Evidence map›Paper›PMID 32883309›Full record

Trial reportJournal of orthopaedic surgery and research2020

The effects of immediate programmed cryotherapy and continuous passive motion in patients after computer-assisted total knee arthroplasty: a prospective, randomized controlled trial.

Mei-Chu Chen, Chiu-Chu Lin, Jih-Yang Ko, Feng-Chih Kuo

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04136431 (The Effects of Programmed Cryotherapy and Continuous Passive Motion in Patients After Computer-Assisted Total Knee Arthroplasty), which is not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 18% 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.

NCT04136431 nacompletednot on this map

The Effects of Programmed Cryotherapy and Continuous Passive Motion in Patients After Computer-Assisted Total Knee Arthroplasty: A Prospective, Randomized Controlled Trial

TypeinterventionalSponsorChang Gung Memorial HospitalRan2012 to 2013Enrolled60ConditionsPatients With Osteoarthritis Undergoing CAS-TKAArmsProgramed cryotherapy and continuous passive motion, Unrogramed cryotherapy and continuous passive motion
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Cryotherapy following total knee replacement.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. 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

4 authors at 2 institutions in 1 country.

Mei-Chu ChenDepartment of Nursing, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Chiu-Chu LinSchool of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
Jih-Yang KoDepartment of Orthopedic Surgery, Kaohsiung Chang Gung Memorial Hospital, No. 123, Dapi Rd., Niaosong Dist., Kaohsiung, 833, Taiwan.
Feng-Chih KuoDepartment of Orthopedic Surgery, Kaohsiung Chang Gung Memorial Hospital, No. 123, Dapi Rd., Niaosong Dist., Kaohsiung, 833, Taiwan. fongchikuo@cgmh.org.tw.ORCID http://orcid.org/0000-0001-5205-8333
Chang Gung University · TWKaohsiung Medical University · TW

Funding

Chang Gung Medical Foundation CMRPG8A1101
6 · The paper itself

Abstract

backgroundThe postoperative nursing intervention with immediate cryotherapy and continuous passive motion (CPM) remains elusive regarding the postoperative pain and range of motion (ROM) for patients undergoing computer-assisted total knee arthroplasty (CAS-TKA).

methodsA prospective, randomized controlled trial with a purposive sampling method was utilized. Sixty patients scheduled for a unilateral CAS-TKA at a medical center were randomly assigned to the intervention group (n = 30) and control group (n = 30). The intervention group applied programed cryotherapy and CPM within 1 h while returning to the ward on the day of surgery, while the control group did not. Data were analyzed using mixed models to compare the numeric rating scale (NRS) for pain, ROM, and swelling at postoperative day (POD) 4.

resultsThere was no significant difference in the NRS score between the groups (p = 0.168). The intervention group had significantly higher ROM than the control group (98° vs. 91°, p = 0.004) at POD 4. Although no significant difference in joint swelling was found between groups (p = 0.157), the intervention group had lower mean joint swelling (32.2 cm) than the control group (33.9 cm).

conclusionsImmediate programmed cryotherapy and continuous passive motion could help to improve ROM quickly after CAS-TKA. It should be incorporated into the daily nursing plan for patients undergoing CAS-TKA.

trial registrationClinicalTrials.gov, NCT04136431 . Registered 23 October 2019-retrospectively registered.

Indexed as

Range of Motion, ArticularArthroplasty, Replacement, KneeCryotherapyHumansKnee JointMotion Therapy, Continuous PassiveOsteoarthritis, KneePostoperative PainProspective StudiesSurgery, Computer-AssistedTime FactorsTreatment OutcomeComputer-assistedContinuous passive motionCryotherapyPostoperative nursing interventionTotal knee arthroplasty

Identifiers

PMID32883309
PMCPMC7469108
OpenAlexW3081735372

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.