Evidence map›Paper›PMID 38081949›Full record

ArticleInternational orthopaedics2024

Virtual versus in-person physiotherapy following total knee arthroplasty: a comparative analysis.

Alexander Charalambous, Seper Ekhtiari, Amy V Wainwright, Roxana Najafi, Harman Chaudhry, Daniel Pincus, Bheeshma Ravi

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Review
  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

7 authors at 2 institutions in 2 countries.

Alexander CharalambousDivision of Orthopaedic Surgery, Sunnybrook Health Sciences Centre, Toronto, ON, M4Y 1H1, Canada. a.chara@doctors.org.uk.ORCID 0000-0001-7816-2614
Seper EkhtiariCambridge University Hospitals, Addenbrookes Hospital, Hills Rd, Cambridge, CB2 0QQ, UK.
Amy V WainwrightSunnybrook Health Sciences Centre, Sunnybrook Holland Orthopaedic & Arthritic Centre, 43 Wellesley St E, Toronto, M4Y 1H1, Canada.
Roxana NajafiSunnybrook Health Sciences Centre, Sunnybrook Holland Orthopaedic & Arthritic Centre, 43 Wellesley St E, Toronto, M4Y 1H1, Canada.
Harman ChaudhrySunnybrook Health Sciences Centre, Sunnybrook Holland Orthopaedic & Arthritic Centre, 43 Wellesley St E, Toronto, M4Y 1H1, Canada.
Daniel PincusSunnybrook Health Sciences Centre, Sunnybrook Holland Orthopaedic & Arthritic Centre, 43 Wellesley St E, Toronto, M4Y 1H1, Canada.
Bheeshma RaviSunnybrook Health Sciences Centre, Sunnybrook Holland Orthopaedic & Arthritic Centre, 43 Wellesley St E, Toronto, M4Y 1H1, Canada.
Sunnybrook Health Science Centre · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAt our centre, we developed and implemented a video-based post-operative physiotherapy program for patients undergoing total knee arthroplasty (TKA). Our aims were to analyse and compare the outcomes of this program to in-person physiotherapy.

methodsWe reviewed the outcomes of 112 patients and captured range-of-motion (ROM) measurements and pain scores (P4 questionnaire). We compared the outcomes to a cohort of 175 patients undergoing in-person therapy. Comparative analysis was performed using a two-tailed Student's t-test.

resultsThere was no significant difference between the two groups in age, sex, or initial post-operative knee ROM. On discharge from virtual physiotherapy, mean flexion was 122.6° (SD 7.6). There was no significant difference in improvement in knee flexion between the virtual and in-person groups (mean 30.6° vs 34.0°, p = 0.07). There was no significant difference in the proportion of patients achieving ≥ 120° of flexion (85.0% virtual vs 91.3% in-person, p = 0.11) or those achieving an extension deficit of ≤ 5° (96.0% vs 98.3%, p = 0.25). There was no difference in the number of PT visits to discharge (10.5 vs 11.1, p = 0.14) or final pain scores (12.4 vs 11.9, p = 0.61).

conclusionImprovements in knee ROM measures are comparable between virtual and in-person physiotherapy with both groups achieving a good functional range. These findings have implications for the virtual delivery of healthcare, especially among remote populations and patients with mobility limitations.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeHumansKnee JointPainPhysical Therapy ModalitiesRange of Motion, ArticularTreatment OutcomePhysiotherapyRange of movementTotal knee arthroplastyVirtual physiotherapy

Identifiers

PMID38081949
OpenAlexW4389579629

What OpenQuestion holds

Textmetadata
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.