Evidence map›Paper›PMID 42305889›Full record

ReviewJournal of experimental orthopaedics2026

Effectiveness of real-time visual supervised telerehabilitation on functioning following knee arthroplasty compared with outpatient or home-based exercise: A systematic review of randomized controlled trials.

Alessandro de Sire, Emanuele Prestifilippo, Erminia Cofano, Claudio Curci, Nicola Marotta, Raffaella Russo, Marco Invernizzi, Antonio Ammendolia, Giorgio Gasparini, Filippo Familiari

Abstract readReview
In one paragraph

Review in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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.

Alessandro de SirePhysical Medicine and Rehabilitation, Department of Medical and Surgical Sciences University of Catanzaro 'Magna Graecia' Catanzaro Italy.
Emanuele PrestifilippoPhysical Medicine and Rehabilitation, Department of Medical and Surgical Sciences University of Catanzaro 'Magna Graecia' Catanzaro Italy.
Erminia CofanoOrthopedics, Department of Medical and Surgical Sciences University of Catanzaro 'Magna Graecia' Catanzaro Italy.
Claudio CurciPhysical Medicine and Rehabilitation, Department of Medical and Surgical Sciences University of Catanzaro 'Magna Graecia' Catanzaro Italy.
Nicola MarottaPhysical Medicine and Rehabilitation, Department of Medical and Surgical Sciences University of Catanzaro 'Magna Graecia' Catanzaro Italy.
Raffaella RussoDivision of Nutrition Clinic, Department of Medical and Surgical Sciences Magna Graecia University Catanzaro Italy.ORCID https://orcid.org/0000-0001-8445-0962
Marco InvernizziDepartment of Health Sciences University of Eastern Piedmont 'A. Avogadro' Novara Italy.
Antonio AmmendoliaPhysical Medicine and Rehabilitation, Department of Medical and Surgical Sciences University of Catanzaro 'Magna Graecia' Catanzaro Italy.
Giorgio GaspariniOrthopedics, Department of Medical and Surgical Sciences University of Catanzaro 'Magna Graecia' Catanzaro Italy.
Filippo FamiliariOrthopedics, Department of Medical and Surgical Sciences University of Catanzaro 'Magna Graecia' Catanzaro Italy.ORCID https://orcid.org/0000-0002-3453-2043

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: With advances in digital healthcare technologies, telerehabilitation has recently been utilized to deliver rehabilitation in real time following orthopaedic surgery; in this scenario, therapeutic exercise, robotic rehabilitation and virtual reality approaches might be tailored to the patient's needs by professionals, utilizing digital smart devices, in a videoconferencing-based approach with a positive impact on the patients. There remains a relative paucity of high-quality research evaluating the effectiveness of real-time visual-supervised telerehabilitation (RTVST) compared to outpatient rehabilitation following total knee arthroplasty (TKA) in the current literature. This systematic review of randomized controlled trials (RCTs) aimed to assess the clinical efficacy of RTVST after TKA in terms of outcomes and knee function using the Western Ontario and McMaster Universities Arthritis Index (WOMAC) compared with outpatient or home-based exercise. Methods: PubMed, Scopus and Web of Science databases were systematically searched for English-language RCTs published from 2015 to 2025. Of 577 studies identified, five RCTs were included after screening according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: The included studies, conducted across various countries and utilizing diverse telerehabilitation models (e.g., videoconferencing and wearable sensors), consistently suggest that RTVST is a feasible, safe and often noninferior alternative to traditional rehabilitation, with some studies indicating superior or faster functional recovery in specific parameters. RTVST also offered potential benefits in cost-effectiveness. However, limitations such as technological barriers for the elderly and an overall high risk of bias in the included studies were noted. Conclusions: This systematic review demonstrated that RTVST provides comparable functional outcomes and patient-reported improvements to conventional rehabilitation but highlighted the urgent need for further high-quality research with larger sample sizes and standardized telerehabilitation protocols to clarify its precise role and optimize technological applications. Level of Evidence: N/A.

Indexed as

postoperative rehabilitationrehabilitationtelemedicinetelerehabilitationtotal knee replacement

Identifiers

PMID42305889
PMCPMC13266366

What OpenQuestion 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 OpenQuestion graph.