Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/45334
Title: Supervised or Home-Based? Exploring the Best Exercise Approach for Knee Osteoarthritis Management: A Systematic Review and Meta-Analysis
Authors: MAPINDUZI, Jean 
Ndacayisaba, Gerard
Mitchai, Penielle Mahutchegnon
KOSSI, Oyene 
BONNECHERE, Bruno 
Issue Date: 2025
Publisher: MDPI
Source: Journal of Clinical Medicine, 14 (2) (Art N° 525)
Abstract: Background/Objective: Knee osteoarthritis (OA) is a common and debilitating condition affecting older adults, often progressing to advanced stages and requiring total joint replacement. Exercise therapy is widely recognized as the first-line approach for the prevention and initial management of OA. This systematic review assessed the effectiveness of home-based exercises (HBEs) compared to supervised exercises in alleviating pain and reducing disability among patients with knee OA. Methods: A systematic search of PubMed, Cochrane Library, and ScienceDirect identified randomized controlled trials (RCTs) published between January 2001 and October 2024. Methodological quality was evaluated using the Physiotherapy Evidence Database (PEDro) scale, and a meta-analysis was conducted to quantify the efficacy of these interventions. Results: Ten RCTs involving 917 patients were included, ranging in moderate to high methodological quality (PEDro score: 6.3 +/- 1.2). Intervention durations ranged from 4 to 12 weeks. Both supervised and HBEs were found to be effective, but supervised exercises demonstrated statistically significant improvements in pain (SMD = -0.45 [95% CI -0.79; -0.11], p = 0.015) and disability (SMD = -0.28 [95% CI -0.42; -0.14], p < 0.001) compared to HBEs. Conclusions: Despite the superiority of supervised exercises over HBEs, considering the cost-effectiveness and ease of implementation of HBEs, we developed recommendations to create a hybrid rehabilitation program that combines both approaches to maximize clinical outcomes.
Notes: Mapinduzi, J (corresponding author), Univ Hasselt, Fac Rehabil Sci, REVAL Rehabil Res Ctr, B-3590 Diepenbeek, Belgium.; Mapinduzi, J (corresponding author), Inst Natl Sante Publ INSP, Dept Sci Clin, TechnoRehab Lab, Filiere Kinesitherapie & Readaptat, Bujumbura 6807, Burundi.; Mapinduzi, J (corresponding author), Cabinet Kinesitherapie & Appareillage Orthoped CKA, Bujumbura 6807, Burundi.; Mapinduzi, J (corresponding author), Univ Hasselt, Data Sci Inst, Technol Supported & Data Driven Rehabil, B-3590 Diepenbeek, Belgium.
jean.mapinduzi@uhasselt.be; ndacayisaba199065@gmail.com;
oyene.kossi@gmail.com; mahutchegnon@gmail.com;
bruno.bonnechere@uhasselt.be
Keywords: knee osteoarthritis;supervised exercises;home-based exercises;meta-analysis;rehabilitation
Document URI: http://hdl.handle.net/1942/45334
e-ISSN: 2077-0383
DOI: 10.3390/jcm14020525
ISI #: 001405878800001
Rights: 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/ licenses/by/4.0/).
Category: A1
Type: Journal Contribution
Appears in Collections:Research publications

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