Evidence map›Paper›PMID 35672761›Full record

Trial reportBMC musculoskeletal disorders2022

Exploratory insights into novel prehabilitative neuromuscular exercise-conditioning in total knee arthroplasty.

Anna Maria Risso, Marietta L van der Linden, Andrea Bailey, Peter Gallacher, Nigel Gleeson

Registry-linked trialAbstract readPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03113032 (Novel Pre-Surgery Exercise-Conditioning in Patients Waiting for 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
–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.

NCT03113032 nacompletednot on this map

Novel Pre-Surgery Exercise-Conditioning in Patients Waiting for Total Knee Arthroplasty (TKA)

TypeinterventionalSponsorRobert Jones and Agnes Hunt Orthopaedic and District NHS TrustRan2017 to 2018Enrolled46ConditionsOsteo Arthritis KneeArmsP-SEC Pre-Surgical Care, Normal pre-surgical care
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Review
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.

Anna Maria RissoCentre for Health, Activity and Rehabilitation Research, Queen Margaret University Edinburgh, Edinburgh, EH21 6UU, UK. dramrisso1@gmail.com.
Marietta L van der LindenCentre for Health, Activity and Rehabilitation Research, Queen Margaret University Edinburgh, Edinburgh, EH21 6UU, UK.
Andrea BaileyRobert Jones and Agnes Hunt Orthopaedic NHS Foundation Trust, Oswestry, SY10 7AG, Shropshire, UK.
Peter GallacherRobert Jones and Agnes Hunt Orthopaedic NHS Foundation Trust, Oswestry, SY10 7AG, Shropshire, UK.
Nigel GleesonCentre for Health, Activity and Rehabilitation Research, Queen Margaret University Edinburgh, Edinburgh, EH21 6UU, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContemporary strategies for prehabilitation and rehabilitation associated with total knee arthroplasty (TKA) surgery have focused on improving joint range-of-motion and function with less emphasis on neuromuscular performance beneficially affecting joint stability. Furthermore, prehabilitation protocols have been found to be too long and generic-in-effect to be considered suitable for routine clinical practice.

methodsA pragmatic exploratory controlled trial was designed to investigate the efficacy of a novel, acute prehabilitative neuromuscular exercise-conditioning (APNEC) in patients electing TKA. Adults electing unilateral TKA were assessed and randomly allocated to exercise-conditioning (APNEC, n = 15) and usual care (Control, n = 14) from a specialised orthopaedic hospital, in the United Kingdom. APNEC prescribed nine stressful exercise-conditioning sessions for the knee extensors of the surgery leg, accrued over one week (3 sessions·week

resultsGroup mean ipsilateral knee extensor muscular activation capacity (EMD

conclusionsThe exploratory APNEC protocol elicited significant and clinically-relevant improvement and its retention in neuromuscular performance in patients awaiting TKA.

trial registration(date and number): clinicaltrial.gov: NCT03113032 (4/04/2017) and ISRCTN75779521 (3/5/2017).

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeAdultHumansKnee JointMuscle StrengthQuadriceps MuscleExercise-conditioningJoint replacementNeuromuscularPre-surgery trainingSensorimotorTotal knee arthroplasty

Identifiers

PMID35672761
PMCPMC9172156

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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.