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Fear Avoidance Beliefs in Upper-Extremity Musculoskeletal Pain Conditions: Seco...

Janela, Dora; Costa, Fabíola; Molinos, Maria; Moulder, Robert G.; Laíns, Jorge; Scheer, Justin K.; Bento, Virgílio; Yanamadala, Vijay; Cohen, Steven P.

Background. Fear-avoidance beliefs (FAB) have been associated with poorer prognosis and decreased adherence to exercise-based treatments in musculoskeletal (MSK) pain. However, the impact of high FAB on adherence and outcomes in upper extremity MSK (UEMSK) pain is poorly explored, particularly through exercise-based digital care programs (DCP). Objective. Assess the adherence levels, clinical outcomes and satis...


Effectiveness of biofeedback-assisted asynchronous telerehabilitation in muscul...

Janela, Dora; Costa, Fabíola; Weiss, Brandon; Areias, Anabela C.; Molinos, Maria; Scheer, Justin K; Laíns, Jorge; Bento, Virgílio; Cohen, Steven P.

Background: Musculoskeletal conditions are the leading cause of disability worldwide. Telerehabilitation may be a viable option in the management of these conditions, facilitating access and patient adherence. Nevertheless, the impact of biofeedback- assisted asynchronous telerehabilitation remains unknown. Objective: To systematically review and assess the effectiveness of exercise-based asynchronous biofeedba...


Engagement and Utilization of a Complete Remote Digital Care Program for Muscul...

Scheer, Justin; Areias, Anabela C.; Molinos, Maria; Janela, Dora; Moulder, Robert; Laíns, Jorge; Bento, Virgílio; Yanamadala, Vijay

Background: Musculoskeletal (MSK) conditions are the number one cause of disability worldwide. Digital care programs (DCPs) for MSK pain management have arisen as alternative care delivery models to circumvent challenges in accessibility of conventional therapy. Despite the potential of DCPs to reduce inequities in accessing care, the outcomes of such interventions in rural and urban populations have yet to be ...


Sleep Disturbance in Musculoskeletal Conditions: Impact of a Digital Care Program

Scheer, Justin K; Costa, Fabíola; Janela, Dora; Molinos, Maria; Areias, Anabela C; Moulder, Robert G; Laíns, Jorge; Bento, Virgílio; Yanamadala, Vijay

Background: Musculoskeletal (MSK) pain is highly prevalent worldwide, resulting in significant disability, and comorbid sleep disturbances. Digital therapy for MSK pain can provide significant improvements in care access, alongside pain and disability reductions. However, studies on the effect of such programs on sleep are lacking. Purpose: To evaluate the impact on pain-related sleep impairment after a 12-week...


The potential of a multimodal digital care program in addressing healthcare ine...

Areias, Anabela C.; Molinos, Maria; Moulder, Robert G.; Janela, Dora; Scheer, Justin K.; Bento, Virgílio; Yanamadala, Vijay; Cohen, Steven P.

Digital interventions have emerged as a solution for time and geographical barriers, however, their potential to target other social determinants of health is largely unexplored. In this post-hoc analysis, we report the impact of social deprivation on engagement and clinical outcomes after a completely remote multimodal musculoskeletal (MSK) digital care program managed by a culturally-sensitive clinical team. ...


Managing Musculoskeletal Pain in Older Adults Through a Digital Care Solution: ...

Areias, Anabela C; Janela, Dora; Molinos, Maria; Moulder, Robert G; Bento, Virgílio; Yanamadala, Vijay; Cohen, Steven P; Dias Correia, Fernando

Background: Aging is closely associated with an increased prevalence of musculoskeletal conditions. Digital musculoskeletal care interventions emerged to deliver timely and proper rehabilitation; however, older adults frequently face specific barriers and concerns with digital care programs (DCPs). Objective: This study aims to investigate whether known barriers and concerns of older adults impacted their parti...


Telerehabilitation of acute musculoskeletal multi-disorders: prospective, singl...

Costa, Fabíola; Janela, Dora; Molinos, Maria; Laíns, Jorge; Francisco, Gerard E; Bento, Virgílio; Dias Correia, Fernando

Background: Acute musculoskeletal (MSK) pain is very common and associated with impaired productivity and high economic burden. Access to timely and personalized, evidence-based care is key to improve outcomes while reducing healthcare expenditure. Digital interventions can facilitate access and ensure care scalability. Objective: Present the feasibility and results of a fully remote digital care program (DCP) ...


Asynchronous and Tailored Digital Rehabilitation of Chronic Shoulder Pain: A Pr...

Janela, Dora; Costa, Fabíola; Molinos, Maria; Moulder, Robert G.; Laíns, Jorge; Francisco, Gerard E.; Bento, Virgílio; Cohen, Steven P.

Background: Chronic shoulder pain (SP) is responsible for significant morbidity, decreased quality of life and impaired work ability, resulting in high socioeconomic burden. Successful SP management is dependent on adherence and compliance with effective evidence-based interventions. Digital solutions may improve accessibility to such treatments, increasing convenience, while reducing healthcare-related costs. ...


Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort...

Correia, Fernando D.; Molinos, Maria; Neves, Carlos; Janela, Dora; Carvalho, Diana; Luis, Sara; Francisco, Gerard E.; Laíns, Jorge; Bento, Virgilio

Background: Ankle sprains are one of the most prevalent soft-tissue injuries worldwide. Physical therapy, especially progressive exercise, has proven effective in improving function, while preventing recurrence. Objective: We aim to present the results of a fully remote and digitally guided rehabilitation program for acute ankle sprains. Methods: We performed a prospective longitudinal cohort study of individua...


Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort...

Dias Correia, Fernando; Molinos, Maria; Neves, Carlos; Janela, Dora; Carvalho, Diana; Luis, Sara; Francisco, Gerard E; Lains, Jorge; Bento, Virgilio

Background: Ankle sprains are one of the most prevalent soft-tissue injuries worldwide. Physical therapy, especially progressive exercise, has proven effective in improving function, while preventing recurrence. Objective: We aim to present the results of a fully remote and digitally guided rehabilitation program for acute ankle sprains. Methods: We performed a prospective longitudinal cohort study of individua...


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