract/scopus_id/85200858278
Access Level:Acceso aberto
Palavra-chave:Telehealth
Chronic pain
Exercise
Meta-analysis
mHealth
Systematic review
id ES_d03e48af1ef696c358aa8ff6fc7067fc
oai_identifier_str oai:digital.csic.es:10261/387604
network_acronym_str ES
network_name_str España
repository_id_str
spelling 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-RegressionRodríguez-Sánchez-Laulhé, PabloHeredia-Rizo, Alberto MarcosSalas-González, JesúsPiña-Pozo, FernandoFernández-Seguín, Lourdes MaríaGarcía-Muñoz, CristinaTelehealthChronic painExerciseMeta-analysismHealthSystematic reviewExercise therapy is the first-line intervention recommended for those with chronic musculoskeletal 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 correlation 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 information, 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 low certainty in the evidence was observed due to serious concerns regarding the risk of bias, inconsistency, and indirectness. The limited available evidence detracts from the clinical interpretation of the findings.Peer reviewedMultidisciplinary Digital Publishing InstituteRodríguez-Sánchez-Laulhé, Pablo [0000-0002-6597-0038]Heredia-Rizo, Alberto Marcos [0000-0003-2847-2846]Piña-Pozo, Fernando [0000-0001-8836-341X]Fernández-Seguín, Lourdes María [0000-0001-7727-1915]García-Muñoz, Cristina [0000-0003-2621-2098]Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]202520252024info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_dcae04bcPublisher's versioninfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://hdl.handle.net/10261/387604https://api.elsevier.com/content/abstract/scopus_id/85200858278reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)Ingléshttps://doi.org/10.3390/app14156632Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/3876042026-05-22T06:33:51Z
dc.title.none.fl_str_mv 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
title 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
spellingShingle 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
Rodríguez-Sánchez-Laulhé, Pablo
Telehealth
Chronic pain
Exercise
Meta-analysis
mHealth
Systematic review
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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
dc.creator.none.fl_str_mv Rodríguez-Sánchez-Laulhé, Pablo
Heredia-Rizo, Alberto Marcos
Salas-González, Jesús
Piña-Pozo, Fernando
Fernández-Seguín, Lourdes María
García-Muñoz, Cristina
author Rodríguez-Sánchez-Laulhé, Pablo
author_facet Rodríguez-Sánchez-Laulhé, Pablo
Heredia-Rizo, Alberto Marcos
Salas-González, Jesús
Piña-Pozo, Fernando
Fernández-Seguín, Lourdes María
García-Muñoz, Cristina
author_role author
author2 Heredia-Rizo, Alberto Marcos
Salas-González, Jesús
Piña-Pozo, Fernando
Fernández-Seguín, Lourdes María
García-Muñoz, Cristina
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Rodríguez-Sánchez-Laulhé, Pablo [0000-0002-6597-0038]
Heredia-Rizo, Alberto Marcos [0000-0003-2847-2846]
Piña-Pozo, Fernando [0000-0001-8836-341X]
Fernández-Seguín, Lourdes María [0000-0001-7727-1915]
García-Muñoz, Cristina [0000-0003-2621-2098]
Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]
dc.subject.none.fl_str_mv Telehealth
Chronic pain
Exercise
Meta-analysis
mHealth
Systematic review
topic Telehealth
Chronic pain
Exercise
Meta-analysis
mHealth
Systematic review
description Exercise therapy is the first-line intervention recommended for those with chronic musculoskeletal 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 correlation 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 information, 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 low certainty in the evidence was observed due to serious concerns regarding the risk of bias, inconsistency, and indirectness. The limited available evidence detracts from the clinical interpretation of the findings.
publishDate 2024
dc.date.none.fl_str_mv 2024
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
http://purl.org/coar/resource_type/c_dcae04bc
Publisher's version
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10261/387604
https://api.elsevier.com/content/abstract/scopus_id/85200858278
url http://hdl.handle.net/10261/387604
https://api.elsevier.com/content/abstract/scopus_id/85200858278
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://doi.org/10.3390/app14156632
Sí
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Multidisciplinary Digital Publishing Institute
publisher.none.fl_str_mv Multidisciplinary Digital Publishing Institute
dc.source.none.fl_str_mv reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC
instname:Consejo Superior de Investigaciones Científicas (CSIC)
instname_str Consejo Superior de Investigaciones Científicas (CSIC)
reponame_str DIGITAL.CSIC. Repositorio Institucional del CSIC
collection DIGITAL.CSIC. Repositorio Institucional del CSIC
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869420156691677184
score 15,812429

Registros relacionados