Abstract

Objective

The study sought to examine the effects of technology-supported exercise programs on the knee pain, physical function, and quality of life of individuals with knee osteoarthritis and/or chronic knee pain by a systematic review and meta-analysis of randomized controlled trials.

Materials and Methods

We searched MEDLINE, EMBASE, CINAHL Plus, and the Cochrane Library from database inception to August 2020. A meta-analysis and subgroup analyses, stratified by technology type and program feature, were conducted.

Results

Twelve randomized controlled trials were reviewed, all of which implemented the programs for 4 weeks to 6 months. Telephone, Web, mobile app, computer, and virtual reality were used to deliver the programs. The meta-analysis showed that these programs were associated with significant improvements in knee pain (standardized mean difference [SMD] = −0.29; 95% confidence interval [CI], −0.48 to −0.10; P = .003) and quality of life (SMD = 0.25; 95% CI, 0.04 to 0.46; P = .02) but not with significant improvement in physical function (SMD = 0.22; 95% CI, 0 to 0.43; P = .053). Subgroup analyses showed that some technology types and program features were suggestive of potential benefits.

Conclusions

Using technology to deliver the exercise programs appears to offer benefits. The technology types and program features that were associated with health values have been identified, based on which suggestions are discussed for the further research and development of such programs.

中文翻译：

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技术支持的锻炼计划对膝关节骨关节炎和/或慢性膝关节疼痛患者的膝关节疼痛、身体功能和生活质量的影响：随机对照试验的系统评价和荟萃分析

 抽象的

 客观的

该研究旨在通过随机对照试验的系统回顾和荟萃分析，探讨技术支持的锻炼计划对膝关节骨关节炎和/或慢性膝关节疼痛患者的膝关节疼痛、身体功能和生活质量的影响。

 材料和方法

我们检索了从数据库建立到 2020 年 8 月的 MEDLINE、EMBASE、CINAHL Plus 和 Cochrane 图书馆。进行了按技术类型和项目特征分层的荟萃分析和亚组分析。

 结果

审查了 12 项随机对照试验，所有试验均实施了 4 周至 6 个月的计划。使用电话、网络、移动应用程序、计算机和虚拟现实来交付节目。荟萃分析显示，这些计划与膝关节疼痛（标准化平均差 [S​​MD] = -0.29；95% 置信区间 [CI]，-0.48 至 -0.10； P =.003）和生活质量的显着改善相关。 （SMD = 0.25；95% CI，0.04 至 0.46； P =.02），但身体功能没有显着改善（SMD = 0.22；95% CI，0 至 0.43； P =.053）。亚组分析表明，一些技术类型和计划特征暗示了潜在的好处。

 结论

使用技术来提供锻炼计划似乎有好处。已经确定了与健康价值相关的技术类型和项目特征，并在此基础上讨论了此类项目的进一步研究和开发的建议。