Telerehabilitation consultations with a physiotherapist for chronic knee pain versus in-person consultations in Australia: the PEAK non-inferiority randomised controlled trial
Primary result · Knee pain (NRS 0-10), mean changeResult — go to the resultMean difference 0.16 95% CI −0.26 to 0.57Authors' conclusion
Telerehabilitation with a physiotherapist is non-inferior to in-person care for chronic knee pain.
Study context
- Population
- Adults with chronic knee pain consistent with OA, treated by primary care physiotherapists from Australian clinics383 (97%) provided primary outcome data
- Participants
- 394 adults
- Comparison
- Telerehabilitation (video conferencing) physiotherapist consultations vs in-person consultations
- Telerehabilitationn = 190
- In-person caren = 204reference
- Primary endpoint
- Co-primary: knee pain (NRS 0-10) and physical function (WOMAC 0-68)
- Follow-up
- 3 months after randomisation
Methodological detailsnon-inferiority, unmasked, stratified by physiotherapist and clinic, multicentre (27 Australian clinics), Enrolled Dec 10, 2019 – June 17, 2022; 15 primary care physiotherapists recruited
- Non-inferiority
- Unmasked
- Stratified by physiotherapist and clinic
- Multicentre (27 Australian clinics)
- Enrolled Dec 10, 2019 – June 17, 2022; 15 primary care physiotherapists recruited
Primary result
Knee pain (NRS 0-10), mean change · 3 months
Mean difference
0.16
95% CI −0.26 to 0.57
Change by group
In-person care
2.98
mean · SD 2.23
Telerehabilitation
3.14
mean · SD 1.87
Telerehabilitationvs In-person care
mean difference 0.16 (95% CI −0.26 to 0.57)
As reported in the abstract
Further findings
Mean
| Outcome | Telerehabilitation | In-person care | Mean difference (95% CI) | |
|---|---|---|---|---|
| Co-primary: physical function (WOMAC 0-68), mean change · 3 monthsNon-inferior · modified intention-to-treat | 10.75 (SD 9.62) | 10.20 (SD 11.63) | 1.65 (−0.23 to 3.53) | |
| −2024Difference (linear scale) |
Safety
Participants reporting adverse events
Participants reporting adverse events
- Similar between groups; none were serious
Original publication
Telerehabilitation consultations with a physiotherapist for chronic knee pain versus in-person consultations in Australia: the PEAK non-inferiority randomised controlled trial. Lancet. Published 7 March 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →