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mHealth-based exercise vs. traditional exercise on pain, functional disability, and quality of life in patients with knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials

摘要:Objective: This study aims to compare the efficacy of mHealth-based exercise interventions with traditional exercise in improving pain intensity, functional disability, and quality of life in patients suffering from knee osteoarthritis (OA). Method: Randomized controlled trials (RCTs) published from their inception to 23 August 2024 were searched in Cochrane, Embase, Medline, Web of Science. Reviewer pairs independently extracted data and evaluated bias using the Cochrane Risk of Bias tool. Results: Eleven studies, with a total of 800 participants with a mean age of 55.51 +/- 6.88 years, were identified. All RCTs were performed from 2013 to 2024. There was no statistically significant difference between mHealth-supported exercise compared with the traditional exercise without mHealth in terms of pain reduction (standard mean differences [SMD] = -0.35; 95%CI: -0.74 to 0.04, P = 0.08), functional disability (SMD = -0.5; 95%CI: -0.1 to 0.01; P = 0.05), and quality of life (SMD = 0.11; 95%CI: -0.26 to 0.48; P = 0.56). However, a statistically significant difference was found between mHealth-supported exercise compared with unsupervised traditional exercise in terms of pain (SMD = -1.03; 95%CI: -1.49 to -0.57; P < 0.001) and functional disability (SMD = -0.89; 95%CI: -1.71 to -0.06; P = 0.04). Conclusion: mHealth-based exercise was found to be more effective than unsupervised conventional exercise in promoting pain relief and enhancing functional disability in patients with OA. When face-to-face exercise intervention is not feasible, mHealth-based exercise should be considered a viable option in the recovery process for knee OA. Given the significant heterogeneity observed in this study, it is important to exercise caution when extrapolating the results.

关键字:mHealth; exercise; osteoarthritis, meta-analysis; traditional exercise; systematic review

ISSN号:1664-042X

卷、期、页:卷15

发表日期:2025-01-03

期刊分区(SCI为中科院分区):三区

收录情况:SCI(科学引文索引印刷版),SCIE(科学引文索引网络版)

发表期刊名称:FRONTIERS IN PHYSIOLOGY

参与作者:王梦名,何晓雅

第一作者:唐亮,王合霞,姜月帅

论文类型:期刊论文

论文概要:唐亮,王梦名,王合霞,何晓雅,姜月帅,mHealth-based exercise vs. traditional exercise on pain, functional disability, and quality of life in patients with knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials,FRONTIERS IN PHYSIOLOGY,2025,卷15

论文题目:mHealth-based exercise vs. traditional exercise on pain, functional disability, and quality of life in patients with knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials

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