{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:06:57Z","timestamp":1789996017379,"version":"4.0.1"},"reference-count":44,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100016308","name":"Bpifrance","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016308","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Rehabil. Sci."],"abstract":"<jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Physical activity and rehabilitation comprise the main elements of the non-pharmacological management of knee osteoarthritis (KOA). Compliance with home-based muscle-strengthening exercises is weak, thus diminishing the beneficial effects of the care process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>We aimed to explore changes in exercise adherence during the use of the ARTH-e application in individuals with KOA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>We conducted a prospective observational, open labelled, single-center study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 32 people with KOA, 26 completed the study (62.5% women). Most had unilateral femorotibial compartment involvement (Kellgren &amp;amp; Lawrence stage II or III) and led a sedentary lifestyle. The Exercice Adherence Rating Scale score decreased between 3 weeks and 3 months (effect size \u22120.41), with 69% of patients considered non-responders. The Knee injury and Osteoarthritis Outcome Score score decreased (effect size \u22120.62), while no significant changes were observed in pain measured by Numeric Rating Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Over the three-month follow-up, exercise adherence decreased, no significant changes were observed in pain, and functional scores changed over time. Given the observational design and absence of a control group, no conclusions can be drawn regarding the effectiveness of the application.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fresc.2026.1900991","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T12:22:32Z","timestamp":1789993352000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Changes in exercise adherence during use of an e-health application in individuals with knee osteoarthritis"],"prefix":"10.3389","volume":"7","author":[{"given":"Mathilde","family":"Pelletier-Visa","sequence":"first","affiliation":[{"name":"Service de M\u00e9decine Physique et de R\u00e9adaptation, Centre Hospitalier Universitaire de Clermont-Ferrand, INRAE, UNH","place":["Clermont-Ferrand, France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Jeannot","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine Physique et de R\u00e9adaptation, Centre Hospitalier Universitaire de Clermont-Ferrand, INRAE, UNH","place":["Clermont-Ferrand, France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Pereira","sequence":"additional","affiliation":[{"name":"Direction de la Recherche Clinique et de L\u2019Innovation, Secteur Biom\u00e9trie et M\u00e9dico-Economie, CHU Clermont-Ferrand","place":["Clermont-Ferrand, France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Coudeyre","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine Physique et de R\u00e9adaptation, Centre Hospitalier Universitaire de Clermont-Ferrand, INRAE, UNH","place":["Clermont-Ferrand, France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Lanhers","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine Physique et de R\u00e9adaptation, Centre Hospitalier Universitaire de Clermont-Ferrand, INRAE, UNH","place":["Clermont-Ferrand, France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"6405","DOI":"10.3390\/ijms24076405","article-title":"Knee osteoarthritis: epidemiology, pathogenesis, and mesenchymal stem cells: what else is new? 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