iiinova — where your digital self keeps evolving

Joanne Stocks

@joannestocks.com

Posts Replies Media

Joanne Stocks @joannestocks.com · 11/03/2026

Delighted to share our new open‑access article in this month's Physiotherapy journal, on the lived experience of arthrofibrosis after total knee replacement. This study offers an in‑depth look at what patients actually go through and what needs to change. Read the paper doi.org/10.1016/j.ph... 1/3

An infographic titled 'Lived Experience of Arthrofibrosis After Total Knee Arthroplasty'. It has a blue background and four segments with the following content:1. An image of a man holding his head and the text 'Overwhelming impact on function significantly impaired social functioning, leading to adverse mental health outcomes.'2. An image of a doctor and the text 'Inconsistent post-TKA advice, especially on exercise; many unmet rehabilitation needs.'3. An image of a frustrated woman sitting by a laptop and the text 'Significant emotional effort to understand knee issues and find solutions and hope.'4. An image of two elderly people exercising and the text 'Strong commitment to post-op exercises integrated into routines, yet persistent challenges.'To the bottom is a QR code and the details of the publication. Moffatt et al. “My bloody leg” – The lived experience of arthrofibrosis after total knee arthroplasty Physiotherapy: Vol. 130 101862 (2026)

110

Joanne Stocks @joannestocks.com · 23/02/2026

Friday was a great day of networking with other cohort members from @cam.ac.uk's Professional and Continuing Education (PACE) Data Science with Machine Learning and AI course. Thanks to the panellists and lecturers who spoke with us, as well as all the enthusiastic course members who attended.

University of Cambridge's Data Science with Machine Learning & AI Career Accelerator learners standing on the grass in front of Madingley Hall.

000

Joanne Stocks @joannestocks.com · 12/11/2025

Excited to begin the Data Science with Machine Learning & AI Career Accelerator with University of Cambridge Professional and Continuing Education and FourthRev this week! Looking forward to exploring how AI and ML can drive innovation in healthcare and across industries. Learn more: bit.ly/447qRRw

011

Joanne Stocks @joannestocks.com · 03/04/2025

Non-surgical interventions for arthrofibrosis following knee joint replacement: A systematic review. Background and Objective.The review evaluates the effectiveness of non-surgical interventions for knee stiffness or arthrofibrosis after knee replacement surgery. Arthrofibrosis, a common complication, is characterized by excessive collagen production and scar tissue, restricting knee movement. Key Findings and Results. Sixteen studies were included, involving exercise, manual therapy, mechanical devices, and education. Improvements in knee range of motion were noted, though evidence quality was low. The review highlights the heterogeneity of interventions and the need for standardised reporting. There is insufficient evidence to support specific non-surgical interventions for arthrofibrosis post-arthroplasty. Conclusions and Recommendations.Non-surgical interventions may improve knee range of movement and function, and reduce the need for future surgeries following knee replacement, but the quality of the evidence is very low. Future research should prioritise standardised reporting, larger sample sizes, and adherence to core outcome sets to inform optimal non-surgical approaches for stiffness post-knee replacement. Narayanasamy, M. et al. Physiotherapy, Volume 126, 101741

000

Joanne Stocks @joannestocks.com · 24/03/2025

Our systematic review of non-surgical interventions for arthrofibrosis following knee joint replacement is now published in @clinicalrehab.bsky.social. We found insufficient evidence to support any specific non-surgical interventions for arthrofibrosis post-arthroplasty. 💻 doi.org/10.1177/0269...

Screenshot of abstract of systematic review in Clinical Rehabilitation Journal on Non-surgical Interventions For Arthrofibrosis Following Knee Joint Replacement led by Michelle Hall. Abstract
Objective
To evaluate the effectiveness of non-surgical interventions for knee stiffness or arthrofibrosis following knee replacement surgery.
Data sources
Ovid MEDLINE, Ovid Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and Cumulative Index to Nursing and Allied Health Literature (CINAHL)were searched from database inception to October 2024.
Review methods
All studies of non-surgical interventions (versus any/no comparator) for adults who developed knee stiffness or a diagnosis of arthrofibrosis following knee replacement were included. Selection, quality appraisal and extraction were completed in duplicate. Results were synthesised narratively. The risk of bias was assessed, and GRADE criteria were used to evaluate evidence quality.
Results
Sixteen studies were included, comprising two randomised-controlled trials (n = 76), one non-randomised controlled trial (n = 35), seven cohort studies (n = 352) and six case studies (n = seven). Interventions varied widely including exercise, manual therapy, mechanical devices, and education. Improvements in knee range of movement were reported with some demonstrating functional gains >110° of knee flexion, but the evidence was of low quality. Limited reporting of intervention descriptions, patient-relevant outcomes including function and pain, and longer-term follow-up hindered comprehensive evaluation.
Conclusion
The review highlights the heterogeneity of interventions, emphasising the need for standardised reporting. While some studies showed promise, the lack of control groups, small sample sizes, and varied follow-up durations limit conclusive findings. There is insufficient evidence to support any specific non-surgical interventions for arthrofibrosis post-arthroplasty. Further research should be a priority.

100

Joanne Stocks @joannestocks.com · 11/12/2024

Infographic summarising this paper Understanding Post-Traumatic Osteoarthritis in Combat-Injured Soldiers.
1. The ADVANCE study aims to explore long-term outcomes of combat injuries, focusing on the relationship between osteoarthritis biomarkers and knee radiographic OA in a high-risk demographic.
2. The study compares combat-injured participants with matched uninjured individuals regarding various biomarkers, knee health metrics, and functional assessments to analyze outcomes.
3. Results showed higher levels of cartilage oligomeric matrix protein (COMP) in combat-injured participants, with notable differences when comparing those with traumatic amputations versus non-amputees.
4.The study found that leptin levels were higher and adiponectin levels lower in participants experiencing knee pain, indicating a significant correlation with pain and painful radiographic OA.
5.The research highlights similarities in OA among all participants, regardless of trauma exposure, alongside important biomarkers related to injury patterns and pain indicators.
Osteoarthritis and Cartilage, Volume 32, Issue 12, 1636 - 1646

000