Abstract
Background: Globally, knee osteoarthritis affects millions of individuals, reflecting a 113% increase in the disease prevalence. This investigation delves into the intricate dynamics among excess weight, joint degeneration, and patient adherence to home exercise regimens with and without digital supervision. Methods: The study protocol follows PRISMA guidelines for review articles. A thorough search was conducted by two researchers who examined six databases for article selection using the keywords, “exercise," "rehabilitation," "obesity,", “knee osteoarthritis,” and "pain". Only those articles that were conducted between 2019 to 2023, published in the English language, and that examined the effects of home exercise program with and without digital measures of pain and physical function were included in the study. Results: The result of four randomized controlled trials for physical function revealed a standardized mean difference of -0.084 (95% CI: -0.711 to 0.541), with an I2 of 88.55%. For pain, the analysis was done on five randomized controlled trials that showed a moderate effect of exercises and digital measures on decreasing pain with a standardized mean difference of -0.64 (95% CI: -1.115 to -0.177) and with an I2 of 82.02%. Conclusion: The findings of this meta-analysis showed varying results of the same exercise protocol on different variables. As for the pain, a home exercise program with digital measures proved to be a good intervention as it causes a moderate effect on decreasing pain, but the effect on physical function was small.
Recommended Citation
Khan A, Yameen K. Patient Adherence and Outcomes in Home Exercise Programs for Obese Osteoarthritic Patients: A Meta-Analysis. The Internet Journal of Allied Health Sciences and Practice. 2025 Jan 17;23(1), Article 19.
Illustrations.docx
PRISMA_2020_checklist.docx (30 kB)
Answer to comments.docx (12 kB)
