OP0092-HPR THE EFFECTIVENESS OF DIGITAL APPLICATIONS PROVIDING PERSONALIZED EXERCISE VIDEOS IN INDIVIDUALS WITH RHEUMATIC AND MUSCULOSKELETAL DISEASES: A SYSTEMATIC REVIEW WITH META-ANALYSIS

Abstract

Background: Among available digital applications (Apps), those providing personalized video exercises (PEV) may be helpful for individuals with rheumatic and musculoskeletal diseases (RMDs) undergoing functional rehabilitation [1,2,3]. Objective(s): We aimed to assess the effectiveness of Apps providing PEV to support rehabilitation for people with disability, on functional capacity, confidence in exercise performance, use of care, health-related quality of life, adherence, and adverse events. Method(s): In this systematic review, we searched MEDLINE, CENTRAL and EMBASE databases up to March 2022. All randomized controlled trials evaluating the effect of Apps providing PEV to support rehabilitation for any condition with RMDs requiring physical rehabilitation were included. Selection, extraction and risk of bias assessment (RoB2) were performed by two independent reviewers. Primary outcome was functional capacity at the end of the intervention. Secondary outcomes included confidence in exercise performance, care consumption, health-related quality of life, adherence, and adverse events. A meta-analysis was performed where possible; the magnitude of the effect was assessed with the standardized mean difference (SMD). REGISTRATION: PROSPERO: CRD42022323670 Results: From 1641 identified references, 7 articles (906 participants, 93% adults) were included. The Apps were mostly commercial (7/10); the videos were mostly elaborated by a physiotherapist (8/10). Duration of App use was 3-48 weeks. All included studies had a high overall risk of bias. Low-quality evidence suggested the use of Apps providing PEV led to a significant, small to moderate improvement in physical function (SMD 0.33 [95% CI 0.16 to 0.50], Phet=0.93; >0%, 6 studies), confidence in exercise performance (SMD 3.69 [3.41 to 4.17], 1 study), quality of life (SMD 0.70 [95% CI 0.46 to 1.09], 1 study) and adherence (SMD 3.38 [95% CI 0.65 to 6.11], Phet=0.93; I2=0%, 6 studies). Apps did not influence rate of adverse events. Conclusion(s): Apps providing PEV to support exercise performance significantly improved physical function, confidence in exercise performance, quality of life and adherence. However, the level of evidence was low: more robust studies are needed to confirm these results.