Evidence map›Paper›PMID 39465403›Full record

ArticleJournal of orthopaedic surgery and research2024

Effects of platelet-rich plasma combined with exercise therapy for one year on knee osteoarthritis: retrospective cohort study.

Tsuneo Kawahara, Shuhei Iida, Kazuma Isoda, Sungdo Kim

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Tsuneo KawaharaMizue Orthopedic Clinic, 4 Chome-45-1 Mizue, Edogawa-ku, Tokyo, 132-0011, Japan. tsunekawahara007@gmail.com.
Shuhei IidaFaculty of Health and Medical Sciences, Department of Physical Therapy, Teikyo Heisei University, 2 Chome-51-4 Higashi-Ikebukuro, Toshima-ku, Tokyo, 170-8445, Japan.
Kazuma IsodaMizue Orthopedic Clinic, 4 Chome-45-1 Mizue, Edogawa-ku, Tokyo, 132-0011, Japan.
Sungdo KimMizue Orthopedic Clinic, 4 Chome-45-1 Mizue, Edogawa-ku, Tokyo, 132-0011, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlatelet-rich plasma (PRP) is a promising treatment for knee osteoarthritis (OA). However, exercise therapy and activities of daily living (ADL) guidance are recommended as core treatments in the Osteoarthritis Research Society International (OARSI) guidelines. However, the effects of PRP combined with exercise therapy are not fully understood. This study aimed to clarify the effectiveness of this treatment.

methodsWe assigned patients diagnosed with knee OA and treated between January 2021 and December 2022 to groups who underwent PRP + exercise (PE), PRP (P), or exercise (E) therapy. Outcomes were evaluated using Knee Injury and Osteoarthritis Outcome Scores (KOOS) before, and 1, 3, and 12 months after treatment. Within-group comparisons according to the time of each score were statistically assessed using a one-way analysis of variance, then differences were analyzed using Bonferroni multiple comparisons p < 0.05). Treatment responses were determined using Outcome Measures in Rheumatology (OMERACT)-OARSI Responder criteria.

resultsPre-treatment KOOS did not significantly differ among the groups. Pain in the PE group improved within 1 month, symptoms, ADL, and quality of life (QOL) improved after 3, months and continued for 12 months. Pain and symptoms improved in the P group within 1 month, but ADLs and the QOL did not significantly change. Pain improved after 3 months in the E group and ADL, and QOL improved by 12 months. The response among the groups was the highest for the PE, with 50.0% at 1 and 3 months, and 65.0% at 12 months.

conclusionsTherapy with PRP immediately relieved pain, whereas exercise conferred late, but enduring effects. Combining PRP with exercise conferred synergistic advantages that persisted for up to 12 months.

Indexed as

Activities of Daily LivingExercise TherapyOsteoarthritis, KneePlatelet-Rich PlasmaAgedCohort StudiesCombined Modality TherapyFemaleHumansMaleMiddle AgedQuality of LifeRetrospective StudiesTime FactorsTreatment OutcomeExercise therapyKnee osteoarthritisPlatelet-rich plasma

Identifiers

PMID39465403
PMCPMC11514950

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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 OpenQuestion graph.