Evidence map›Paper›PMID 39094114›Full record

SynthesisJournal of medical Internet research2024

Telehealth-Supported Exercise or Physical Activity Programs for Knee Osteoarthritis: Systematic Review and Meta-Analysis.

Xiao-Na Xiang, Ze-Zhang Wang, Jing Hu, Jiang-Yin Zhang, Ke Li, Qi-Xu Chen, Fa-Shu Xu, Yue-Wen Zhang, Hong-Chen He, Cheng-Qi He and 1 more

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07066514 (Effectiveness of Exercises Supervised Via an Artificial Intelligence-Supported Mobile Application in Patients With Knee Osteoarthritis), which is not on this map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07066514 nawithdrawnnot on this mapstarted 2025, after this paper: background citation

Effectiveness of Exercises Supervised Via an Artificial Intelligence-Supported Mobile Application in Patients With Knee Osteoarthritis

TypeinterventionalSponsorUludag UniversityRan2025 to 2025Enrolled0ConditionsKnee OsteoarthritisArmsAI-Supervised Mobile Exercise Program, Booklet-Guided Home Exercise Program
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Xiao-Na Xiang *Rehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0001-8659-1080
Ze-Zhang Wang *Rehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, China.ORCID 0009-0002-5932-132X
Jing HuRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, China.ORCID 0009-0003-4712-7607
Jiang-Yin ZhangRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, China.ORCID 0009-0003-6832-6795
Ke LiCenter of Statistical Research, School of Statistics, Southwestern University of Finance and Economics, Chengdu, China.ORCID 0000-0002-0252-898X
Qi-Xu ChenCenter of Statistical Research, School of Statistics, Southwestern University of Finance and Economics, Chengdu, China.ORCID 0000-0001-9622-6220
Fa-Shu XuWest China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0001-9696-3933
Yue-Wen ZhangCenter of Statistical Research, School of Statistics, Southwestern University of Finance and Economics, Chengdu, China.ORCID 0000-0002-9707-4692
Hong-Chen HeRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0002-3016-022X
Cheng-Qi HeRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0002-5349-0571
Si-Yi ZhuRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0001-8213-7622

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe integration of telehealth-supported programs in chronic disease management has become increasingly common. However, its effectiveness for individuals with knee osteoarthritis (KOA) remains unclear.

objectiveThis study aimed to assess the effectiveness of telehealth-supported exercise or physical activity programs for individuals with KOA.

methodsA comprehensive literature search encompassing Embase, MEDLINE, CENTRAL, Web of Science, PubMed, Scopus, PEDro, GreyNet, and medRxiv from inception to September 2023 was conducted to identify randomized controlled trials comparing telehealth-supported exercise or physical activity programs to a control condition for KOA. Data were extracted and qualitatively synthesized across eligible studies, and a meta-analysis was performed to evaluate the effects. The study was reported according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 2020.

resultsIn total, 23 studies met eligibility criteria, with 20 included in the meta-analysis. Results showed that telehealth-supported exercise or physical activity programs reduced pain (g=-0.39; 95% CI -0.67 to -0.11; P<.001), improved physical activity (g=0.13; 95% CI 0.03-0.23; P=.01), and enhanced physical function (g=-0.51; 95% CI -0.98 to -0.05; P=.03). Moreover, significant improvements in quality of life (g=0.25; 95% CI 0.14-0.36; P<.001), self-efficacy for pain (g=0.72; 95% CI 0.53-0.91; P<.001), and global improvement (odds ratio 2.69, 95% CI 1.41-5.15; P<.001) were observed. However, self-efficacy for physical function (g=0.14; 95% CI -0.26 to 0.53; P=.50) showed insignificant improvements. Subgroup analyses based on the World Health Organization classification of digital health (pain: χ

conclusionsTelehealth-supported exercise or physical activity programs might reduce knee pain and improve physical activity, physical function, quality of life, self-efficacy, and global improvement in individuals with KOA. Future research should consider longer implementation durations and assess the feasibility of incorporating wearables and standardized components into large-scale interventions to evaluate the effects.

trial registrationPROSPERO CRD42022359658; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=359658.

Indexed as

ExerciseExercise TherapyOsteoarthritis, KneeTelemedicineHumansQuality of LifeRandomized Controlled Trials as Topicchronic diseasechronic disease managementeffectivenessexercisekneeknee osteoarthritismeta-analysisphysical activitiesphysical activityphysical functionquality of lifeself-efficacysystematic reviewsystematic review and meta-analysistelehealth

Identifiers

PMID39094114
PMCPMC11329855

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.