OBJECTIVE: This study aimed to compare the effectiveness of telerehabilitation to traditional face- to-face physical therapy for patients with degenerative meniscal tears in Shanghai, China. DESIGN: A two-arm, single-blinded, randomized controlled trial was conducted across two hospitals in Shanghai, China SUBJECTS/PATIENTS: Participants with clinically diagnosed degenerative meniscal tears were randomly assigned to either the telerehabilitation group or the face-to-face physical therapy group. METHODS: Both groups underwent a 12-week intervention. Participants in telerehabilitation group used a digital platform for remote physical therapy, while participants in physical therapy group received traditional clinic-based rehabilitation. A predefined non-inferiority margin of 10 points on the Knee Injury and Osteoarthritis Outcome Score (KOOS) was applied to determine clinical equivalence between the interventions. RESULTS: Both groups demonstrated significant improvements in knee function and quality of life, with no significant differences in the KOOS, SF-36, or functional tests at any time point (p > 0.05). Both groups had high adherence rates, with no significant differences in exercise completion or satisfaction scores. The TELE group had a significantly lower total cost compared to the PT group (p < 0.001), demonstrating greater cost-effectiveness. CONCLUSION: Telerehabilitation was found to be clinically non-inferior to face-to-face physical therapy for improving knee function, pain, and quality of life in patients with degenerative meniscal tears. It offered significant cost savings, making it a cost-effective alternative to traditional in-person rehabilitation.

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