Wilkins Benjamin, Mansoubi Maedeh, Veerapen Jacob, Dawes Helen, Waller Benjamin
Good Boost Wellbeing, Bristol, UK.
NIHR Exeter Biomedical Research Centre (BRC), University of Exeter Medical School, Exeter, UK.
Musculoskeletal Care. 2025 Jun;23(2):e70142. doi: 10.1002/msc.70142.
The objectives of this study are to evaluate the impact and cost-consequence analysis of a new digital intervention providing water- and land-based exercises for people with musculoskeletal (MSK) conditions.
Data were collected from May 2021 to December 2023, during which the number of sites providing the intervention increased from 20 to 136. Participant recruitment and characteristics, pain intensity (0-100), physical function (Patient Specific Complaint, 0-100), and health and wellbeing (Office for National Statistics 4, ONS4) were measured. A minimal clinically important detectable (MCID) change of 15% was used. Symptoms, function and wellbeing were measured at 6, 12 and 26 weeks. A cost-consequence analysis was conducted comparing 12 digital exercise sessions to 6 face-to-face (F2F) physiotherapy sessions.
In total, 4429 participants with MSK conditions, who completed at least 1 exercise session, were included in this study. 3515 (79.4%) were female, average age 58.7 ± 15.3 years old, 13% registered as ethnicity other than white, 33.5% were in the third quartile for high deprivation and 44.2% were sedentary. The knee (33.3%) was the most affected body region. In total, 40,995 exercise sessions were completed (91.6% water-based), and the average sessions per user were 9.3. Small significant (p < 0.05) improvements in function, happiness, and anxiety were seen at 6 weeks, with improvement in function and anxiety maintained at 12- and 26-week follow-ups. At 6 and 12 weeks, 33.8% and 38.6% reached MCID in pain intensity and 40% and 45% in physical function, improvements which are similar when compared to expected outcome of face-to-face physiotherapy. Cost-consequence analysis indicated an estimated saving of £168.72 per participant compared to F2F physiotherapy.
This digital MSK exercise solution delivered to people with MSK conditions had a positive effect on pain intensity and physical function with considerable potential cost savings.
本研究旨在评估一种为肌肉骨骼疾病（MSK）患者提供水上和陆地运动的新型数字干预措施的影响及成本效益分析。
收集2021年5月至2023年12月的数据，在此期间提供该干预措施的场所数量从20个增加到136个。测量了参与者的招募情况及特征、疼痛强度（0 - 100）、身体功能（患者特定主诉，0 - 100）以及健康和幸福感（国家统计局4，ONS4）。使用了15%的最小临床重要可检测变化（MCID）。在6周、12周和26周时测量症状、功能和幸福感。进行了成本效益分析，将12次数字运动课程与6次面对面（F2F）物理治疗课程进行比较。
本研究共纳入4429名患有MSK疾病且至少完成1次运动课程的参与者。3515名（79.4%）为女性，平均年龄58.7±15.3岁，13%登记为非白人种族，33.5%处于高贫困的第三个四分位数，44.2%久坐不动。膝盖（33.3%）是受影响最严重的身体部位。总共完成了40995次运动课程（91.6%为水上运动），每位用户的平均课程数为9.3次。在6周时，功能、幸福感和焦虑方面有小的显著改善（p < 0.05），在12周和26周随访时功能和焦虑仍保持改善。在6周和12周时，33.8%和38.6%的参与者疼痛强度达到MCID，40%和45%的参与者身体功能达到MCID，与面对面物理治疗的预期结果相比，这些改善相似。成本效益分析表明，与F2F物理治疗相比，每位参与者估计节省168.72英镑。
这种为MSK疾病患者提供的数字MSK运动解决方案对疼痛强度和身体功能有积极影响，且有可观的潜在成本节约。
