Evidence map›Paper›PMID 27761627›Full record

SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017

The effect of total knee arthroplasty on patients' balance and incidence of falls: a systematic review.

M Moutzouri, N Gleeson, E Billis, E Tsepis, I Panoutsopoulou, J Gliatis

Registry-linked trialAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis 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 NCT05570201 (Effects of Planned Training and Music Listened to Before a Cesarean Section on Surgical Fear, Anxiety and Depression), which is not on this map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 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.

NCT05570201 nacompletednot on this mapstarted 2019, after this paper: background citation

Effects of Planned Training and Music Listened to Before a Cesarean Section on Surgical Fear, Anxiety and Depression

TypeinterventionalSponsorCumhuriyet UniversityRan2019 to 2020Enrolled120ConditionsCesarean SectionArmsControl group
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  8. 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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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.

M MoutzouriDepartment of Physiotherapy, Branch Department of Aigion, Technological Educational Institute (TEI) of Western Greece, Psaron 6, 25100, Aigion, Greece. moutzouri_marie@yahoo.com.
N GleesonSchool of Health Sciences, Queen Margaret University, Musselburgh, UK.
E BillisDepartment of Physiotherapy, Branch Department of Aigion, Technological Educational Institute (TEI) of Western Greece, Psaron 6, 25100, Aigion, Greece.
E TsepisDepartment of Physiotherapy, Branch Department of Aigion, Technological Educational Institute (TEI) of Western Greece, Psaron 6, 25100, Aigion, Greece.
I PanoutsopoulouDepartment of Physiotherapy, Branch Department of Aigion, Technological Educational Institute (TEI) of Western Greece, Psaron 6, 25100, Aigion, Greece.
J GliatisOrthopedic Surgery Department, University Hospital of Patras, Rio, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite the high incidence of falls in patients with OA, few studies have explored whether falls risk is affected after patients undergo total knee arthroplasty (TKA). Therefore, the aim of this systematic review was to identify the extent of the effects of TKA on balance and incidence of falls by critically reviewing the available literature.

methodsA systematic review of published literature sources was conducted up to March 2014. All studies assessing balance and incidence of falls after TKA (without physiotherapeutic intervention) were included. The methodological quality of each study was reviewed using the Critical Appraisal Skill Programme tool.

resultsThirteen studies were included, comprising of ten cohort studies (Level II) and three studies with Level of evidence III.

conclusionsFindings provide evidence that TKA improves significantly single-limb standing balance (~60%) and dynamic balance up to 1-year following surgery (Level of evidence II). Moreover, TKA influences positively fear of falling and incidence of falls by switching 54.2 % of pre-operative fallers to post-operative non-fallers (Level of evidence II-III). It is highlighted that knee extension strength, proprioception and symmetrization of postural strategies have not fully recovered post-TKA and influence balance performance. Clinically, these persistent deficits need to be mitigated by physiotherapy even before TKA takes place.

Indexed as

Accidental FallsArthroplasty, Replacement, KneePostural BalanceFearHumansIncidenceOsteoarthritis, KneePostoperative PeriodProprioceptionRiskBalance controlFallsFalls riskSystematic reviewTotal knee arthroplasty

Identifiers

PMID27761627
PMCPMC5644701

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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.