Evidence map›Paper›PMID 33399542›Full record

SynthesisJournal of medical Internet research2021

Effect of Internet-Based Rehabilitation Programs on Improvement of Pain and Physical Function in Patients with Knee Osteoarthritis: Systematic Review and Meta-analysis of Randomized Controlled Trials.

Su-Hang Xie, Qian Wang, Li-Qiong Wang, Lin Wang, Kang-Ping Song, Cheng-Qi He

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 16 pooled it
14.5field-weighted citation impact, top 1% of its field
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

49 citing papers in PubMed, 16 syntheses or guidelines pooled it, 115 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Su-Hang Xie *School of Rehabilitation Sciences, West China School of Medicine, Sichuan University, Chengdu, Sichuan, China.ORCID 0000-0001-7724-5936
Qian Wang *School of Rehabilitation Sciences, West China School of Medicine, Sichuan University, Chengdu, Sichuan, China.ORCID 0000-0001-7396-3084
Li-Qiong WangSchool of Rehabilitation Sciences, West China School of Medicine, Sichuan University, Chengdu, Sichuan, China.ORCID 0000-0003-1444-4780
Lin WangSchool of Rehabilitation Sciences, West China School of Medicine, Sichuan University, Chengdu, Sichuan, China.ORCID 0000-0002-2498-0766
Kang-Ping SongSchool of Rehabilitation Sciences, West China School of Medicine, Sichuan University, Chengdu, Sichuan, China.ORCID 0000-0002-3469-5977
Cheng-Qi HeRehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China.ORCID 0000-0002-5349-0571
Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoarthritis (OA) is a chronic, debilitating, and degenerative joint disease. However, it is difficult for patients with knee OA to access conventional rehabilitation when discharging from the hospital. Internet-based rehabilitation is one of the promising telemedicine strategies to provide a means combining monitoring, guidance, and treatment for patients with knee OA.

objectiveThe aim of this study was to conduct a systematic review and meta-analysis for assessing the effect of internet-based rehabilitation programs on pain and physical function in patients with knee OA.

methodsKeywords related to knee OA and internet-based rehabilitation were systematically searched in the Web of Science, MEDLINE, EMBASE, CENTRAL, Scopus, PEDro (Physiotherapy Evidence Database), CNKI, SinoMed, and WANFANG databases from January 2000 to April 2020. Only randomized controlled trials were included. The authors independently screened the literature. The main outcome measures were focused on pain and physical function. A meta-analysis was performed on the collected data. Review Manager (RevMan, version 5.3) was used for all analyses.

resultsThe systematic review identified 6 randomized controlled trials, 4 of which were included in the meta-analysis, comprising a total of 791 patients with knee OA. The meta-analysis with the fixed-effects model showed that the internet-based rehabilitation programs could significantly alleviate the osteoarthritic pain for patients compared with conventional rehabilitation (standardized mean difference [SMD] -0.21, 95% CI  -0.4 to -0.01, P=.04). No significant difference was found in the improvement of physical function in patients with knee OA compared with conventional rehabilitation within 2 to 12 months (SMD -0.08, 95% CI -0.27 to 0.12, P=.43).

conclusionsThis systematic review shows that internet-based rehabilitation programs could improve the pain but not physical function for patients with knee OA. However, there was a very small number of studies that could be included in the review and meta-analysis. Thus, further studies with large sample sizes are warranted to promote the effectiveness of internet-based rehabilitation and to develop its personalized design.

Indexed as

AgedFemaleHumansInternetMaleMiddle AgedOsteoarthritis, KneePainRandomized Controlled Trials as TopicTelemedicineeHealthinternet-based rehabilitationkneemeta-analysisosteoarthritispainphysical functionreviewtelemedicinetelerehabilitation

Identifiers

PMID33399542
PMCPMC7815452
OpenAlexW3118984672

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.