Background: Osteoarthritis (OA) is a chronic musculoskeletal disease that causes pain, functional disability, and an economic burden. Nonpharmacological treatments are at the core of OA management. However, limited access to these services due to uneven regional local availability has been highlighted. Internet-based telehealth (IBTH) programs, providing digital access to abundant health care resources, offer advantages, such as convenience and cost-effectiveness. These characteristics make them promising strategies for the management of patients with OA.
Objective: This study aimed to evaluate the effectiveness of IBTH programs in the management of patients with hip or knee OA.
Methods: We systematically searched 6 electronic databases to identify trials comparing IBTH programs with conventional interventions for hip and knee OA. Studies were selected based on inclusion and exclusion criteria, focusing on outcomes related to function, pain, and self-efficacy. Standardized mean differences (SMDs) with 95% CIs were calculated to compare outcome measures. Heterogeneity was assessed using I² and χ² tests. The methodological quality of the selected studies and the quality of evidence were also evaluated.
Results: A total of 21 studies with low-to-high risk of bias were included in this meta-analysis. The pooled results showed that IBTH has a superior effect on increasing function (SMD 0.30, 95% CI 0.23-0.37, P<.001), relieving pain (SMD -0.27, 95% CI -0.34 to -0.19, P<.001), and improving self-efficacy for pain (SMD 0.21, 95% CI 0.08-0.34, P<.001) compared to the conventional intervention group. Subgroup analysis revealed that IBTH with exercise can significantly alleviate pain and improve function and self-efficacy, but IBTH with cognitive-behavioral therapy only had the effect of reducing pain.
Conclusions: The meta-analysis provides moderate-quality evidence that IBTH programs have a beneficial effect on improving function, relieving pain, and improving self-efficacy compared to conventional interventions in patients with hip or knee OA. Limited evidence suggests that the inclusion of exercise regimens in IBTH programs is recommended.
Trial Registration: PROSPERO CRD42024541111; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=541111.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474128 | PMC |
| http://dx.doi.org/10.2196/55576 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A Review for automated classification of knee osteoarthritis using KL grading scheme for X-rays.
Biomed Eng Lett
January 2025
Department of Data Science, University of the Punjab, Allama Iqbal Campus, Lahore, Punjab 54000 Pakistan.
Osteoarthritis (OA) is a musculoskeletal disorder that affects weight-bearing joints like the hip, knee, spine, feet, and fingers. It is a chronic disorder that causes joint stiffness and leads to functional impairment. Knee osteoarthritis (KOA) is a degenerative knee joint disease that is a significant disability for over 60 years old, with the most prevalent symptom of knee pain.
View Article and Find Full Text PDFClinical characteristics of individuals stratified by the number of answered items on the 25-question Geriatric Locomotive Function Scale.
Nagoya J Med Sci
November 2024
Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, Japan.
The 25-question Geriatric Locomotive Function Scale (GLFS-25) is a tool to identify locomotive syndrome, however, this tool is associated with the problem of a low complete response rate. We conducted this cross-sectional study of 2,474 community-dwelling residents to investigate the clinical characteristics of individuals who are prone to provide incomplete responses to the GLFS-25 questionnaire. The participants were divided into the following four groups based on the number of the GLFS-25 items they answered: 0 (n=279), 1-21 (n=36), 22-24 (n=273), and 25 (n=1,886).
View Article and Find Full Text PDFBasic Hip Arthroscopy Part 1: Patient Positioning and Portal Placement.
Arthrosc Tech
December 2024
Department of Orthopaedics, Rush University Medical Center, Chicago, Illinois, U.S.A.
Over the past decade, hip-preservation strategies have gained momentum, resulting in a notable increase in the use of hip arthroscopy for diagnostic and therapeutic interventions in hip-related pathology. In this 3-part series, the authors will aim to comprehensively review the fundamentals of hip arthroscopy in the setting of femoroacetabular impingement. While considering the advantages and disadvantages of post versus postless hip arthroscopy, this Technical Note will review the preferred patient and portal positioning approach used by the senior authors.
View Article and Find Full Text PDFBasic Hip Arthroscopy Part 3: Peripheral-Compartment Arthroscopy (T-Capsulotomy, Femoroplasty, and Capsular Closure).
Arthrosc Tech
December 2024
From the Department of Orthopedics, Rush University Medical Center, Chicago, Illinois, U.S.A.
Over the past decade, hip preservation strategies have gained momentum, resulting in a notable increase in the use of hip arthroscopy for diagnostic and therapeutic interventions for hip-related pathology. In this 3-part series, we aim to comprehensively review the fundamentals of hip arthroscopy in the setting of femoroacetabular impingement. This Technical Note will thoroughly review the senior authors' approach to managing the peripheral compartment of the hip in the context of femoroacetabular impingement.
View Article and Find Full Text PDFThree-Dimensional Gait Analysis of School-Age Children With Angelman Syndrome: A Case-Control Study.
Am J Med Genet A
January 2025
Department of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Gait disturbance is a common motor symptom in Angelman syndrome (AS), but its characteristics have been poorly studied quantitatively. This study aimed to analyze gait characteristics in school-age children with AS using three-dimensional gait analysis (3DGA). Patients with clinically and genetically confirmed AS and healthy children aged 6-15 years were included.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!