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Emerging Technologies for Improving Musculoskeletal Health: A Systematic Evidence Gap Map.

Louise Tanner1, Madeleine Still1, Soheila Ghasri1

  • 1NIHR Innovation Observatory, Newcastle University, Newcastle upon Tyne, UK.

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Technological innovations are emerging for early musculoskeletal condition management, with many digital tools designed for home use, indicating a shift in therapy delivery. Further research should assess broader outcomes.

Keywords:
devicedigitalevidence gap maphorizon scanningmusculoskeletal health

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Area of Science:

  • Biomedical Engineering
  • Digital Health
  • Rehabilitation Technology

Background:

  • Musculoskeletal (MSK) conditions represent a leading global cause of disability.
  • Early intervention and management are crucial for mitigating MSK-related disability.
  • Technological advancements offer potential solutions for prevention and early-stage management.

Purpose of the Study:

  • To conduct a horizon scan of innovative technologies for early MSK condition prevention and management.
  • To create an evidence gap map (EGM) of these technologies.
  • To identify unmet needs in the MSK technology landscape.

Main Methods:

  • A comprehensive search of databases, clinical trial registries, funding portals, and company websites was performed in February 2024.
  • Records were screened for innovative devices or digital technologies aiding musculoskeletal health in adults.
  • Data on technology characteristics, delivery settings, and outcomes were coded, following Cochrane Rapid Reviews guidance.

Main Results:

  • 109 relevant technologies were identified, with nearly half (49.5%) intended for home use.
  • Digital technologies (50.5%) or those with digital components (19.3%) dominated the innovation landscape.
  • The primary outcomes assessed were changes in pain and mobility.

Conclusions:

  • A significant trend towards home-based therapy provision for MSK conditions is evident.
  • Future research should broaden outcome assessments to capture the full impact of health technologies.
  • Understanding direct and wider impacts is essential for optimizing MSK care.