Evidence map›Paper›PMID 33783030›Full record

ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2022

Knee joint unloading and daily physical activity associate with cartilage T2 relaxation times 1 month after ACL injury.

Elizabeth Wellsandt, Tyler Kallman, Yvonne Golightly, Daniel Podsiadlo, Andrew Dudley, Stephanie Vas, Kaleb Michaud, Matthew Tao, Balasrinivasa Sajja, Melissa Manzer

Abstract read
In one paragraph

Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Surgical treatments of bone marrow lesions.Journal of experimental orthopaedics · 2026
    Review
  5. Article
  6. Hip Joint Loading During Walking Is Associated With Cartilage Defect Severity in Young Adult Football Players With Hip/Groin Pain.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  7. Article
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  10. Observational
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  15. Article
  16. Article
  17. Article
  18. Sedentary Behavior Patterns After ACL Reconstruction.International journal of exercise science · 2025
    Article
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  20. 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

10 authors.

Elizabeth WellsandtDivision of Physical Therapy Education, University of Nebraska Medical Center, Omaha, Nebraska, USA.ORCID 0000-0003-1983-6812
Tyler KallmanCollege of Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Yvonne GolightlyDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0003-1205-2759
Daniel PodsiadloDivision of Physical Therapy Education, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Andrew DudleyDepartment of Genetics Cell Biology and Anatomy, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Stephanie VasDepartment of Clinical Diagnostic and Therapeutic Sciences, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Kaleb MichaudDepartment of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.ORCID 0000-0002-5350-3934
Matthew TaoDivision of Physical Therapy Education, University of Nebraska Medical Center, Omaha, Nebraska, USA.ORCID 0000-0001-9521-2855
Balasrinivasa SajjaDepartment of Radiology, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Melissa ManzerDepartment of Radiology, University of Nebraska Medical Center, Omaha, Nebraska, USA.

Funding

Osteoarthritis After ACL Injury: Establishing Cumulative Joint Loading as a Preventative TargetR21AR075254 · NIAMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI WELLSANDT, ELIZABETH A · 2020 to 2021
$373k
NIAMS NIH HHS R21 AR075254
6 · The paper itself

Abstract

Osteoarthritis (OA) is prevalent after anterior cruciate ligament (ACL) injury, but mechanismsunderlying its development are poorly understood. The purpose of this study was to determine if gait biomechanics and daily physical activity (PA) associate with cartilage T2 relaxation times, a marker of collagen organization and water content, 1 month after ACL injury. Twenty-seven participants (15-35 years old) without chondral lesions completed magnetic resonance imaging, three-dimensional gait analysis, and 1 week of PA accelerometry. Interlimb differences and ratios were calculated for gait biomechanics and T2 relaxation times, respectively. Multiple linear regression models adjusted for age, sex, and concomitant meniscus injury were used to determine the association between gait biomechanics and PA with T2 relaxation times, respectively. Altered knee adduction moment (KAM) impulse, less knee flexion excursion (kEXC) and higher daily step counts accounted for 35.8%-65.8% of T2 relaxation time variation in the weightbearing and posterior cartilage of the medial and lateral compartment (all p ≤ .011). KAM impulse was the strongest factor for T2 relaxation times in all models (all p ≤ .001). Lower KAM impulse associated with longer T2 relaxation times in the injured medial compartment (β = -.720 to -.901) and shorter T2 relaxation in the lateral compartment (β = .713 to .956). At 1 month after ACL injury, altered KAM impulse, less kEXC, and higher PA associated with longer T2 relaxation times, which may indicate poorer cartilage health. Statement of Clinical Significance: Gait biomechanics and daily PA are modifiable targets that may improve cartilage health acutely after ACL injury and slow progression to OA.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionCartilage, ArticularOsteoarthritis, KneeAdolescentAdultExerciseHumansKnee JointMagnetic Resonance ImagingYoung Adultanterior cruciate ligamentbiomechanicscartilagegaitosteoarthritis

Identifiers

PMID33783030
PMCPMC8478972

What OpenQuestion holds

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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.