Evidence map›Paper›PMID 17884861›Full record

SynthesisBMJ (Clinical research ed.)2007

Effectiveness of physiotherapy exercise after knee arthroplasty for osteoarthritis: systematic review and meta-analysis of randomised controlled trials.

Catherine J Minns Lowe, Karen L Barker, Michael Dewey, Catherine M Sackley

2 registry-linked trialsAbstract readEvaluation StudyMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ (Clinical research ed.), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 107 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02409719 nacompletednot on this mapstarted 2014, after this paper: background citation

Home Rehabilitation in Patients After Primary Total Knee Arthroplasty

TypeinterventionalSponsorUniversidad Autonoma de Nuevo LeonRan2014 to 2019Enrolled76ConditionsOsteoarthritis, RehabilitationArmsSchedule, Verbal Information and Booklet
NCT03120052 completednot on this mapstarted 2018, after this paper: background citation

Defining Components of Physical Therapy Achieving Maximum Function After Total Knee Replacement

TypeobservationalSponsorUniversity of Massachusetts, WorcesterRan2018 to 2020Enrolled161ConditionsKnee Osteoarthritis, Knee Replacement
3 · Its place in the literature

Who cites it

107 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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47 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Catherine J Minns LoweDepartment of Primary Care and General Practice, University of Birmingham. catherine.minnslowe@noc.anglox.nhs.uk
Karen L Barker
Michael Dewey
Catherine M Sackley

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of physiotherapy exercise after elective primary total knee arthroplasty in patients with osteoarthritis.

designSystematic review. DATA SOURCES: Database searches: AMED, CINAHL, Embase, King's Fund, Medline, Cochrane library (Cochrane reviews, Cochrane central register of controlled trials, DARE), PEDro, Department of Health national research register. Hand searches: Physiotherapy, Physical Therapy, Journal of Bone and Joint Surgery (Britain) Conference Proceedings. Review methods Randomised controlled trials were reviewed if they included a physiotherapy exercise intervention compared with usual or standard physiotherapy care, or compared two types of exercise physiotherapy interventions meeting the review criteria, after discharge from hospital after elective primary total knee arthroplasty for osteoarthritis. OUTCOME MEASURES: Functional activities of daily living, walking, quality of life, muscle strength, and range of motion in the knee joint. Trial quality was extensively evaluated. Narrative synthesis plus meta-analyses with fixed effect models, weighted mean differences, standardised effect sizes, and tests for heterogeneity.

resultsSix trials were identified, five of which were suitable for inclusion in meta-analyses. There was a small to moderate standardised effect size (0.33, 95% confidence interval 0.07 to 0.58) in favour of functional exercise for function three to four months postoperatively. There were also small to moderate weighted mean differences of 2.9 (0.61 to 5.2) for range of joint motion and 1.66 (-1 to 4.3) for quality of life in favour of functional exercise three to four months postoperatively. Benefits of treatment were no longer evident at one year.

conclusionsInterventions including physiotherapy functional exercises after discharge result in short term benefit after elective primary total knee arthroplasty. Effect sizes are small to moderate, with no long term benefit.

Indexed as

Knee JointArthralgiaArthroplasty, Replacement, KneeExercise TherapyHumansOsteoarthritis, KneeRandomized Controlled Trials as TopicRecovery of Function

Identifiers

PMID17884861
PMCPMC2034713

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.