Evidence map›Paper›PMID 29589050›Full record

Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018

Improved early outcome after TKA through an app-based active muscle training programme-a randomized-controlled trial.

Sebastian Hardt, Matthias R G Schulz, Tilman Pfitzner, Georgi Wassilew, Hauke Horstmann, Emmanouil Liodakis, Thomas Sanjay Weber-Spickschen

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

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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

7 authors.

Sebastian HardtCenter for Musculoskeletal Surgery, Charité-University Medicine Berlin, Berlin, Germany. Sebastian.hardt@charite.de.ORCID http://orcid.org/0000-0001-8774-7585
Matthias R G SchulzTrauma Department, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0000-0003-1797-885X
Tilman PfitznerKlinik für Endoprothetik, Knie- und Hüftchirurgie, Vivantes Klinikum Spandau, Berlin Spandau, Germany.
Georgi WassilewCenter for Musculoskeletal Surgery, Charité-University Medicine Berlin, Berlin, Germany.
Hauke HorstmannDepartment of Orthopedic Surgery, Hannover Medical School, Hannover, Germany.
Emmanouil LiodakisTrauma Department, Hannover Medical School, Hannover, Germany.
Thomas Sanjay Weber-SpickschenTrauma Department, Hannover Medical School, Hannover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this prospective randomized-controlled trial (RCT) was to evaluate if an app-based feedback-controlled active muscle training programme can be used to improve the outcome in the immediate postoperative period after total knee arthroplasty (TKA).

methodsSixty patients, with a median age of 65.9 years (range 45-84), awaiting primary TKA were randomized into a control and training group. Both groups followed an identical postoperative protocol. In addition, the training group postoperatively performed an app-based feedback-controlled active muscle training programme multiple times daily. Outcome measures were active and passive range of motion (ROM), pain at rest and in motion, knee extension strength, the timed "Up and Go", 10-m Walk Test, 30-s Chair Stand Test, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Society Score (KSS), and clinical data.

resultsThe training group performed an average of 18.4 training sessions, which led to significantly higher ROM, less pain at rest and in motion, higher strength, and significantly higher functional scores. More training correlated with a better outcome.

conclusionsThe use of an app-based feedback-controlled active muscle training programme can improve the clinical outcome after TKA, especially ROM and reduce pain. Clinically relevant is that the training programme could be considered an alternative to continuous passive motion after total knee arthroplasty. LEVEL OF EVIDENCE: II.

Indexed as

FeedbackMobile ApplicationsAgedArthroplasty, Replacement, KneeExercise TestExercise TherapyFemaleHumansMaleMuscle StrengthOsteoarthritis, KneePain MeasurementPatient Outcome AssessmentPostoperative CareProspective StudiesRange of Motion, ArticularApp-based training programmeFunctional outcomeGenuSportRehabilitationTKATotal knee arthroplasty

Identifiers

PMID29589050

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.