Evidence map›Paper›PMID 30908867›Full record

Trial reportArthritis care & research2020

Feasibility and Preliminary Outcomes of a Physical Therapist-Administered Physical Activity Intervention After Total Knee Replacement.

Meredith B Christiansen, Louise M Thoma, Hiral Master, Dana Voinier, Laura A Schmitt, Melissa L Ziegler, Michael P LaValley, Daniel K White

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Arthritis care & research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 10 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

37 citing papers in PubMed, 10 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

8 authors.

Meredith B ChristiansenUniversity of Delaware, Newark.
Louise M ThomaUniversity of Delaware, Newark.
Hiral MasterUniversity of Delaware, Newark.ORCID 0000-0003-0019-3087
Dana VoinierUniversity of Delaware, Newark.ORCID 0000-0001-5141-5212
Laura A SchmittUniversity of Delaware, Newark.
Melissa L ZieglerUniversity of Delaware, Newark.
Michael P LaValleyBoston University, Boston, Massachusetts.
Daniel K WhiteUniversity of Delaware, Newark.ORCID 0000-0003-3792-4621

Funding

Subproject Title: Clinical Research Education, Mentoring and Career Development CoreU54GM104941 · NIGMS · UNIVERSITY OF DELAWARE · PI Gregory E Hicks · 2013 to 2026
$60.5M
MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
A Novel Physical Therapy Administered Physical Activity Intervention After TKRR21AR071079 · NIAMS · UNIVERSITY OF DELAWARE · PI WHITE, DANIEL K · 2017 to 2019
$539k
NIAMS NIH HHS R21 AR071079NICHD NIH HHS K12 HD055931NIGMS NIH HHS U54 GM104941
6 · The paper itself

Abstract

objectiveTo explore the feasibility, fidelity, safety, and preliminary outcomes of a physical therapist-administered physical activity (PA) intervention after total knee replacement (TKR).

methodsPeople who had undergone a unilateral TKR and were receiving outpatient physical therapy (PT) were randomized to a control or intervention group. Both groups received standard PT for TKR. The intervention included being provided with a Fitbit Zip, step goals, and 1 phone call a month for 6 months after discharge from PT. Feasibility was measured by rates of recruitment and retention, safety was measured by the frequency of adverse events, and fidelity was measured by adherence to the weekly steps/day goal created by the physical therapist and participant monitoring of steps/day. An Actigraph GT3X measured PA, which was quantified as steps/day and minutes/week of engaging in moderate-to-vigorous PA. Our preliminary outcome was the difference in PA 6 months after discharge from PT between the control and intervention groups.

resultsOf the 43 individuals who were enrolled, 53.4% were women, the mean ± SD age was 67.0 ± 7.0 years, and the mean ± SD body mass index was 31.5 ± 5.9 kg/m

conclusionA physical therapist-administered PA intervention is feasible and safe, demonstrates treatment fidelity, and may increase PA after TKR. Future research is needed to establish the effectiveness of the intervention.

Indexed as

Exercise TherapyPhysical TherapistsAgedArthroplasty, Replacement, KneeBiomechanical PhenomenaDelawareFeasibility StudiesFemaleHumansKnee JointMaleMiddle AgedPatient CompliancePilot ProjectsProfessional RoleRecovery of Function

Identifiers

PMID30908867
PMCPMC6761055

What OpenQuestion holds

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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.