A Telehealth Physical Therapy Intervention to Increase Physical Activity in Adults With Knee OA: The Delaware PEAK Randomized Controlled Trial.

この研究はインパクトが大きい可能性があると判断されました。 OEのAIによるハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文の影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することができ、読者は将来の診療を形成する可能性が最も高い論文に焦点を当てることができます。

研究概要

One hundred three patients with symptomatic knee Osteoarthritis (OA) meeting National Institute for Health and Care Excellence (NICE) clinical criteria were randomized to receive a telehealth PT (Physical Therapy) intervention with strengthening, education, and step goals delivered in five Zoom sessions over 12 weeks (n=51) or access to a study website with publicly available OA resources (n=52). The primary outcome was change in Moderate- to vigorous-intensity physical activity (MVPA) (ActiGraph GT3X) at 12 weeks. Secondary outcomes included light-intensity physical activity, steps/day, treatment beliefs about exercise/PT, and MVPA at 24 weeks; exploratory outcomes included knee pain (VAS) and KOOS subscales at 12 and 24 weeks. Outcomes were assessed at baseline, 12, and 24 weeks. Overall, the results revealed no between-group difference in MVPA at 12 weeks, nor in light activity or steps/day, while the intervention improved negative treatment beliefs and showed superiority for pain, function, and quality of life at several time points. In conclusion, adding step goals to a telehealth PT exercise/education program did not increase MVPA versus web resources, although pain and function benefits were observed.