Evidence map›Paper›PMID 38773539›Full record

SynthesisJournal of orthopaedic surgery and research2024

Massage for rehabilitation after total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials.

Ruinan Chen, Yaoyu Jin, Zhaokai Jin, Yichen Gong, Lei Chen, Hai Su, Xun Liu

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Ruinan Chen *Zhejiang Chinese Medical University First Clinical Medical College, Hangzhou, 310053, China.
Yaoyu Jin *Zhejiang Chinese Medical University First Clinical Medical College, Hangzhou, 310053, China.
Zhaokai JinZhejiang Chinese Medical University First Clinical Medical College, Hangzhou, 310053, China.
Yichen GongZhejiang Chinese Medical University First Clinical Medical College, Hangzhou, 310053, China.
Lei ChenZhejiang Chinese Medical University First Clinical Medical College, Hangzhou, 310053, China.
Hai SuZhejiang Chinese Medical University First Clinical Medical College, Hangzhou, 310053, China.
Xun LiuThe First Affiliated Hospital of Zhejiang, Chinese Medical University, Zhejiang University of Traditional Chinese Medicine First Affiliated Hospital, Hangzhou, 310006, China. liuxun365@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to evaluate the effectiveness of massage for postoperative rehabilitation after total knee arthroplasty (TKA). DATA SOURCES: The PubMed, Web of Science, EMBASE, Cochrane Library, and China National Knowledge Infrastructure (CNKI) databases were systematically searched from inception to May 2024. STUDY SELECTION: Any randomized controlled trials on the use of massage for postoperative TKA rehabilitation were included. DATA EXTRACTION: A meta-analysis of outcomes, including postoperative pain, knee range of motion (ROM), postoperative D-dimer levels, and length of hospital stay, was performed. The Cochrane Risk of Bias Assessment Tool was used to assess the risk of bias, and the data for each included study were extracted independently by two researchers. DATA SYNTHESIS: Eleven randomized controlled clinical trials with 940 subjects were included. The results showed that compared with the control group, the massage group experienced more significant pain relief on the 7th, 14th and 21st days after the operation. Moreover, the improvement in knee ROM was more pronounced on postoperative days 7 and 14. In addition, the massage group reported fewer adverse events. However, there was no statistically significant difference in the reduction in postoperative D-dimer levels between the patients and controls. Subgroup analysis revealed that massage shortened the length of hospital stay for postoperative patients in China but not significantly for patients in other regions. Nevertheless, the heterogeneity of the studies was large.

conclusionsIncreased massage treatment was more effective at alleviating pain and improving knee ROM in early post-TKA patients. However, massage did not perform better in reducing D-dimer levels in patients after TKA. Based on the current evidence, massage can be used as an adjunctive treatment for rehabilitation after TKA.

Indexed as

Arthroplasty, Replacement, KneeLength of StayMassagePostoperative PainRandomized Controlled Trials as TopicRange of Motion, ArticularFemaleFibrin Fibrinogen Degradation ProductsHumansKnee JointMalePostoperative CareTreatment OutcomeFibrin Fibrinogen Degradation Productsfibrin fragment DMeta-analysisQuality of evidenceRehabilitationSystematic reviewsTotal knee arthroplasty

Identifiers

PMID38773539
PMCPMC11110294

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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.