Evidence map›Paper›PMID 23016066›Full record

ArticleSports health2012

A theoretical framework for understanding neuromuscular response to lower extremity joint injury.

Brian G Pietrosimone, Michelle M McLeod, Adam S Lepley

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Sports health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04261049 (Effect of ZILRETTA Injection on Neuromuscular Function, Gait Biomechanics and Physical Performance), which is not on this map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 10% 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.

NCT04261049 phase1completednot on this mapstarted 2020, after this paper: background citation

Effect of ZILRETTA Injection on Neuromuscular Function, Gait Biomechanics and Physical Performance

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2020 to 2022Enrolled35ConditionsOsteoarthritis, KneeArmsTriamcinolone Acetonide Extended-Release Injectable Suspension
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 87 citations in OpenAlex.

  1. Pooled it
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  7. Muscle-specific ERRγ activation mitigates muscle atrophy after ACL injury.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
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  8. Neurophysiology of ACL Injury.Orthopedic reviews · 2025
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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

3 authors at 1 institution in 1 country.

Brian G PietrosimoneJoint Injury and Muscle Activation Laboratory, Department of Kinesiology, University of Toledo, Toledo, Ohio.
Michelle M McLeod
Adam S Lepley
University of Toledo · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeuromuscular alterations are common following lower extremity joint injury and often lead to decreased function and disability. These neuromuscular alterations manifest in inhibition or abnormal facilitation of the uninjured musculature surrounding an injured joint. Unfortunately, these neural alterations are poorly understood, which may affect clinical recognition and treatment of these injuries. Understanding how these neural alterations affect physical function may be important for proper clinical management of lower extremity joint injuries.

methodsPertinent articles focusing on neuromuscular consequences and treatment of knee and ankle injuries were collected from peer-reviewed sources available on the Web of Science and Medline databases from 1975 through 2010. A theoretical model to illustrate potential relationships between neural alterations and clinical impairments was constructed from the current literature.

resultsLower extremity joint injury affects upstream cortical and spinal reflexive excitability pathways as well as downstream muscle function and overall physical performance. Treatment targeting the central nervous system provides an alternate means of treating joint injury that may be effective for patients with neuromuscular alterations.

conclusionsDisability is common following joint injury. There is mounting evidence that alterations in the central nervous system may relate to clinical changes in biomechanics that may predispose patients to further injury, and novel clinical interventions that target neural alterations may improve therapeutic outcomes.

Indexed as

ankleinjurykneelower extremityneuromuscular

Identifiers

PMID23016066
PMCPMC3435894
OpenAlexW2048531506

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.