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

Key paper contributions cont. • Exercise was central to rehab, with strong patient commitment, yet other potential treatments were rarely discussed. • Findings highlight the need for person‑centred, holistic approaches that support understanding, agency, and active involvement. 3/3

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

Key contributions of the paper: • A rich account of how arthrofibrosis disrupts physical, psychological, and social functioning. • Many people described unclear or inconsistent communication after surgery, leaving major informational needs unmet. 2/3

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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)

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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.

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Joanne Stocks @joannestocks.com · 29/01/2026

I think people are also scared of the words sport and exercise, as they have bad memories of school PE lessons. We need to get people thinking about increasing physical activity in their lives, such as using stairs rather than lifts, and, as you said, being supported by public transport policies.

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Joanne Stocks @joannestocks.com · 29/01/2026

I also emphasised the importance of patient information. We found that exercise prescriptions and recommendations from healthcare professionals were the leading factors motivating patients to use exercise as a form of treatment for knee osteoarthritis. 3/3

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Joanne Stocks @joannestocks.com · 29/01/2026

I discussed our research involving patients with knee osteoarthritis. The fear of making their painful symptoms worse is a barrier to many individuals participating in exercise. In most cases, this is unwarranted, and exercise can be used as a beneficial form of medicine. 2/3

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Joanne Stocks @joannestocks.com · 29/01/2026

🩻The UK Parliament Health and Social Care Committee has published more written evidence submissions to the Healthy Ageing: physical activity in an ageing society inquiry, including mine: committees.parliament.uk/work/9230/he... 1/3 #ArthritisUK #Osteoarthritis #Pain

committees.parliament.uk

Healthy Ageing: physical activity in an ageing society - Written evidence - Committees - UK Parliament

Written evidence submission publications for Healthy Ageing: physical activity in an ageing society.

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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

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Joanne Stocks @joannestocks.com · 15/09/2025

Thanks to @uoaepi.bsky.social for hosting another great UK-RiME meeting in Aberdeen. An opportunity to network and learn more about the great musculoskeletal epidemiological research in the UK. Thanks also to @versusarthritis.bsky.social for their support to enable the annual event to continue.

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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.

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