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Retrospective Case-Control Study on the Effect of In-Person Physical Therapy With Remote Therapeutic Monitoring on
Timothy Marshall1, Andrew Goldman1, Robert Lyles2
1Ivy Rehab Network, White Plains, NY.
Objective:
To evaluate the efficacy of in-person physical therapy (PT) coupled with remote therapeutic monitoring (RTM) compared to in-person PT only on patient outcomes and care delivery.
Design:
A case-control study.
Setting:
95 private practice physical therapy clinics. RTM is delivered at home via a mobile application.
Participants:
Inclusion criteria included: (1) Adults ≥18 years of age, (2) musculoskeletal diagnosis, (3) clinician-prescribed PT, (4) at least 2 outcome measures. Patients who met the inclusion criteria were enrolled in RTM. A control group was generated using 3:1 matching based on: age, sex, case type, and intake patient-reported outcome score. Three hundred and six cases for the in-person PT + RTM group (N = 306) and 918 (N = 918) controls were identified.
Interventions:
RTM Patients were enrolled in a home exercise program administered through a mobile application, with digital exercise therapy videos and care navigation support. Both RTM and control patients were enrolled in in-person PT.
Main Outcome Measures:
Achieving the discharge functional status score as measured by the binary yes/no Functional Status Benchmark.
Results:
A significantly greater proportion of PT + RTM patients achieved the Functional Statue Benchmark (72%) compared to the control group (63%, P=.004). A statistically greater proportion of PT + RTM patients attended more than 2 visits per week (36%) compared to the control group (24%, P<.001). When controlling all variables, RTM participation was a significant predictor of achieving the discharge functional status score as measured by the binary yes/no Functional Status Benchmark (adjusted odds ratio, 1.53; 95% confidence interval, 1.04-2.22).
Conclusions:
The inclusion of RTM with in-person PT facilitated better patient engagement and patient-reported outcomes compared to in-person PT only.
