Evidence map›Paper›PMID 39590569›Full record

ReviewJournal of personalized medicine2024

Maximizing Knee OA Treatment: A Comparative Look at Physiotherapy and Injections.

Danilo Donati, Federica Giorgi, Tarantino Domiziano, Luigi Tarallo, Fabio Catani, Daniela Platano, Roberto Tedeschi

Abstract readReview
In one paragraph

Review in Journal of personalized medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. 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.

Danilo DonatiClinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, 41125 Modena, Italy.
Federica GiorgiPediatric Physical Medicine and Rehabilitation Unit, IRCCS Institute of Neurological Sciences, 40126 Bologna, Italy.
Tarantino DomizianoIRCCS Fondazione Don Carlo Gnocchi ONLUS, 50143 Florence, Italy.ORCID 0000-0003-1570-9568
Luigi TaralloDepartment of Orthopedics and Traumatology, Polyclinic of Modena, University of Modena and Reggio Emilia, 41125 Modena, Italy.
Fabio CataniDepartment of Orthopedics and Traumatology, Polyclinic of Modena, University of Modena and Reggio Emilia, 41125 Modena, Italy.
Daniela PlatanoDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, 40127 Bologna, Italy.
Roberto TedeschiDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, 40127 Bologna, Italy.ORCID 0000-0001-9037-4767

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKnee osteoarthritis (OA) is a prevalent and disabling condition often managed with physiotherapy or intra-articular injections. However, the comparative effectiveness of these treatments remains unclear. This systematic review aimed to evaluate and compare the efficacy of physiotherapy and intra-articular injections in managing knee OA.

methodsA systematic search of PubMed, Scopus, Web of Science, PEDro, and Cochrane Library was conducted. Randomized controlled trials (RCTs) comparing physiotherapy and intra-articular injections in knee OA patients were included. Key outcomes included pain (VAS), function (WOMAC, KOOS), range of motion (ROM), and quality of life. Data from five studies with a total of 552 participants were analyzed.

resultsIntra-articular injections, particularly botulinum toxin and hyaluronic acid, were found to provide rapid pain relief, outperforming physiotherapy in short-term pain management. However, physiotherapy contributed significantly to long-term functional improvements, particularly in early-stage OA. Combination therapy of injections and physiotherapy yielded the best short-term pain relief and functional outcomes. Heterogeneity in study designs and follow-up periods limited the generalizability of findings.

conclusionsIntra-articular injections are effective for immediate pain control, while physiotherapy plays a crucial role in maintaining joint function, especially for long-term management. Combining both interventions may offer the most comprehensive benefits. Further research is needed to determine the long-term efficacy of these treatments.

Indexed as

functional recoveryintra-articular injectionsknee osteoarthritispain managementphysiotherapy

Identifiers

PMID39590569
PMCPMC11595953

What OpenQuestion holds

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LicenceCC BY
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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.