ArticleArchives of physiotherapy
Video-based education is non-inferior to in-person education in patients undergoing arthroscopic partial meniscectomy: a non-inferiority randomized controlled trial.
Article in Archives of physiotherapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Reduced self-efficacy and high kinesiophobia levels affect recovery after arthroscopic partial meniscectomy. Video-based patient education represents an alternative approach to in-person education to support postoperative management and home-based rehabilitation in these patients. The study investigated whether preoperative video-based patient education was non-inferior to postoperative in-person education on pain-related self-efficacy and assessed the effects of such an approach on disability and fear of movement in patients undergoing arthroscopic partial meniscectomy. Methods: One hundred sixty-six patients undergoing arthroscopic partial meniscectomy were randomized into a video-based (n = 83) or control group (n = 83). The video-based group received a video clip including educational content and home-based exercises within 5 days before surgery, while the control group received in-person education and instructions for home-based exercises a few hours after surgery. Participants were assessed for self-efficacy (Pain Self-Efficacy Questionnaire - PSEQ), knee function (Western Ontario and McMaster Universities Osteoarthritis Index - WOMAC), and kinesiophobia (Tampa Scale of Kinesiophobia - TSK) 5 days before surgery (T0), after the 2-week training (T1), and 6 weeks after surgery (T2). Results: Video-based education was non-inferior to in-person education for PSEQ scores at T1 (MD: -0.6, 1-sided 95% lower bound: -3.8) and T2 (MD: -0.5, 1-sided 95% lower bound: -3.5). Moreover, the video-based group revealed a better TSK score than the control group at T2, while no between-group differences over time were found for WOMAC. Conclusions: Preoperative video-based education was not inferior to postoperative in-person education on pain-related self-efficacy and revealed reduced fear of movement in patients undergoing arthroscopic partial meniscectomy.
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