Video-based education is non-inferior to in-person education in patients undergoing arthroscopic partial meniscectomy: a non-inferiority randomized controlled trial.
Alessia Bertola, Damiana Cifoletti, Elena Pontieri and 4 others
PMID 42746536WHAT IT FOUND
Preoperative video education was as good as postoperative in-person teaching for pain confidence.
It also reduced fear of movement at six weeks. This allows therapists to shift education earlier, saving time without compromising recovery outcomes.
Key findings
01Video-based education was non-inferior to in-person education for pain self-efficacy at both two weeks and six weeks post-surgery.
02The video group showed significantly lower fear of movement scores compared to the in-person group at the six-week follow-up.
03Adherence to the home exercise program was similar between groups, with no significant difference in completion rates.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The study did not measure physical performance outcomes, so it cannot confirm if motor recovery or functional movement quality differed between groups. The control group was older and had longer symptom duration at baseline, though this was adjusted for in the analysis. The study could not determine whether the reduction in fear of movement was due to the timing (preoperative) or the modality (video) of the intervention. Exercise adherence was self-reported via diaries, which may be subject to recall bias.
Declared interests
The authors declare no financial or personal relationships that could inappropriately influence the work. No specific funding was received.
The easy way to misread this
Do not assume the video intervention caused the reduction in fear of movement. The study design cannot separate the effect of delivering education preoperatively from the effect of using a video format, as the control group received in-person education postoperatively.