Evidence map›Paper›PMID 31392991›Full record

ArticlePhysical therapy2019

Incorporating Specific Functional Strength Integration Techniques to Improve Functional Performance for Veterans After Total Hip Arthroplasty: Protocol for a Randomized Clinical Trial.

Dana L Judd, Victor A Cheuy, Jeri E Forster, Cory L Christiansen, Jennifer E Stevens-Lapsley

Open access · bronzeAbstract readClinical Trial Protocol
In one paragraph

Article in Physical therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 25% of its field
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, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  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

5 authors at 3 institutions in 1 country.

Dana L JuddPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Mail Stop C244, 13121 East 17th Avenue, Room 3116, Aurora, CO 80045 (USA).
Victor A CheuyDepartment of Physical Therapy and Rehabilitation Science and Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California.
Jeri E ForsterPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus; and Rocky Mountain Mental Illness, Research, Education and Clinical Center, US Department of Veterans Affairs, Denver, Colorado.
Cory L ChristiansenPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus; and Geriatric Research, Education, and Clinical Center, VA Eastern Colorado Healthcare System, Aurora, Colorado.
Jennifer E Stevens-LapsleyPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus; and Geriatric Research, Education, and Clinical Center, VA Eastern Colorado Healthcare System.
University of Colorado Anschutz Medical Campus · USAmerican Physical Therapy Association · USGeriatric Research Education and Clinical Center · US

Funding

Improving Rehabilitation Outcomes After Total Hip ArthroplastyI01RX002251 · VA · VA EASTERN COLORADO HEALTH CARE SYSTEM · PI STEVENS-LAPSLEY, JENNIFER E. · 2017 to 2021
–
RRD VA I01 RX002251
6 · The paper itself

Abstract

backgroundTotal hip arthroplasty (THA) is a common procedure, yet persistent deficits in functional performance exist after surgery. These deficits may be related to movement compensations observed after THA, which negatively affect quality of life and may increase morbidity and health care utilization, including in the veteran population. However, the best rehabilitative approach to remediating movement compensations and physical function deficits has not been determined.

objectiveThe objective is to determine if a functional strength integration intervention (FSI), as part of a post-THA rehabilitation program, improves movement compensation, physical function, muscle strength, and self-reported outcome measures more than a control group (CON) undergoing a standard of care exercise program.

designThis is a 2-arm randomized, controlled clinical trial.

settingThe Veteran Affairs outpatient physical therapy clinics and academic research laboratory will be the settings.

participantsOne hundred veterans undergoing THA for hip osteoarthritis will be included in the study.

interventionsParticipants will be randomized to either the FSI or CON group and participate in visits of physical therapy over 8 weeks. The FSI protocol will include targeted exercise to improve muscular control and stability around the hip and trunk to minimize movement compensation during daily activity combined with progressive resistance exercise. The CON protocol will include patient education, flexibility activity, and low load resistance exercise. MEASUREMENTS: Functional performance, muscle strength and endurance, and self-reported outcomes will be measured at baseline (prior to surgery), midway through intervention (6 weeks after surgery), at the end of intervention (10 weeks after surgery), and 26 weeks after THA. LIMITATIONS: The inability to blind treating therapists to study arm allocation is a limitation.

conclusionsThe proposed study aims to determine if targeted FSI can affect movement compensation to improve functional outcomes after THA more than traditional rehabilitation paradigms.

Indexed as

Exercise TherapyPhysical Functional PerformancePhysical Therapy ModalitiesActivities of Daily LivingAgedArthroplasty, Replacement, HipDouble-Blind MethodFemaleHumansMaleMiddle AgedMuscle StrengthQuality of LifeRandomized Controlled Trials as TopicVeterans

Identifiers

PMID31392991
PMCPMC8284176
OpenAlexW2968715436

What OpenQuestion holds

Textmetadata
LicenceTDM
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.