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January 27, 2021Open Access

AI-assisted daily exercise increases odds of neck and back pain improvement by ~536% versus usual care.

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Why the study?

Digital interventions manage health problems like musculoskeletal pain in workers, but their effectiveness is unverified and adherence remains challenging.

Does an AI-assisted health program improve subjective severity of neck/shoulder pain/stiffness and low back pain in workers?

Population

Workers with neck/shoulder stiffness/pain, low back pain, or both

Comparison

AI-assisted health program vs usual care routines

Design

Two-armed, randomized, controlled, unblinded trial

Follow-up

12 weeks

Key result

An AI-assisted health program delivering daily exercise instructions significantly improved neck/shoulder and low back pain severity compared to usual care (OR 6.36; 95% CI 2.57-15.73; P<.001).

Authors

TATomomi AnanSKShigeyuki KajikiHOHiroyuki Oka

Discussion

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Overview

Supports AI-assisted exercise programs for neck/shoulder and low back pain in workers; extends randomized evidence for digital occupational health interventions.

Study Design

Type

RCT (n=94)

Blinding

unblinded

Randomization

randomized

Structured PICO

Does an AI-assisted health program improve subjective severity of neck/shoulder pain/stiffness and low back pain in workers?

P
Population
94 workers with neck/shoulder stiffness/pain and/or low back pain
I
Intervention
AI-assisted health program (chatbot sending exercise instructions daily via LINE app for 12 weeks)
C
Comparator
Usual care routines
O
Outcome
Subjective severity of neck and shoulder pain/stiffness and low back pain using a scoring scale of 1 to 5 at 12 weekspatient reported

Main Result

Effect estimate: OR 6.36 (95% CI 2.57-15.73)

p-value: p=<.001

A 12-week AI-assisted health program delivering daily exercise instructions via a messaging app significantly improved subjective neck, shoulder, and low back pain in workers.

Cite This Study

Anan et al. (2021) conducted an RCT in neck/shoulder pain/stiffness and low back pain (n=94). AI-assisted health program vs. usual care routines was evaluated on Improvement in the severity of neck/shoulder pain/stiffness and low back pain (OR 6.36, 95% CI 2.57-15.73, p=<.001). An AI-assisted health program delivering daily exercise instructions significantly improved neck/shoulder and low back pain severity compared to usual care (OR 6.36; 95% CI 2.57-15.73; P<.001).

synapsesocial.com/papers/6a12a3fa4891eb3ecca40a5ahttps://doi.org/10.2196/preprints.27535
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effect of an Artificial Intelligence–Based Self-Management App on Musculoskeletal Health in Patients With Neck and/or Low Back Pain Referred to Specialist Care2023 · 69 citations
  2. 2The effectiveness of artificial intelligence health education accurately linking system on self-management in non-specific lower back pain patients2025 · 6 citations
  3. 3An Artificial Intelligence–Based App for Self-Management of Low Back and Neck Pain in Specialist Care: Process Evaluation From a Randomized Clinical Trial2024 · 3 citations
  4. 4Artificial Intelligence Interventions in Chronic Pain Management: A Scoping Review (Preprint)2024
  5. 5The effectiveness of artificial intelligence-based interventions on treatment outcomes for low back pain: A systematic review and meta-analysis of randomized controlled trials2026