Evidence map›Paper›PMID 31101039›Full record

Trial reportBMC musculoskeletal disorders2019

Early initiation of home-based sensori-motor training improves muscle strength, activation and size in patients after knee replacement: a secondary analysis of a controlled clinical trial.

Maria Moutzouri, Fiona Coutts, John Gliatis, Evdokia Billis, Elias Tsepis, Nigel Gleeson

Abstract readEquivalence TrialRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
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.

Maria MoutzouriDepartment of Physiotherapy, Technological Educational Institute (TEI) of Western Greece, Aigion, Greece.
Fiona CouttsSchool of Health Sciences, Queen Margaret University, Edinburgh, UK.
John GliatisOrthopedic Surgery Department, University Hospital of Patras, Patras, Greece. igliat@upatras.gr.ORCID http://orcid.org/0000-0002-1216-354X
Evdokia BillisDepartment of Physiotherapy, Technological Educational Institute (TEI) of Western Greece, Aigion, Greece.
Elias TsepisDepartment of Physiotherapy, Technological Educational Institute (TEI) of Western Greece, Aigion, Greece.
Nigel GleesonSchool of Health Sciences, Queen Margaret University, Edinburgh, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is accumulating evidence for the advantages of rehabilitation involving sensori-motor training (SMT) following total knee replacement (TKR). However, the best way in which to deliver SMT remains elusive because of potential interference effects amongst concurrent exercise stimuli for optimal neuromuscular and morphological adaptations. The aim of this study was to use additional outcomes (i.e. muscle strength, activation and size) from a published parent study to compare the effects of early-initiated home-based rehabilitative SMT with functional exercise training (usual care) in patients undergoing TKR.

methodsA controlled clinical trial was conducted at the Orthopedic University Hospital of Rion, Greece involving allocation concealment to patients. Fifty-two patients electing to undergo TKR were randomised to either early-initiated SMT [experimental] or functional exercise training [control] in a home-based environment. Groups were prescribed equivalent duration of exercise during 12-weeks, 3-5 sessions of ~ 40 min per week of home-based programmes. Muscle strength and activation (peak force [PF]; peak amplitude [Peak Amp.] and root mean square of integrated electromyography [RMS iEMG]), muscular size (including rectus femoris muscle cross-sectional area [CSA

resultsPatients undertaking SMT rehabilitation showed significantly greater improvements over the 14 weeks compared to control in outcomes including quadriceps PF (25.1 ± 18.5 N vs 12.4 ± 20.8 N); iPeak Amp. (188 ± 109.5% vs 25 ± 105.8%); CSA

conclusionA prescribed equivalent time spent in SMT compared to usual practice, delivered within a home-based environment, elicited superior restoration of muscle strength, activation and size in patients following TKR.

trial registrationISRCTN12101643 , December 2017 (retrospective registration).

Indexed as

Home Care Services, Hospital-BasedAgedAged, 80 and overArthroplasty, Replacement, KneeExercise TherapyFeedback, SensoryFemaleGreeceHumansKnee JointMaleMuscle StrengthOsteoarthritis, KneeQuadriceps MuscleRecovery of FunctionSingle-Blind MethodArthroplastyExerciseKnee replacementNeuromuscular capacitySensori-motor training

Identifiers

PMID31101039
PMCPMC6525469

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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.