Evidence map›Paper›PMID 23160309›Full record

Trial reportThe Journal of orthopaedic and sports physical therapy2013

Single-step test for unilateral limb ability following total knee arthroplasty.

Adam Rubin Marmon, Jodie A McClelland, Jennifer Stevens-Lapsley, Lynn Snyder-Mackler

Abstract readRandomized Controlled TrialValidation Study
In one paragraph

Trial report in The Journal of orthopaedic and sports physical therapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Adam Rubin MarmonUniversity of Delaware, Newark, DE, USA. marmon@udel.edu
Jodie A McClelland
Jennifer Stevens-Lapsley
Lynn Snyder-Mackler
University of Delaware · US

Funding

VALGUS BRACING FOR MEDIAL LAXITY IN PATIENTS WITH OSTEOARTHRITISP20RR016458 · NCRR · UNIVERSITY OF DELAWARE · PI HIGGINSON, JILL S · 2002 to 2011
$18.9M
NMES for Older Individuals After Total Knee ArthroplastyR01HD041055 · NICHD · UNIVERSITY OF DELAWARE · PI SNYDER-MACKLER, LYNN · 2002 to 2006
$1.4M
NCRR NIH HHS P20 RR016458NCRR NIH HHS P20RR016458NICHD NIH HHS R01 HD041055NICHD NIH HHS R01-HD041055
6 · The paper itself

Abstract

STUDY

designSecondary analysis of a cohort enrolled in a prospective, randomized, longitudinal clinical trial.

objectivesThe single-step test (SST) was evaluated to assess its intertester reliability, validity as a test of activity limitation, and responsiveness to change for patients after unilateral total knee arthroplasty (TKA). The SST was also examined to determine whether it could differentiate between the surgical and nonsurgical lower limbs of patients after unilateral TKA and between the surgical limbs of patients after TKA and the limbs of healthy controls.

backgroundTests of functional ability for patients recovering from TKA cannot differentiate the contribution of each limb to performance outcome. A test of unilateral limb ability would provide a metric for assessing the surgical lower extremity, without the confounder of the status of the contralateral lower extremity.

methodsIntertester reliability was assessed between clinicians and between a clinician and a switch mat. Patients who underwent unilateral TKA were tested at initial outpatient physical therapy evaluation, at 3 months after TKA, and at 1 year after TKA.

resultsThe assessment of function with the SST was determined to be reliable between testers when using a stopwatch. SST times were significantly correlated with other measures of lower extremity functional performance, providing evidence of its validity in patients after TKA. The SST was responsive to treatment in patients after TKA, with improvements in time for test completion. Performance on the SST also differed between limbs of patients after TKA and when comparing the limbs of healthy controls to those of patients after TKA.

conclusionThe SST is a reliable measure between testers and a valid and responsive test of activity limitations when assessing unilateral lower extremity impairments in patients after TKA.

Indexed as

Exercise TestAgedArthroplasty, Replacement, KneeFemaleHumansMaleMiddle AgedProspective StudiesRange of Motion, ArticularRecovery of FunctionReproducibility of ResultsTreatment Outcome

Identifiers

PMID23160309
PMCPMC4096695
OpenAlexW2003661179

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.