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Papers of the Week

2021 Feb 05

BMC Musculoskelet Disord



Stratified care integrated with eHealth versus usual primary care physiotherapy in patients with neck and/or shoulder complaints: protocol for a cluster randomized controlled trial.


van Tilburg ML, Kloek CJJ, Pisters MF, Staal BJ, van Dongen JM, de Weerd M, Ostelo R W, Foster NE, Veenhof C
BMC Musculoskelet Disord. 2021 Feb 05; 22(1):143.
PMID: 33546656.


Neck and shoulder complaints are common in primary care physiotherapy. These patients experience pain and disability, resulting in high societal costs due to, for example, healthcare use and work absence. Content and intensity of physiotherapy care can be matched to a patient's risk of persistent disabling pain. Mode of care delivery can be matched to the patient's suitability for blended care (integrating eHealth with physiotherapy sessions). It is hypothesized that combining these two approaches to stratified care (referred to from this point as Stratified Blended Approach) will improve the effectiveness and cost-effectiveness of physiotherapy for patients with neck and/or shoulder complaints compared to usual physiotherapy.