Evidence map›Paper›PMID 26768606›Full record

Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017

High-intensity preoperative training improves physical and functional recovery in the early post-operative periods after total knee arthroplasty: a randomized controlled trial.

Joaquin Calatayud, Jose Casaña, Yasmin Ezzatvar, Markus D Jakobsen, Emil Sundstrup, Lars L Andersen

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03227120 (The Effects of Prehabilitative Exercise on Functional Recovery Following Total Knee Arthroplasty), which is not on this map. Cited by 91 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 14 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.

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

91 citing papers in PubMed, 14 syntheses or guidelines pooled it.

  1. Guideline
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  3. [Prehabilitation before total knee arthroplasty].Orthopadie (Heidelberg, Germany) · 2024
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  11. Guideline
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  20. Preoperative high-intensity strength training improves postural control after TKA: randomized-controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
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31 more citing papers are in PubMed but not listed here.

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

6 authors.

Joaquin CalatayudPrevention Health Exercise and Sport Research Group, Department of Physical Education and Sports, University of Valencia, Valencia, Spain. ximo86@hotmail.com.
Jose CasañaPrevention Health Exercise and Sport Research Group, Department of Physical Education and Sports, University of Valencia, Valencia, Spain.
Yasmin EzzatvarPrevention Health Exercise and Sport Research Group, Department of Physical Education and Sports, University of Valencia, Valencia, Spain.
Markus D JakobsenMuscle Physiology and Biomechanics Research Unit, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
Emil SundstrupMuscle Physiology and Biomechanics Research Unit, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
Lars L AndersenNational Research Centre for the Working Environment, Lersø Parkalle 105, 2100, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe benefits of preoperative training programmes compared with alternative treatment are unclear. The purpose of this study was to evaluate the effectiveness of a high-intensity preoperative resistance training programme in patients waiting for total knee arthroplasty (TKA).

methodsForty-four subjects (7 men, 37 women) scheduled for unilateral TKA for osteoarthritis (OA) during 2014 participated in this randomized controlled trial. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Physical Functioning Scale of the Short Form-36 questionnaire (SF-36), a 10-cm visual analogue scale (VAS), isometric knee flexion, isometric knee extension, isometric hip abduction, active knee range of motion and functional tasks (Timed Up and Go test and Stair ascent-descent test) were assessed at 8 weeks before surgery (T1), after 8 weeks of training (T2), 1 month after TKA (T3) and finally 3 months after TKA (T4). The intervention group completed an 8-week training programme 3 days per week prior to surgery.

resultsIsometric knee flexion, isometric hip abduction, VAS, WOMAC, ROM extension and flexion and all the functional assessments were greater for the intervention group at T2, T3 and T4, whereas isometric knee extension was greater for this group at T2 and T4 compared with control.

conclusionThe present study supports the use of preoperative training in end-stage OA patients to improve early postoperative outcomes. High-intensity strength training during the preoperative period reduces pain and improves lower limb muscle strength, ROM and functional task performance before surgery, resulting in a reduced length of stay at the hospital and a faster physical and functional recovery after TKA. The present training programme can be used by specialists to speed up recovery after TKA. LEVEL OF EVIDENCE: I.

Indexed as

Preoperative PeriodRecovery of FunctionAgedArthroplasty, Replacement, KneeFemaleHumansMaleMiddle AgedOsteoarthritis, KneeOutcome Assessment, Health CarePain MeasurementPhysical Therapy ModalitiesRange of Motion, ArticularResistance TrainingSurveys and QuestionnairesAgeingKneeOsteoarthritisPrehabilitationResistance trainingStrength training

Identifiers

PMID26768606

What OpenQuestion holds

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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.