Evidence map›Paper›PMID 39055396›Full record

ReviewJournal of experimental orthopaedics2024

Factors that influence the angular error in active knee angle reproduction tests: A systematic review and meta-analysis.

Juliane Wieber, Leon Müller-Rahmel, Rüdiger Reer, Robert Rein, Bjoern Braunstein

Abstract readReview
In one paragraph

Review in Journal of experimental orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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.

Juliane WieberDepartment of Sports and Exercise Medicine, Institute of Human Movement Science University of Hamburg Hamburg Germany.ORCID 0000-0002-2904-9305
Leon Müller-RahmelInstitute of Biomechanics and Orthopaedics German Sport University Cologne Germany.
Rüdiger ReerDepartment of Sports and Exercise Medicine, Institute of Human Movement Science University of Hamburg Hamburg Germany.
Robert ReinInstitute of Training Science and Sports Informatics German Sport University Cologne Germany.ORCID 0000-0001-7059-5319
Bjoern BraunsteinInstitute of Biomechanics and Orthopaedics German Sport University Cologne Germany.ORCID 0000-0002-5173-8916

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The systematic review and meta-analysis investigated subject-independent test factors that influence the absolute angle error in active knee angle reproduction tests. Methods: Five electronic databases were searched to identify relevant studies published before 20 December 2023. Studies were included that were published in either English or German and that investigated joint proprioception in the healthy knee. Included studies were also required to have participants 18-60 years old and free of lower-limb injury, neurological disorders and diseases affecting joint position sense. Risk of bias was assessed using a Cochrane risk-of-bias tool. Results: Of the 2023 articles identified, 26 studies (1082 participants) were included in the meta-analysis. The meta-analysis showed a significant pooled standard mean difference in the absolute angular error for body orientation, direction of movement and fatigue. Active knee angle reproduction tests were found to have a lower absolute angular error when performed in the sitting position compared to the prone position (SMD = -0.56; 95% CI = -1.00 to -0.12). The absolute angular error was found to be greater in cases of knee flexion compared to knee extension (SMD = 0.71; 95% CI = 0.18-1.24). General and local muscle fatigue were found to result in a higher absolute angular error (SMD = 1.39; 95% CI = 1.04-1.75). Conclusion: Hence, fatigue, body orientation and direction of movement influence the extent of the absolute angular error in active knee angle reproduction tests. Practitioners should be aware that the test conditions and the patient's level of fatigue can affect the results of such tests and that directly comparing results obtained using different test protocols may not be appropriate. The test protocol should be well documented and applied consistently in the clinical setting. Level of Evidence: Level III, systematic review with meta-analysis.

Indexed as

ACLjoint position senseorthopaedicsphysiotherapyproprioceptionrehabilitationreturn to activityreturn to competitionreturn to playreturn to sport

Identifiers

PMID39055396
PMCPMC11269366

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Registered trials

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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.