Evidence map›Paper›PMID 26700568›Full record

Trial reportTrials2015

The effects of a strength and neuromuscular exercise programme for the lower extremity on knee load, pain and function in obese children and adolescents: study protocol for a randomised controlled trial.

Brian Horsak, David Artner, Arnold Baca, Barbara Pobatschnig, Susanne Greber-Platzer, Stefan Nehrer, Barbara Wondrasch

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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.

NCT02545764 nacompletednot on this map

The Effects of a Strength and Neuromuscular Exercise Programme for the Lower Extremity on Knee Load, Pain and Function in Obese Children and Adolescents: a Randomised, Single-blinded Controlled Trial

TypeinterventionalSponsorSt. Pölten University of Applied SciencesRan2015Enrolled48ConditionsPediatric Obesity, Lower Extremity BiomechanicsArmsStrength and neuromuscular exercise programme
NCT05695482 nacompletednot on this mapstarted 2023, after this paper: background citation

Progressive Resistance Training Compared to Neuromuscular Exercises on Knee Kinematics in Two Functional Tests. Α Single-blinded Randomised Controlled Trial Protocol.

TypeinterventionalSponsorUniversity of ThessalyRan2023 to 2023Enrolled53ConditionsDynamic Knee Valgus, Injury PreventionArmsNeuromuscular training exercises, Hip abductors muscular strength exercises
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. 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

7 authors at 4 institutions in 1 country.

Brian HorsakDepartment of Physiotherapy, St. Pölten University of Applied Sciences, St. Pölten, Austria. brian.horsak@fhstp.ac.at.
David ArtnerDepartment of Physiotherapy, St. Pölten University of Applied Sciences, St. Pölten, Austria. david.artner@fhstp.ac.at.
Arnold BacaDepartment of Biomechanics, Kinesiology and Applied Computer Science, University of Vienna, Vienna, Austria. arnold.baca@univie.ac.at.
Barbara PobatschnigDepartment of Biomechanics, Kinesiology and Applied Computer Science, University of Vienna, Vienna, Austria. barbara.pobatschnig@univie.ac.at.
Susanne Greber-PlatzerDepartment of Paediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria. susanne.greber-platzer@meduniwien.ac.at.
Stefan NehrerCentre for Regenerative Medicine and Orthopaedics, Danube University Krems, Krems, Austria. stefan.nehrer@donau-uni.ac.at.
Barbara WondraschDepartment of Physiotherapy, St. Pölten University of Applied Sciences, St. Pölten, Austria. barbara.wondrasch@fhstp.ac.at.
University of Applied Sciences St Pölten · ATUniversity of Vienna · ATMedical University of Vienna · ATUniversität für Weiterbildung Krems · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood obesity is one of the most critical and accelerating health challenges throughout the world. It is a major risk factor for developing varus/valgus misalignments of the knee joint. The combination of misalignment at the knee and excess body mass may result in increased joint stresses and damage to articular cartilage. A training programme, which aims at developing a more neutral alignment of the trunk and lower limbs during movement tasks may be able to reduce knee loading during locomotion. Despite the large number of guidelines for muscle strength training and neuromuscular exercises that exist, most are not specifically designed to target the obese children and adolescent demographic. Therefore, the aim of this study is to evaluate a training programme which combines strength and neuromuscular exercises specifically designed to the needs and limitations of obese children and adolescents and analyse the effects of the training programme from a biomechanical and clinical point of view. METHODS/

designA single assessor-blinded, pre-test and post-test randomised controlled trial, with one control and one intervention group will be conducted with 48 boys and girls aged between 10 and 18 years. Intervention group participants will receive a 12-week neuromuscular and quadriceps/hip strength training programme. Three-dimensional (3D) gait analyses during level walking and stair climbing will be performed at baseline and follow-up sessions. The primary outcome parameters for this study will be the overall peak external frontal knee moment and impulse during walking. Secondary outcomes include the subscales of the Knee injury and Osteoarthritis Outcome Score (KOOS), frontal and sagittal kinematics and kinetics for the lower extremities during walking and stair climbing, ratings of change in knee-related well-being, pain and function and adherence to the training programme. In addition, the training programme will be evaulated from a clinical and health status perspective by including the following analyses: cardiopulmonary testing to quantify aerobic fitness effects, anthropometric measures, nutritional status and psychological status to characterise the study sample. DISCUSSION: The findings will help to determine whether a neuromuscular and strength training exercise programme for the obese children population can reduce joint loading during locomotion, and thereby decrease the possible risk of developing degenerative joint diseases later in adulthood.

trial registrationClinicalTrials NCT02545764 , Date of registration: 24 September 2015.

Indexed as

Muscle StrengthAdolescentAge FactorsArthralgiaAustriaBiomechanical PhenomenaChildClinical ProtocolsFemaleGaitHealth StatusHumansKnee JointMalePatient CompliancePediatric Obesity

Identifiers

PMID26700568
PMCPMC4690219
OpenAlexW2208967614

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.