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Effects of a 12-Week Digital Care Program for Chronic Knee Pain on Pain, Mobility, and Surgery Risk: Randomized
Gabriel Mecklenburg1, Peter Smittenaar1, Jennifer C Erhart-Hledik2
1Hinge Health, Inc, San Francisco, CA, United States.
A digital care program significantly improved chronic knee pain and function in a randomized trial. This remote, 12-week intervention reduced pain, improved physical function, and lowered surgery intent compared to usual care.
Area of Science:
- Digital health interventions
- Musculoskeletal health
- Osteoarthritis management
Background:
- Chronic knee pain, often due to osteoarthritis, affects many individuals.
- Inadequate care leads to reliance on opioids and surgery.
- Conservative treatments like exercise and education are effective but underutilized.
Purpose of the Study:
- To evaluate the effectiveness of a remotely delivered digital care program for chronic knee pain.
- To compare outcomes of a digital program versus standard care.
Main Methods:
- A randomized controlled trial with 162 participants was conducted.
- The treatment group received a 12-week digital program (sensor-guided exercise, education, CBT, weight loss, coaching).
- The control group received educational materials; both had access to usual care.
Main Results:
- The digital care program significantly reduced knee pain (KOOS Pain) and improved physical function (KOOS-PS).
- Secondary outcomes showed significant improvements in pain (VAS), stiffness (VAS), and reduced likelihood of surgery.
- Participants in the digital program demonstrated a greater understanding of their condition and treatment options.
Conclusions:
- A comprehensive 12-week digital care program significantly enhances outcomes for chronic knee pain, including osteoarthritis.
- The program effectively improves pain, physical function, stiffness, and reduces surgery inclination.
- Digital interventions offer a viable and effective alternative to traditional management for knee pain.
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