active Assessment
Virtual Musculoskeletal (MSK) Solutions
Evidence Protocol Published
Last Updated
April 3, 2024
Conditions
Musculoskeletal (MSK) Care
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PHTI is conducting an evaluation of virtual musculoskeletal (MSK) care solutions, for adults with conditions ranging from low back to knee, hip, shoulder, and neck pain.
Area overview
An estimated one in two adults in the United States is affected by a musculoskeletal condition, and according to a 2023 national survey of large employers, musculoskeletal (MSK) conditions are the second largest driver of healthcare costs behind cancer care. Physical therapy is well proven to improve pain and function, resulting in better outcomes for many MSK conditions. Digital solutions have the potential to improve convenience, adherence, and early adoption of physical therapy, potentially avoiding higher-cost treatment.
Virtual MSK solutions aim to deliver many of the same benefits of in-person physical therapy through enhanced access to a virtual platform with the convenience of participating at home on patients’ own schedules. A key question for purchasers is whether virtual MSK solutions improve health outcomes and lower costs.
PHTI seeks to answer these questions to encourage future investment in solutions that deliver meaningful benefits to patients.
Why assess virtual MSK care solutions?
- The National Health Interview Survey (NHIS) estimates that one in two adults in the United States is affected by a musculoskeletal condition. In 2016, musculoskeletal disorders, and in particular chronic low back pain, were among the main causes of years lived with disability.
- Low-income populations tend to be the most affected by MSK disorders, with Black populations more likely to say that pain disrupts their daily life than other populations.
- As the population ages and continues to grow, the incidence of MSK disorders is rapidly increasing.
- MSK conditions account for over $380 billion in annual spending and—according to a 2023 national survey of large employers—MSK conditions are the second largest driver of health care costs, behind cancer care.
- A robust market of virtual MSK solutions has emerged that use a combination of clinical and AI-enabled support to guide patients through therapy.
- Purchasers would benefit from a clearer understanding of the range of technology solutions on the market today, how they address purchasing goals (e.g., access, convenience, lower cost of care), and how they can be integrated with existing benefits.
Given the burden of disease and impact on the healthcare system, payers, providers, and patients are eager to understand when virtual MSK solutions provide meaningful results for patients at a lower cost. There are multiple technologies—including ones with computer vision, wearable sensors, and those that leverage AI recommendations—available in the U.S. market. These technologies differ in accuracy, accessibility, ease of use, features, and price.
Downloads
November 2023
Assessment Area BriefAssessment area brief for PHTI’s assessment of virtually-enabled musculoskeletal (MSK) care tools.
November 2023
Virtually-Enabled Musculoskeletal (MSK) Care Methodology Overview (Presentation with Audio)A review of PHTI protocol for systematic literature review of clinical impact.
October 2023
Systematic literature review of virtual physical therapy among patients with musculoskeletal disordersInternational prospective register of system reviews (PROSPERO), National Institute for Health and Care Research
Next steps
PHTI is preparing to complete this assessment for release in 2024.
Contact
Get in touch with us if you want to learn more about opportunities to provide input on this assessment.
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