PMID- 36474946
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221207
IS  - 2665-9131 (Electronic)
IS  - 2665-9131 (Linking)
VI  - 4
IP  - 3
DP  - 2022 Sep
TI  - Effectiveness of remote exercise programs in reducing pain for patients with knee 
      osteoarthritis: A systematic review of randomized trials.
PG  - 100264
LID - 10.1016/j.ocarto.2022.100264 [doi]
LID - 100264
AB  - OBJECTIVE: Remote knee osteoarthritis (OA) management programs are becoming more 
      popular. This systematic review examined the efficacy of remote exercise programs 
      for relieving pain in persons with knee OA. DESIGN: We conducted a search of 
      studies published between January 1st, 2013 to March 31st, 2021 in PubMed, 
      Embase, and MEDLINE. We included randomized trials of patients with knee OA or 
      chronic knee pain, studying interventions with an element of telehealth exercise 
      management, and evaluating knee pain as an outcome. Interventions could include 
      fully remote or both remote and in-person components. We excluded observational 
      cohort studies, pilot studies, and studies with poor Physiotherapy Exercise 
      Database (PEDro) scores. Two reviewers extracted pain data, consisting of mean 
      differences from baseline and between groups, and compared them to minimum 
      clinically important difference (MCID) thresholds. RESULTS: We identified 1867 
      reports, of which eleven trials with a total of 1861 participants met inclusion 
      criteria. Only one trial demonstrated a clinically meaningful change from 
      baseline between groups. Four interventions were found to result in clinically 
      meaningful improvements in pain from baseline. CONCLUSION: This review was 
      limited by variability in outcome measures, intervention content, and 
      comparators. One trial with an inactive control demonstrated clinically 
      meaningful between group differences in pain. All four interventions 
      demonstrating meaningful improvements from baseline included study-initiated 
      communications to discuss and personalize remotely delivered exercise programs. 
      More studies comparing fully or partially remote exercise programs with both 
      active and inactive controls could help optimize the use of remote programs for 
      management of knee OA pain.
CI  - (c) 2022 The Authors.
FAU - McHugh, C G
AU  - McHugh CG
AD  - Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's 
      Hospital, Boston, MA, USA.
FAU - Kostic, A M
AU  - Kostic AM
AD  - Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's 
      Hospital, Boston, MA, USA.
FAU - Katz, J N
AU  - Katz JN
AD  - Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's 
      Hospital, Boston, MA, USA.
AD  - Harvard Medical School, USA.
FAU - Losina, E
AU  - Losina E
AD  - Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's 
      Hospital, Boston, MA, USA.
AD  - Harvard Medical School, USA.
AD  - Department of Biostatistics, Boston University School of Public Health, USA.
LA  - eng
PT  - Journal Article
DEP - 20220514
PL  - England
TA  - Osteoarthr Cartil Open
JT  - Osteoarthritis and cartilage open
JID - 101767068
PMC - PMC9718080
OTO - NOTNLM
OT  - Exercise
OT  - Knee
OT  - MCID
OT  - Osteoarthritis
OT  - RCT
OT  - Telemedicine
COIS- The authors declared no conflicts of interest.
EDAT- 2022/12/08 06:00
MHDA- 2022/12/08 06:01
PMCR- 2022/05/14
CRDT- 2022/12/07 02:11
PHST- 2022/02/03 00:00 [received]
PHST- 2022/03/30 00:00 [revised]
PHST- 2022/04/28 00:00 [accepted]
PHST- 2022/12/07 02:11 [entrez]
PHST- 2022/12/08 06:00 [pubmed]
PHST- 2022/12/08 06:01 [medline]
PHST- 2022/05/14 00:00 [pmc-release]
AID - S2665-9131(22)00032-2 [pii]
AID - 100264 [pii]
AID - 10.1016/j.ocarto.2022.100264 [doi]
PST - epublish
SO  - Osteoarthr Cartil Open. 2022 May 14;4(3):100264. doi: 
      10.1016/j.ocarto.2022.100264. eCollection 2022 Sep.