Evidence map›Paper›PMID 37715204›Full record

ArticleJournal of orthopaedic surgery and research2023

Preoperative high-intensity strength training combined with balance training can improve early outcomes after total knee arthroplasty.

Jian-Ning Sun, Yu-Zhou Shan, Li-Xia Wu, Ning Li, Fei-Hu Xu, Xiang-Ru Kong, Bei Zhang

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 6% 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.

NCT06190977 nacompletednot on this mapstarted 2024, after this paper: background citation

Effects of the Otago Exercise Program on Rehabilitation Outcomes of Balance, Strength and Functional Outcomes in Post-Operative Total Knee Replacement Patients

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2025Enrolled44ConditionsTotal Knee ReplacementArmsOtago Exercise Program, General TKR pprotocol
NCT06407778 nacompletednot on this mapstarted 2025, after this paper: background citation

Comparison of Effects of High Intensity Strength Training and Muscle Energy Technique on Pain, ROM and Functional Status in Patients With Total Knee Replacement

TypeinterventionalSponsorRiphah International UniversityRan2025 to 2025Enrolled36ConditionsKnee Osteoarthritis, Arthroplasty, Knee Replacement, Resistance TrainingArmsHigh Intensity Strength Training, Muscle Energy Technique
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

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  2. Pooled it
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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

7 authors at 3 institutions in 1 country.

Jian-Ning Sun *Department of Orthopedics, Nanjing Drum Tower Hospital Group Suqian Hospital, Suqian, China.
Yu-Zhou Shan *Department of Orthopedics, Nanjing Drum Tower Hospital Group Suqian Hospital, Suqian, China.
Li-Xia WuResearch Center, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Ning LiDepartment of Orthopedics, Nanjing Drum Tower Hospital Group Suqian Hospital, Suqian, China.
Fei-Hu XuDepartment of Orthopedics, Nanjing Drum Tower Hospital Group Suqian Hospital, Suqian, China.
Xiang-Ru KongDepartment of Orthopedics, Nanjing Drum Tower Hospital Group Suqian Hospital, Suqian, China.
Bei ZhangDepartment of Orthopedics, Nanjing Drum Tower Hospital Group Suqian Hospital, Suqian, China. 17605276549@163.com.
Xuzhou Medical College · CNHebei Medical University · CNNanjing Drum Tower Hospital · CN

Funding

Affiliated Hospital of Xuzhou Medical University Development Fund XYFM202242Suqian Sci&TechProgram S202214
6 · The paper itself

Abstract

backgroundTo investigate the effect of preoperative high-intensity strength training combined with balance training on the knee function of end-stage knee osteoarthritis (KOA) patients after total knee arthroplasty (TKA).

methodsA prospective study was conducted on end-stage KOA patients awaiting TKA. The patients were divided into an experimental group and a control group according to whether they received a preoperative training intervention. The differences in knee flexor-extensor strength, knee range of motion (ROM), timed up and go (TUG) test result, stair ascend/descend test result, Knee Society score (KSS) and Berg balance scale (BBS) score were assessed in both groups at baseline (T1), before operation (T2), 3 months after operation (T3), and 1 year after operation (T4).

resultsAfter high-intensity strength training and balance training, the knee flexor-extensor strength, TUG test result, stair ascend/descend test result, and KSS were all significantly improved at T2 in the experimental group over the control group. At T3, the knee ROM, knee flexor-extensor strength, TUG test result, BBS score, and KSS clinical and functional scores were all significantly superior in the experimental group. The experimental group enjoyed a superiority in KSS clinical and functional scores until T4. Group × time and between-group interactions were found in all assessment indicators in both groups (p < 0.01).

conclusionPreoperative high-intensity strength training combined with balance training can enhance the knee flexor-extensor strength and balance of patients with end-stage KOA in the short term and help improve early outcomes after KOA. Trial registration ChiCTR2000032857, 2020-05-13.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeResistance TrainingHumansKnee JointProspective StudiesKnee osteoarthritisPostural balanceStrength trainingTotal knee arthroplasty

Identifiers

PMID37715204
PMCPMC10504716
OpenAlexW4386769903

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.