Evidence map›Paper›PMID 20191490›Full record

Trial reportArthritis care & research2010

A comparison of strength training, self-management, and the combination for early osteoarthritis of the knee.

Patrick E McKnight, Shelley Kasle, Scott Going, Isidro Villanueva, Michelle Cornett, Josh Farr, Jill Wright, Clara Streeter, Alex Zautra

Open access · bronzeAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Arthritis care & research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 8 pooled it
4.0field-weighted citation impact, top 7% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 8 syntheses or guidelines pooled it, 98 citations in OpenAlex.

  1. Pooled it
  2. Exercise for osteoarthritis of the knee.The Cochrane database of systematic reviews · 2024
    Pooled it
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  6. Exercise for osteoarthritis of the knee.The Cochrane database of systematic reviews · 2015
    Pooled it
  7. Self-management education programmes for osteoarthritis.The Cochrane database of systematic reviews · 2014
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Patrick E McKnightDepartment of Psychology, George Mason University, Fairfax, Virginia, USA. pmcknigh@gmu.edu
Shelley Kasle
Scott Going
Isidro Villanueva
Michelle Cornett
Josh Farr
Jill Wright
Clara Streeter
Alex Zautra
University of Arizona · USCatalina (United States) · USArizona State University · USBristol-Myers Squibb (Germany) · DEGeorge Mason University · US

Funding

Mutidimensional Intervention in Early OsteoarthritisR01AR047595 · NIAMS · UNIVERSITY OF ARIZONA · PI GOING, SCOTT B · 2003 to 2007
$2.4M
NIAMS NIH HHS R01 AR047595NIAMS NIH HHS R01-AR-047595
6 · The paper itself

Abstract

objectiveTo assess the relative effectiveness of combining self-management and strength training for improving functional outcomes in patients with early knee osteoarthritis.

methodsWe conducted a randomized intervention trial lasting 24 months at an academic medical center. Community-dwelling middle-aged adults (n = 273) ages 35-64 years with knee osteoarthritis, pain, and self-reported physical disability completed a strength training program, a self-management program, or a combined program. Outcomes included 5 physical function tests (leg press, range of motion, work capacity, balance, and stair climbing) and 2 self-reported measures of pain and disability.

resultsA total of 201 participants (73.6%) completed the 2-year trial. Overall, compliance was modest for the strength training (55.8%), self-management (69.1%), and combined (59.6%) programs. The 3 groups showed a significant and large increase from pre- to posttreatment in all of the physical functioning measures, including leg press (d = 0.85), range of motion (d = 1.00), work capacity (d = 0.60), balance (d = 0.59), and stair climbing (d = 0.59). Additionally, all 3 groups showed decreased self-reported pain (d = -0.51) and disability (d = -0.55). There were no significant differences among the groups.

conclusionMiddle-aged, sedentary persons with mild early knee osteoarthritis benefited from strength training, self-management, and the combination program. These results suggest that both strength training and self-management are suitable treatments for the early onset of knee osteoarthritis in middle-aged adults. Self-management alone may offer the least burdensome treatment for early osteoarthritis.

Indexed as

AdultCombined Modality TherapyDisease ManagementEarly DiagnosisFemaleHumansMaleMiddle AgedOsteoarthritis, KneeResistance TrainingSelf Care

Identifiers

PMID20191490
PMCPMC2831227
OpenAlexW2080362455

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.