Evidence map›Paper›PMID 21514018›Full record

ArticleClinical biomechanics (Bristol, Avon)2011

Effects of progressive resistance strength training on knee biomechanics during single leg step-up in persons with mild knee osteoarthritis.

Kevin James McQuade, Anamaria Siriani de Oliveira

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Clinical biomechanics (Bristol, Avon), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02798900 (The Effect of a Functional Task-training Program Combined With Therapeutic Ultrasound on Pain, Strength, Gait Biomechanics and Functionality in Adults With Hip Osteoarthritis), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% 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.

NCT02798900 nawithdrawnnot on this mapstarted 2017, after this paper: background citation

The Effect of a Functional Task-training Program Combined With Therapeutic Ultrasound on Pain, Strength, Gait Biomechanics and Functionality in Adults With Hip Osteoarthritis

TypeinterventionalSponsorUniversidad del RosarioRan2017 to 2018Enrolled0ConditionsOsteoarthritis, HipArmsFunctional task-training, Therapeutic Ultrasound
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Exercise for osteoarthritis of the knee.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Exercise for osteoarthritis of the knee.The Cochrane database of systematic reviews · 2015
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Reduced Muscle Strength Can Alter the Impact of Gait Modifications on Knee Cartilage Mechanics.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Current interventions in the management of knee osteoarthritis.Journal of pharmacy & bioallied sciences · 2013
    Article
  19. Resistance exercise for knee osteoarthritis.PM & R : the journal of injury, function, and rehabilitation · 2012
    Review
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

2 authors at 2 institutions in 2 countries.

Kevin James McQuadeDepartment of Rehabilitation Medicine, Physical Therapy Program, University of Washington, Seattle, WA, USA. kmcquade@u.washington.edu
Anamaria Siriani de Oliveira
Universidade de São Paulo · BRUniversity of Washington Medical Center · US

Funding

Biomechanical Adaptations to Strength Training OAR03HD043258 · NICHD · UNIVERSITY OF WASHINGTON · PI MCQUADE, KEVIN J · 2004 to 2005
$152k
NICHD NIH HHS R03 HD043258PHS HHS R03 PROJECT #04-3978-E/A 04
6 · The paper itself

Abstract

backgroundThe goal of this study was to determine if increasing strength in primary knee extensors and flexors would directly affect net knee joint moments during a common functional task in persons with knee osteoarthritis.

methodsAn exploratory single sample clinical trial with pre-post treatment measures was used to study volunteers with clinical diagnosis of mild knee osteoarthritis (OA) in one knee. Subjects participated in an individually supervised training program 3 times a week for eight weeks consisting of progressive resistive exercises for knee extensors and knee flexors. Pre and post training outcome assessments included: 1. Net internal knee joint moments, 2. Electromyography of primary knee extensors and flexors, and 3. Self-report measures of knee pain and function. The distribution of lower extremity joint moments as a percent of the total support moment was also investigated.

findingsPain, symptoms, activities of daily life, quality of life, stiffness, and function scores showed significant improvement following strength training. Knee internal valgus and hip internal rotation moments showed increasing but non-statistically significant changes post-training. There were no significant differences in muscle co-contraction activation of the Quadriceps and Hamstrings.

interpretationWhile exercise continues to be an important element of OA management, the results of this study suggest improvements in function, pain, and other symptoms, as a result of strength training may not be causally related to specific biomechanical changes in net joint moments.

Indexed as

Muscle ContractionRange of Motion, ArticularAdultFemaleHumansKnee JointMaleMiddle AgedMuscle, SkeletalOsteoarthritis, KneeResistance TrainingTorqueTreatment Outcome

Identifiers

PMID21514018
PMCPMC3138879
OpenAlexW2130750251

What OpenQuestion holds

Textmetadata
LicenceTDM
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.