{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T03:59:38Z","timestamp":1780459178064,"version":"3.54.1"},"reference-count":57,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T00:00:00Z","timestamp":1705536000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"MOTUS"},{"DOI":"10.13039\/501100010067","name":"Gobierno de Arag\u00f3n","doi-asserted-by":"publisher","award":["B60_23D"],"award-info":[{"award-number":["B60_23D"]}],"id":[{"id":"10.13039\/501100010067","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>This study aimed to synthesize the evidence from randomized clinical trials in people with nontraumatic degenerative meniscal pathology by comparing physical therapist interventions versus or combined with arthroscopic partial meniscectomy (APM).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Seven electronic databases were searched. Methodological quality was evaluated using the Physiotherapy Evidence Database scale. Data synthesis was performed with random-effects network meta-analysis, and results were summarized using the standardized mean differences.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>From 2103 studies, 10 randomized clinical trials comprising 1411 individuals were included. Ninety percent of the selected randomized clinical trials were classified as good quality according to the Physiotherapy Evidence Database scale. All interventions (physical therapist interventions, APM, and APM plus physical therapist interventions) showed reduced pain and physical impairments at 3-month follow-up. However, when a physical therapist intervention was included, greater reductions in pain at rest (APM vs physical therapist interventions: 0.73 [95% CI\u2009=\u20090.20 to 1.26]; APM vs APM plus physical therapist interventions: 0.59 [95% CI\u2009=\u20090.15 to 1.03]) and greater increases in the strength of knee extensor muscles (APM vs physical therapist interventions: 0.44 [95% CI\u2009=\u20090.07 to 0.80]; APM vs APM plus physical therapist interventions: 0.73 [95% CI\u2009=\u20090.29 to 1.16]) were observed at 3\u00a0months. By contrast, no differences were found between treatments beyond 3\u00a0months.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Physical therapist interventions based on exercise programs demonstrate superior short-term outcomes in pain reduction and knee extensor strength compared to surgical treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Impact<\/jats:title>\n                  <jats:p>For nontraumatic degenerative meniscal pathology, conservative treatment utilizing a physical therapist intervention approach should be prioritized as the first choice over surgical treatment. It offers comparable or superior short-term pain reduction and strength improvements, with a lower risk of side effects. In cases where surgery is deemed necessary, including postsurgical, physical therapist interventions are highly recommended to enhance muscle strength and alleviate pain.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ptj\/pzae007","type":"journal-article","created":{"date-parts":[[2024,1,20]],"date-time":"2024-01-20T05:48:15Z","timestamp":1705729695000},"source":"Crossref","is-referenced-by-count":6,"title":["Physical Therapist Interventions Versus or Combined With Surgical Treatment in Nontraumatic Degenerative Meniscal Pathology: A Systematic Review and Network Meta-Analysis"],"prefix":"10.1093","volume":"104","author":[{"given":"Daniel","family":"Solsona-Carcas","sequence":"first","affiliation":[{"name":"Universidad San Jorge, Campus Universitario , Autov\u00eda Mud\u00e9jar, Villanueva de G\u00e1llego, Zaragoza , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Trenado-Molina","sequence":"additional","affiliation":[{"name":"Universidad San Jorge, Campus Universitario , Autov\u00eda Mud\u00e9jar, Villanueva de G\u00e1llego, Zaragoza , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Almudena","family":"Buesa-Est\u00e9llez","sequence":"additional","affiliation":[{"name":"Universidad San Jorge, Campus Universitario , Autov\u00eda Mud\u00e9jar, Villanueva de G\u00e1llego, Zaragoza , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Pilar","family":"L\u00f3pez-Royo","sequence":"additional","affiliation":[{"name":"Universidad San Jorge, Campus Universitario , Autov\u00eda Mud\u00e9jar, Villanueva de G\u00e1llego, Zaragoza , Spain"},{"name":"CIBERER-CB06\/07\/1036: Translational Research Unit, Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n (IIS Arag\u00f3n) , Zaragoza , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4750-9077","authenticated-orcid":false,"given":"Pablo","family":"Bellosta-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Universidad San Jorge, Campus Universitario , Autov\u00eda Mud\u00e9jar, Villanueva de G\u00e1llego, Zaragoza , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,1,18]]},"reference":[{"key":"2024043011545536500_ref1","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1080\/17453674.2018.1447281","article-title":"Patient-reported symptoms and changes up to 1 year after meniscal surgery","volume":"89","author":"Skou","year":"2018","journal-title":"Acta Orthop"},{"key":"2024043011545536500_ref2","doi-asserted-by":"crossref","first-page":"597","DOI":"10.5312\/wjo.v5.i5.597","article-title":"Degenerative meniscus: pathogenesis, diagnosis, and treatment options","volume":"5","author":"Howell","year":"2014","journal-title":"World J Orthop"},{"key":"2024043011545536500_ref3","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.diii.2017.12.005","article-title":"Magnetic resonance imaging (MRI) of the knee: identification of difficult-to-diagnose meniscal lesions","volume":"99","author":"Lecouvet","year":"2018","journal-title":"Diagn Interv Imaging"},{"key":"2024043011545536500_ref4","doi-asserted-by":"crossref","first-page":"S237","DOI":"10.1016\/j.otsr.2017.08.003","article-title":"Management of traumatic meniscal tear and degenerative meniscal lesions. 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