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Background <p>The use of digital health applications (DiGA) can sustainably improve healthcare. Mawendo is an official DiGA for the treatment of musculoskeletal disorders and offers self-directed web-based exercise programs.</p> Aim of the study <p>This study investigates whether the Mawendo DiGA is superior to standard physiotherapy in terms of pain reduction and functional improvement.</p> Methodology <p>In this study 259 patients with an M22 diagnosis (ICD-10) were randomly assigned to the intervention group (IG, 136 patients) with Mawendo or the control group (CG, 123 patients) with physiotherapy. Before and after a&#xa0;12-week treatment period, the functional status (KOOS-ADL, scale&#xa0;0–100) and pain intensity (VAS, scale&#xa0;0–100) were assessed. An ANCOVA model was used for analysis.</p> Results <p>The IG showed an improvement in functional status of 15.7 points (95% confidence interval, CI [13.7; 17.6]) compared to 3.4&#xa0;points in the CG (95% CI [1.3; 5.5]). The group difference was statistically significant and clinically relevant (<i>p</i> &lt; 0.00001). The pain reduction in the IG was −22.5 points (95% CI [−25.2; −19.9]) compared to −6.3&#xa0;points in the CG (95% CI [−8.7; −4.0]). The group difference was also clinically relevant and statistically significant (<i>p</i> &lt; 0.00001).</p> Discussion <p>The study demonstrates a&#xa0;statistically significant and clinically relevant superiority of DiGA Mawendo over physiotherapy in terms of pain and function.</p>

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Webbasiertes Eigentraining effektiver als Physiotherapie

  • 期刊论文

  • 发表日期：

    2025年1月20日

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  • Daniel Wagner,
  • Tobias A. Mayer,
  • Daniel Koska,
  • Ann-Kathrin Harsch,
  • Felix Riehl,
  • Christian Maiwald

摘要

Background

The use of digital health applications (DiGA) can sustainably improve healthcare. Mawendo is an official DiGA for the treatment of musculoskeletal disorders and offers self-directed web-based exercise programs.

Aim of the study

This study investigates whether the Mawendo DiGA is superior to standard physiotherapy in terms of pain reduction and functional improvement.

Methodology

In this study 259 patients with an M22 diagnosis (ICD-10) were randomly assigned to the intervention group (IG, 136 patients) with Mawendo or the control group (CG, 123 patients) with physiotherapy. Before and after a 12-week treatment period, the functional status (KOOS-ADL, scale 0–100) and pain intensity (VAS, scale 0–100) were assessed. An ANCOVA model was used for analysis.

Results

The IG showed an improvement in functional status of 15.7 points (95% confidence interval, CI [13.7; 17.6]) compared to 3.4 points in the CG (95% CI [1.3; 5.5]). The group difference was statistically significant and clinically relevant (p < 0.00001). The pain reduction in the IG was −22.5 points (95% CI [−25.2; −19.9]) compared to −6.3 points in the CG (95% CI [−8.7; −4.0]). The group difference was also clinically relevant and statistically significant (p < 0.00001).

Discussion

The study demonstrates a statistically significant and clinically relevant superiority of DiGA Mawendo over physiotherapy in terms of pain and function.