1044 - Virtual Physical Therapy for Musculoskeletal Disorders: Clinical Outcomes and Patient Engagement Pilot Study Analysis

To evaluate the feasibility, completion rates, outcomes, and satisfaction of a pilot program delivering physical therapy (PT) via virtual platforms (vPT) for common musculoskeletal conditions compared with traditional in-person care.

 

Design: This retrospective review analyzed a clinical pilot conducted within the Department of Physical Medicine and Rehabilitation (PM&R) of large academic medical center in collaboration with an external PT company using Certified Orthopedic Specialists. Patients referred for PT were offered three choices: in-house outpatient PT, PT at a practice near their home, or vPT via a computer link. Those selecting vPT received enrollment instructions and a QR code upon checkout. Data were collected on referral flow, therapy completion, demographics, satisfaction, and validated outcome measures across body regions (low back, neck, upper limb, lower limb).

Results:

Of 137 referrals, 86 patients underwent initial evaluation. The treatment completion rate was 71% (61 patients), while 23% (20 patients) self-discontinued and 6% (5 patients) required medical escalation. Completion rates showed no major differences in completion by gender or age group. Among completers 96% achieved Minimal Clinically Important Difference (MCID) thresholds across the treated body regions, with an average of 85.2% reduction in baseline pain scores over only 5-6 visits. Patient satisfaction rate was 100% for care coordination and service recommendation likelihood.

Conclusions:

This pilot shows vPT delivery is feasible and produces substantial clinical benefit. Patients demonstrated higher-than-expected improvements in MCID, pain scores, and satisfaction levels with fewer visits. 61 of 137 (44.5%) patients completed therapy, a higher rate than previously reported for in-person PT. These findings suggest that patients actively engaging in vPT can achieve meaningful outcomes, making it an effective model for patients seeking flexible access or home-based care.