QAnon is a far-right conspiracy theory that has implications in the real world, with supporters of the theory participating in real-world violent acts like the US capitol attack in 2021. At the same time, the QAnon theory started evolving into a global phenomenon by attracting followers across the globe and, in particular, in Europe, hence it is imperative to understand how QAnon has become a worldwide phenomenon and how this dissemination has been happening in the online space. This paper performs a large-scale data analysis of QAnon through Telegram by collecting 4.4M messages posted in 161 QAnon groups/channels. Using Google’s Perspective API, we analyze the toxicity of QAnon content across languages and over time. Also, using a BERT-based topic modeling approach, we analyze the QAnon discourse across multiple languages. Among other things, we find that the German language is prevalent in our QAnon dataset, even overshadowing English after 2020. Also, we find that content posted in German and Portuguese tends to be more toxic compared to English. Our topic modeling indicates that QAnon supporters discuss various topics of interest within far-right movements, including world politics, conspiracy theories, COVID-19, and the anti-vaccination movement. Taken all together, we perform the first multilingual study on QAnon through Telegram and paint a nuanced overview of the globalization of QAnon.

Knee osteoarthritis (KOA) is a growing health challenge with increasing prevalence. Early diagnosis and effective interventions are crucial to the management of KOA individuals. Vibration therapy has shown promise as an intervention for KOA. Systemic vibratory therapy (SVT) and local vibratory therapy (LVT) have gained interest in recent years. In these therapies, mechanical vibrations are transmitted to the body either systemically or locally. The current systematic review aims to comprehensively summarize SVT and LVT effects on the functional capacity of KOA individuals. Searches in PubMed, Web of Science, Scopus, PEDro, and EMBASE on 3 July 2024, including only randomized controlled trials, were performed. The data collected were participant characteristics, vibrating devices, intervention duration, and main findings. Risk of bias (RoB) was assessed with Cochrane tools, and methodological quality (MQ) was assessed via the Physiotherapy Evidence Database. Nine papers were selected from 922 articles: five on SVT and four on LVT, involving 352 individuals aged 40–80. SVT studies reported acute or chronic responses like increased muscle strength and improved functional capacity. LVT studies also indicated functional capacity improvements. RoB was classified as ‘high’ in three SVT studies and ‘low’ in two LVT studies. MQ was classified as ‘high’ in five SVT studies and one LVT study. Both SVT and LVT studies reported improvements in muscle strength, range of motion, and functional capacity. The current review revealed beneficial effects of both therapies on the functional capacity of KOA individuals. However, further well-designed studies are needed to reach definitive conclusions about the effect of SVT and LVT for KOA individuals.