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

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.