Evidence map›Paper›PMID 29959448›Full record

Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019

Cross-education improves quadriceps strength recovery after ACL reconstruction: a randomized controlled trial.

Gulcan Harput, Burak Ulusoy, Taha Ibrahim Yildiz, Serdar Demirci, Leyla Eraslan, Egemen Turhan, Volga Bayrakci Tunay

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing 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.

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

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

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  10. Quality of patient-reported outcome measures and treatment effects: a review of orthopaedic randomized trials.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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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.

Gulcan HarputDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Samanpazari, 06100, Ankara, Turkey. aktasgulcan@gmail.com.ORCID http://orcid.org/0000-0003-2298-0807
Burak UlusoyDepartment of Physiotherapy and Rehabilitation, Karatekin University, Çankırı, Turkey.
Taha Ibrahim YildizDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Samanpazari, 06100, Ankara, Turkey.
Serdar DemirciDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Samanpazari, 06100, Ankara, Turkey.
Leyla EraslanDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Samanpazari, 06100, Ankara, Turkey.
Egemen TurhanDepartment of Orthopedics and Traumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Volga Bayrakci TunayDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Samanpazari, 06100, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to investigate the effects of concentric and eccentric cross-education (CE) on quadriceps strength and knee function recoveries after anterior cruciate ligament (ACL) reconstruction.

methodsForty-eight patients (age: 29.5 ± 6.8 years, body mass index: 26.1 ± 3.2 kg/m

resultsGroup-by-time interaction was significant for quadriceps MVICs for reconstructed and healthy limbs (p = 0.02). Quadriceps strength of both knees was greater in concentric and eccentric CE groups compared to control group during the 12th- and 24th weeks post surgery (p < 0.05). Strength gain was 28% and 31% in concentric and eccentric CE groups, respectively, when compared with the control group. Concentric and eccentric CE had similar effects on quadriceps strength recovery (n.s.). IKDC score, and single-leg hop distances were not significantly different among groups (n.s.).

conclusionsConcentric and eccentric quadricep strengthening of healthy limbs in early phases of ACL rehabilitation improved post-surgical quadriceps strength recovery of the reconstructed limb. CE should be integrated into ACL reconstruction rehabilitation, especially in the early rehabilitative phases to restore quadriceps strength. LEVEL OF EVIDENCE: Randomized controlled trial, Level I.

Indexed as

Anterior Cruciate Ligament ReconstructionAdultAnalysis of VarianceAnterior Cruciate Ligament InjuriesAthletic InjuriesFemaleHumansKnee JointMaleMuscle StrengthQuadriceps MuscleRecovery of FunctionResistance TrainingYoung AdultAnterior cruciate ligamentCross-over effectQuadriceps strengthRehabilitation

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Registered trials

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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.