Evidence map›Paper›PMID 24508937›Full record

SynthesisAmerican journal of physical medicine & rehabilitation2014

Predicting functional performance and range of motion outcomes after total knee arthroplasty.

Michael J Bade, John M Kittelson, Wendy M Kohrt, Jennifer E Stevens-Lapsley

Registry-linked trialAbstract readMeta-Analysis
In one paragraph

Synthesis in American journal of physical medicine & rehabilitation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02516280 (Effects of Hyperbaric Gaseous Cryotherapy on Knee Flexion Range of Motion in the First Two Days After Total Knee Arthroplasty), which is not on this map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 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.

NCT02516280 nacompletednot on this map

Effects of Hyperbaric Gaseous Cryotherapy on Knee Flexion Range of Motion in the First Two Days After Total Knee Arthroplasty: A Feasibility Randomized Controlled Trial

TypeinterventionalSponsorCentre Hospitalier de VerdunRan2012 to 2012Enrolled65ConditionsOsteoarthritis, KneeArmsCryoton ™, Control ice bag
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Michael J BadeFrom the Rueckert-Hartman College for Health Professions, School of Physical Therapy, Regis University, Denver, Colorado (MJB); Department of Biostatistics & Informatics, University of Colorado Anschutz Medical Campus, Colorado School of Public Health, Aurora, CO (JMK); and Department of Geriatrics (WMK) and Department of Physical Medicine and Rehabilitation (JES-L), University of Colorado Anschutz Medical Campus, School of Medicine.
John M Kittelson
Wendy M Kohrt
Jennifer E Stevens-Lapsley

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
University of Colorado Aging Training GrantT32AG000279 · NIA · UNIVERSITY OF COLORADO DENVER · PI Kerrie Moreau · 2001 to 2026
$10.1M
Early NMES to Improve Quadriceps Muscle Function After Total Knee ArthroplastyK23AG029978 · NIA · UNIVERSITY OF COLORADO DENVER · PI STEVENS-LAPSLEY, JENNIFER E. · 2008 to 2012
$713k
Functional Outcomes Following Minimally Invasive Total Knee ArthroplastyR03AR054538 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI STEVENS-LAPSLEY, JENNIFER E. · 2008 to 2010
$231k
NCATS NIH HHS UL1 TR001082NCRR NIH HHS UL1 RR025780NIAMS NIH HHS R03 AR054538NIA NIH HHS K23 AG029978NIA NIH HHS T32 AG000279NIA NIH HHS T32 AG00279
6 · The paper itself

Abstract

objectiveThe aim of this study was to assess the predictive value of functional performance and range of motion measures on outcomes after total knee arthroplasty.

designThis is a secondary analysis of two pooled prospective randomized controlled trials. Sixty-four subjects (32 men and 32 women) with end-stage knee osteoarthritis scheduled to undergo primary total knee arthroplasty were enrolled. Active knee flexion and extension range of motion, Timed Up and Go (TUG) test time, and 6-min walk test distance were assessed.

resultsPreoperative measures of knee flexion and extension were predictive of long-term flexion (β = 0.44, P < 0.001) and extension (β = 0.46, P < 0.001). Acute measures of knee flexion and extension were not predictive of long-term flexion (β = 0.09, P = 0.26) or extension (β = 0.04, P = 0.76). Preoperative TUG performance was predictive of long-term 6-min walk performance (β = -21, P < 0.001). Acute TUG performance was predictive of long-term functional performance on the 6-min walk test, after adjusting for the effects of sex and age (P = 0.02); however, once adjusted for preoperative TUG performance, acute TUG was no longer related to long-term 6-min walk performance (P = 0.65).

conclusionsAcute postoperative measures of knee range of motion are of limited prognostic value, although preoperative measures have some prognostic value. However, acute measures of functional performance are of useful prognostic value, especially when preoperative functional performance data are unavailable.

Indexed as

Arthroplasty, Replacement, KneePatient Outcome AssessmentAgedAged, 80 and overArthrometry, ArticularExercise TestFemaleHumansKnee JointMaleMiddle AgedOsteoarthritis, KneePostoperative PeriodPreoperative PeriodPrognosisProspective Studies

Identifiers

PMID24508937
PMCPMC4350663

What OpenQuestion holds

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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.