Evidence map›Paper›PMID 26594649›Full record

ArticleInternational journal of physical medicine & rehabilitation

Variations in Delivery and Exercise Content of Physical Therapy Rehabilitation Following Total Knee Replacement Surgery: A Cross-Sectional Observation Study.

Carol A Oatis, Wenjun Li, Jessica M DiRusso, Mindy J Hoover, Katherine K Johnston, Monika K Butz, Amy L Phillips, Kimberly M Nanovic, Elizabeth C Cummings, Milagros C Rosal and 2 more

2 registry-linked trialsOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of physical medicine & rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% 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.

NCT03120052 completednot on this map

Defining Components of Physical Therapy Achieving Maximum Function After Total Knee Replacement

TypeobservationalSponsorUniversity of Massachusetts, WorcesterRan2018 to 2020Enrolled161ConditionsKnee Osteoarthritis, Knee Replacement
NCT03227120 nacompletednot on this map

The Effects of Prehabilitative Exercise on Functional Recovery Following Total Knee Arthroplasty

TypeinterventionalSponsorCarilion ClinicRan2017 to 2020Enrolled60ConditionsArthroplasty, Osteoarthritis, KneeArmsPrehabilitation exercise
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  13. Patient Demographic and Socioeconomic Factors Associated With Physical Therapy Utilization After Uncomplicated Meniscectomy.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022
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  18. Step descent strategy is altered bilaterally despite unilateral muscle strength impairment after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
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  20. Observational
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

12 authors at 1 institution in 1 country.

Carol A OatisDepartment of Physical Therapy, Arcadia University, 450 S. Easton Road, Glenside, PA 19038, USA.
Wenjun LiDepartment of Orthopedics and Physical Rehabilitation, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA ; Department of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Jessica M DiRussoThe Queens Medical Center, 1301 Punchbowl St, Honolulu, HI 96813, USA.
Mindy J HooverThe Physical Therapy Associates of Myerstown, 11 E Lincoln Ave, Myerstown, PA 17067, USA.
Katherine K JohnstonSports and More Physical Therapy, Inc., 8300 Health Park, Suite 127, Raleigh, NC 27615, USA.
Monika K ButzDrayer PT Institute, 998 Hospitality Way, Aberdeen, MD 21001, USA.
Amy L PhillipsUPMC Shadyside, 5230 Centre Ave, Pittsburgh, PA 15232, USA.
Kimberly M NanovicSt. Luke's University Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA.
Elizabeth C CummingsHealthEast Optimum Rehabilitation, Midway Clinic, 1390 University Avenue West Saint Paul, Minnesota 55104, USA.
Milagros C RosalDepartment of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
David C AyersDepartment of Orthopedics and Physical Rehabilitation, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Patricia D FranklinDepartment of Orthopedics and Physical Rehabilitation, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Arcadia University · US

Funding

Perioperative intervention to improve post-TKR support and functionR01AR054479 · NIAMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI FRANKLIN, PATRICIA D · 2007 to 2010
$1.7M
Defining Components of Physical Therapy Achieving Maximum Function after TKRR01AR071048 · NIAMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI FRANKLIN, PATRICIA D · 2017 to 2019
$673k
NIAMS NIH HHS R01 AR054479NIAMS NIH HHS R01 AR071048
6 · The paper itself

Abstract

objectivePrevalence of total knee replacement (TKR) is large and growing but functional outcomes are variable. Physical therapy (PT) is integral to functional recovery following TKR but little is known about the quantity or content of PT delivered. Purposes of this study were to describe the amount and exercise content of PT provided in the terminal episode of PT care following TKR and to examine factors associated with utilization and content.

methodsSubjects included participants in a clinical trial of behavioral interventions for patients undergoing primary unilateral TKR who had completed the 6-month study evaluation. PT records were requested from 142 consecutive participants who had completed their post-TKR rehabilitation, 102 in/out patient care, and 40 in homecare. Information on utilization and exercises was extracted from a retrospective review of the PT records.

resultsWe received 90 (88%) outpatient and 27 (68%) homecare PT records. Records showed variability in timing, amount and content of PT. Patients receiving outpatient PT had more visits and remained in PT longer (p<0.001). Exercises known in the TKR literature were utilized more frequently in the outpatient setting (p=0.001) than in home care. Records from both settings had limited documentation of strengthening progression.

conclusionsThe study reveals considerable variability in timing, utilization and exercise content of PT following TKR and suggests sub-optimal exercise for strengthening. While methods we employed document variability, improved systematic PT documentation and in-depth research are needed to identify optimal timing, utilization and content of PT following TKR.

Indexed as

Knee replacementPhysical therapyRehabilitationSurgery

Identifiers

PMID26594649
PMCPMC4651458
OpenAlexW2333421850

What OpenQuestion holds

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LicenceCC BY
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.