Evidence map›Paper›PMID 40069462›Full record

Trial reportArchives of orthopaedic and trauma surgery2025

The application of a digital therapeutic reveals superior outcome compared to standard care in patients with anterior knee pain-a randomized controlled trial.

Felix Ferner, Maximilian Schenke, Christoph Lutter, Wolf Petersen, Turgay Efe, Arno Schmeling, Kaywan Izadpanah, Florian Perwanger, Jörg Harrer, Jörg Dickschas

Abstract readRandomized Controlled TrialMulticenter StudyComparative Study
In one paragraph

Trial report in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

10 authors.

Felix FernerSana Kliniken Oberfranken, Lichtenfels, Germany. felix.ferner@gmx.de.
Maximilian SchenkeOCO Schwandorf, Schwandorf, Germany.
Christoph LutterDepartment of Orthopaedic Surgery, University Medical Center Rostock, Rostock, Germany.
Wolf PetersenMartin-Luther-Krankenhaus, Berlin, Germany.
Turgay EfeOrthopaedicum Lich, Lich, Germany.
Arno SchmelingSporthopaedicum Berlin, Berlin, Germany.
Kaywan IzadpanahDepartment of Orthopaedic Surgery, University Medical Center Freiburg, Freiburg, Germany.
Florian PerwangerOrthoplus, Munich, Germany.
Jörg HarrerSana Kliniken Oberfranken, Lichtenfels, Germany.
Jörg DickschasSozialstiftung Bamberg, Bamberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnterior knee pain is a frequent symptom caused by disorders like patellofemoral pain syndrome or patella tendon tendinitis, which is commonly treated conservatively. The aim of the current study was to examine the effectiveness of a digital therapeutic (DT) versus German standard care through a prospective, randomized, multicenter controlled trial.

methodsStudy participants were recruited in 9 orthopedic specialist centers diagnosed with anterior knee pain and a NPRS score of ≥ 4. Stratified randomization for n = 140 participants was conducted, assigning participants to the intervention group (exclusive use of DT) or the control group (standard care). Standard care included 1-3 prescriptions for physical therapy, while the DT consisted of a 90-day personalized exercise therapy program including educational content. The primary endpoints were pain measured by NPRS and functional impairment measured by the Kujala Score.

resultsThe use of the DT compared to the standard care showed an improvement in clinical outcomes (NPRS = - 3.7 ± 2.67 and Kujala = 18.00 ± 13.96, both p < 0.001). Both pain and function improved clinically and statistically significantly compared to the control group (ANOVA: NPRS = - 1.64 ± 0.35, p < 0.001, Kujala = 9.26 ± 2.52, p < 0.01).

conclusionThe use of the DT showed significant improvements in pain and function compared to the current standard therapy. These results are highly relevant for clinical practice in the treatment decision-making for patients with anterior knee pain as the DT bridges effectively gaps in the healthcare systems.

Indexed as

Exercise TherapyPatellofemoral Pain SyndromeAdultFemaleHumansMaleMiddle AgedPain MeasurementPhysical Therapy ModalitiesProspective StudiesTreatment OutcomeAnterior knee painConservative treatmentDigital therapeuticPatellofemoral instabilityPatellofemoral pain syndrome

Identifiers

PMID40069462
PMCPMC11897105

What Socratic holds

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Registered trials

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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.