Osteoarthritis

The responsiveness of digital biomarkers as measurement tools in people with hip and knee osteoarthritis: A systematic review and meta-analysis

Osteoarthritis CartilagePublished Systematic review and meta-analysis

Authors' conclusion

Digital biomarkers related to mobility measures, have the potential for greater uptake in OA clinical trials to assess mobility health in community and home-settings.

Study context

Population
People living with hip and/or knee osteoarthritis (OA) in community or home settings; mean age 64 (SD=4) years, most with knee OA40 studies · 18 digital biomarkers
Comparison
Cadence vs Walking speed vs Step count vs Energy expenditure
Outcome
Responsiveness of digital biomarkers (standardized response means (SRMs))
Methodological detailsrandom-effects model, subgroup analyses (intervention vs non-intervention; short, medium, long-term), Accelerometers (95%) most commonly used technology type, Overall quality of studies high
  • Random-effects model
  • Subgroup analyses (intervention vs non-intervention; short, medium, long-term)
  • Accelerometers (95%) most commonly used technology type
  • Overall quality of studies high

Pooled result

As reported in the abstract

Responsiveness (SRM)

Cadence

0.65

SRM · 95% CI 0.42–0.87

Walking speed

0.43

SRM · 95% CI 0.15–0.70

Step count

0.19

SRM · 95% CI 0.02–0.36

Energy expenditure

−0.16

SRM · 95% CI −0.31–-0.01

Original publication

The responsiveness of digital biomarkers as measurement tools in people with hip and knee osteoarthritis: A systematic review and meta-analysis. Osteoarthritis Cartilage. Published 17 February 2026. doi:10.1016/j.joca.2026.02.002

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