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Article Title: Home Use Therapies for pain, disability, quality of life in Military Service Members with a Musculoskeletal Injury: An updated Systematic Review Meta-Analysis
Author(s):COL Laura A. Talbot, RN, EdD, PhD (Ret.); Lin Wu, MLIS, AHIP; LTC Vanessa J. Ramirez, PT, DPT, PhD; Lt COL David F. Bradley Jr., DNP, RN, APRN, AGCNS-BC, CNOR (Ret.); CPT Ross
Scallan, MSN, RN, AGCNS-BC, ATC; Pilar Zuber, PhD; Christopher H. Morrell, PhD; Kayla Enochs
, OT, MOT1; Mathias Fagan, BS; Jesse Hillner, MS; COL E. Jeffrey Metter, MD, MC USAR (Ret.)
Keywords: musculoskeletal injury, pain, disability, quality of life, military, systematic review meta-analysis
Summary: Musculoskeletal (MSK) injury can negatively affect service members (SM) by compromising job performance and readiness. These injuries can impact the SM’s physical health, functional abilities, and quality of life (QoL). Rehabilitation therapies for MSK injuries can reduce these impacts. One approach is home-use rehabilitative therapy, usable during deployment and at home stations. The purpose of this updated systematic review with meta-analysis was to broaden our scope of pain/symptoms, disability, and QoL as outcomes measures for non-pharmaceutical MSK therapies in a military population versus controls.
This analysis demonstrated modest improvement in pain and physical well-being with therapy, with low certainty across diverse military cohorts. The impact on overall health-related disability and QoL was limited, with little change in mental well-being. The substantial heterogeneity and low certainty across diverse military cohorts limit generalizability, suggesting further research in homogeneous environments is important for guiding clinical decisions. The study’s findings suggest that nonpharmacological home-use interventions may offer modest improvements in pain relief, particularly early in treatment, and in strength and function, according to our previous report. These interventions could complement standard care, providing options that may benefit service members during deployment and at home.
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Disclosures: AffinityCE staff, AMSUS staff, as well as planners and reviewers, have no relevant financial interests to disclose. Presenters have no relevant financial interests to disclose and will not be discussing unapproved products or uses.
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