Musculoskeletal Diseases Clinical Trial
Official title:
Digital Care Programs for Musculoskeletal Health: a Large-scale, Multi-disorder, Observational Study
Verified date | July 2022 |
Source | Sword Health, SA |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational [Patient Registry] |
The purpose of this study is to create a research repository, composed of data collected in the course of digital care programs for musculoskeletal conditions and musculoskeletal health delivered by SWORD Health to individuals undergoing those programs. This will allow the investigators to observe the acceptance, engagement and outcomes of programs using this approach in the treatment of multiple musculoskeletal disorders (MSD).
Status | Enrolling by invitation |
Enrollment | 300000 |
Est. completion date | April 1, 2032 |
Est. primary completion date | July 1, 2027 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Over 18 years old; - Acute (<12 weeks) or chronic (>12 weeks) musculoskeletal pain involving any of the following body areas: neck, upper and lower back, shoulder, elbow, wrist/hand, hip, knee, ankle OR Recovering from MSK surgery involving the above body areas with indication from their surgeon to engage in a physical therapy program - Able to understand study procedures and willing to provide informed consent. Exclusion Criteria: - Health condition (cardiac, respiratory, neurological, immune) condition incompatible with at least 20 minutes of light to moderate exercise if not cleared by a physician to engage in an exercise program - Rapidly progressive and new in onset neurological complaints if not cleared by a physician to engage in an exercise program - Active cancer diagnosis or receiving treatment for cancer if not cleared by a physician to engage in an exercise program - Significant trauma to the area of pain within the last 12 weeks and functional incapacity and not cleared by a physician to engage in an exercise program - MSK surgery within the last 12 weeks and not cleared by a physician to engage in an exercise program |
Country | Name | City | State |
---|---|---|---|
United States | Sword Health | Draper | Utah |
Lead Sponsor | Collaborator |
---|---|
Sword Health, SA |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Sessions performed | Number of total exercise sessions performed | Measured at the end of the program, an average of 12 weeks | |
Other | Self-reported satisfaction | measured through the Net Promoter Score question collected at end of program: "On a scale from 0 to 10, how likely are you to recommend SWORD's programs to a friend or family member?") | Baseline, and then at regular intervals (after 9, 18 and 27 sessions) after initiation of rehabilitation program, and periodical follow-up assessments (each 8 weeks) until 2 years after enrolment | |
Other | Total treatment time | Number of minutes spent on exercise sessions (aggregated) | Measured at the end of the program, an average of 12 weeks | |
Other | Average treatment time per week | Average number of minutes spent on exercise per week | Measured at the end of the program, an average of 12 weeks | |
Primary | Self-reported Pain (NPRS) | Change over time in clinical outcomes common to all conditions measured through a 0-10 Pain Numerical Rating Scale | Baseline, and then at regular intervals (after 9, 18 and 27 sessions) after initiation of rehabilitation program, and periodical follow-up assessments (each 8 weeks) until 2 years after enrolment | |
Primary | Short version of the Disabilities of the Arm, Shoulder and Hand questionnaire | Change in condition-specific clinical outcomes over time measured through the short version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QuickDASH). Scoring Formula = ([(sum of n responses)/n] -1)x(25). |
Baseline, and then at regular intervals (after 9, 18 and 27 sessions) after initiation of rehabilitation program, and periodical follow-up assessments (each 8 weeks) until 2 years after enrolment | |
Primary | Oswestry Disability Index (ODI) | Change in condition-specific clinical outcomes over time measured through the Oswestry Disability Index (ODI). \ The scores for all questions answered are summed, then multiplied by two to obtain the index (range 0 to 100). Zero is equated with no disability and 100 is the maximum disability possible. | Baseline, and then at regular intervals (after 9, 18 and 27 sessions) after initiation of rehabilitation program, and periodical follow-up assessments (each 8 weeks) until 2 years after enrolment | |
Primary | Neck Disability Index (NDI) | Change in condition-specific clinical outcomes over time measured through the Neck Disability Index (NDI). For each section the total possible score is 5: if the first statement is marked the section score = 0, if the last statement is marked it = 5. If all ten sections are completed the score is calculated as follows: Example:16 (total scored) 50 (total possible score) x 100 = 32% |
Baseline, and then at regular intervals (after 9, 18 and 27 sessions) after initiation of rehabilitation program, and periodical follow-up assessments (each 8 weeks) until 2 years after enrolment | |
Primary | Short form of Foot and Ankle Ability Measure (QuickFAAM) | Change in condition-specific clinical outcomes over time, measured through the short form of Foot and Ankle Ability Measure (QuickFAAM). This is a 12-item scale with 5-likert options, the total number of points are added, divided by the total number os possible points and then multiplied by 100. | Baseline, and then at regular intervals (after 9, 18 and 27 sessions) after initiation of rehabilitation program, and periodical follow-up assessments (each 8 weeks) until 2 years after enrolment | |
Primary | Short form Hip Osteoarthritis Outcomes Score (HOOS-PS) | Change in condition-specific clinical outcomes over time, measured through the short form Hip Osteoarthritis Outcomes Score (HOOS-PS). This is a 5-item scale with 5-likert options, the total number of points are added, divided by the total number os possible points and then multiplied by 100. | Baseline, and then at regular intervals (after 9, 18 and 27 sessions) after initiation of rehabilitation program, and periodical follow-up assessments (each 8 weeks) until 2 years after enrolment | |
Primary | Short form Knee Osteoarthritis Outcomes score (KOOS-PS) | Change in condition-specific clinical outcomes over time, measured through the short form Knee Osteoarthritis Outcomes score (KOOS-PS) This is a 7-item scale with 5-likert options, the total number of points are added, divided by the total number os possible points and then multiplied by 100. | Baseline, and then at regular intervals (after 9, 18 and 27 sessions) after initiation of rehabilitation program, and periodical follow-up assessments (each 8 weeks) until 2 years after enrolment | |
Primary | Fear avoidance behaviour | Change over time in clinical outcomes of low back pain measured through the Fear Avoidance Beliefs Questionnaire - Physical Activity (FABQ - PA). This is a 5-item scale with 6 likert options. The total number of points are added. Maximum score is 30. Higher scores mean higher fear avoidance (higher scores are worse). | Baseline, and then at regular intervals (after 9, 18 and 27 sessions) after initiation of rehabilitation program, and periodical follow-up assessments (each 8 weeks) until 2 years after enrolment | |
Primary | Neck, lower spine, shoulder, elbow, ankle, hip and knee range of motion (ROM) | Change in condition-specific clinical outcomes over time measured through Neck, lower spine, shoulder, elbow, ankle, hip and knee range of motion (ROM) (flexion/extension/abduction/rotation), in degrees, as directly retrieved from the angle measurement tool integrated within the medical device. | Baseline, and then at regular intervals (after 9, 18 and 27 sessions) after initiation of rehabilitation program, and periodical follow-up assessments (each 8 weeks) until 2 years after enrolment | |
Secondary | Self-reported Pain (VAS) | Change over time in clinical outcomes common to all conditions measured through a 0-10 Visual Analogue Scale for pain | Baseline and following each exercise session through program completion, an average of 40 sessions | |
Secondary | Self-reported fatigue (VAS) | Change over time in clinical outcomes common to all conditions measured through a 0-10 Visual Analogue Scale for fatigue | Baseline and following each exercise session until the end of the program | |
Secondary | Self-reported Surgical intent | Change over time in clinical outcomes common to all conditions measured through Numerical rating scale (0-100) | Baseline, and then at regular intervals (after 9, 18 and 27 sessions) after initiation of rehabilitation program, and periodical follow-up assessments (each 8 weeks) until 2 years after enrolment | |
Secondary | Self-reported consumption of painkillers | Change over time in clinical outcomes common to all conditions measured through Self-reported consumption of painkillers (yes/no; Prescription drugs (yes/no); Opioids intake (yes/no) | Baseline, and then at regular intervals (after 9, 18 and 27 sessions) after initiation of rehabilitation program, and periodical follow-up assessments (each 8 weeks) until 2 years after enrolment | |
Secondary | Anxiety | Change over time in clinical outcomes common to all conditions measured through General Anxiety Disorder-7 (GAD-7) is a 7-item scale (scores 0-21) | Baseline, and then at regular intervals (after 9, 18 and 27 sessions) after initiation of rehabilitation program, and periodical follow-up assessments (each 8 weeks) until 2 years after enrolment | |
Secondary | Depression | Change over time in clinical outcomes common to all conditions measured through Patient Health Questionnaire-9 (PHQ-9) is a 9-item scale (0-27) | Baseline, and then at regular intervals (after 9, 18 and 27 sessions) after initiation of rehabilitation program, and periodical follow-up assessments (each 8 weeks) until 2 years after enrolment | |
Secondary | Work productivity and absenteeism | Change over time in clinical outcomes common to all conditions measured through Work Productivity and Activity Impairment Questionnaire (WPAI) assessed by the sub-scores: WPAI overall (combining presenteeism and absenteeism), WPAI work (presenteeism), WPAI time (absenteeism) and WPAI activities (activities of daily living impairment) (scores 0-100%) | Baseline, and then at regular intervals (after 9, 18 and 27 sessions) after initiation of rehabilitation program, and periodical follow-up assessments (each 8 weeks) until 2 years after enrolment |
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