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September 5, 2026British Journal of Sports MedicineOpen Access

Digital therapeutic combining exercise and cognitive–behavioural therapy reduces pain in patients with chronic patellofemoral pain: a multicentre randomised controlled trial

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Authors

JPJae‐Young ParkSLSanghee LeeJKJong-Min Kim

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Overview

Randomized trial demonstrates that a digital therapeutic combining exercise and cognitive behavioral therapy reduces knee pain in chronic patellofemoral pain, indicating its efficacy for care.

Key Points

  • To evaluate whether an 8-week smartphone-based digital therapeutic combining exercise and cognitive–behavioural therapy reduces usual knee pain compared to education and exercise instruction in patients with chronic patellofemoral pain.
  • Multicentre, parallel-group randomized controlled trial conducted across 10 hospital outpatient clinics in the Republic of Korea involving 216 participants with chronic patellofemoral pain lasting at least 3 months (NCT06260865).
  • Participants were randomly assigned to the MORA Cure PFP digital therapeutic (personalized home exercises, weekly cognitive–behavioral therapy sessions, and daily worksheets) or an active control group (standard education, one-time exercise instruction, printed materials, and exercise diaries).
  • Assessed outcomes at baseline, 4, 8, and 12 weeks, with the primary endpoint of usual pain at 8 weeks measured on a 0–100 mm visual analogue scale (VAS) and analyzed via linear mixed-effects models.
  • For the primary endpoint at week 8, usual pain significantly favored the digital therapeutic group (between-group mean difference −12.5 mm, 95% CI −17.1 to −7.8).
  • Secondary outcomes at week 8 favored the digital therapeutic, including worst pain (mean difference −10.7 mm, 95% CI −15.9 to −5.4), knee function on the Anterior Knee Pain Scale (5.2 points, 95% CI 2.7 to 7.7), and health-related quality of life on the EQ VAS (10.7 points, 95% CI 7.1 to 14.4).
  • Pain catastrophizing also significantly improved (PCS, −1.8 points, 95% CI −3.3 to −0.3), exercise adherence exceeded 80%, and no intervention-related serious adverse events were observed.

Cite This Study

Park et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4046b95aff0620eb522https://doi.org/10.1136/bjsports-2025-110863
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