Evidence map›Paper›PMID 39507935›Full record

ArticleOsteoarthritis and cartilage open2024

Physical activity and symmetry following total knee arthroplasty: Results of a pilot randomized trial.

Robin M Queen, Liubov Arbeeva, Daniel N Bracey, Derek Hales, Carla Hill, Katie F Huffman, Todd A Schwartz, Kelli D Allen

Abstract read
In one paragraph

Article in Osteoarthritis and cartilage open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Observational
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

8 authors.

Robin M QueenKevin Granata Biomechanics Lab, Department of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA, USA.
Liubov ArbeevaThurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Daniel N BraceyDepartment of Orthopaedics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Derek HalesCenter for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Carla HillDivision of Physical Therapy, Department of Allied Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Katie F HuffmanThurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Todd A SchwartzThurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Kelli D AllenThurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Funding

UNC Core Center for Clinical ResearchP30AR072580 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LEIGH Fleming CALLAHAN, Amanda E Nelson · 2019 to 2026
$6.1M
Improving physical activity and gait symmetry after total knee arthroplastyR21AR074149 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ALLEN, KELLI D., QUEEN, ROBIN M · 2019 to 2021
$739k
NIAMS NIH HHS P30 AR072580NIAMS NIH HHS R21 AR074149
6 · The paper itself

Abstract

Objective: This pilot trial examined a Physical Activity and Symmetry (PAS) intervention focused on common deficits of physical inactivity and joint loading asymmetry following total knee arthroplasty (TKA). Design: Participants (n ​= ​60) were enrolled during routine physical therapy (PT) following TKA and randomized to the PAS intervention or an attention (ATT) control group. The PAS intervention included physical activity counseling and balance exercise to address joint loading symmetry; content was delivered during 2 sessions at the end of routine PT plus supplemental sessions 4-weeks and 8-weeks following PT. The ATT control condition included supplemental sessions at 4-weeks and 8-weeks focused on general evaluation of surgical recovery benchmarks. Primary outcomes were weekly minutes of moderate to vigorous physical activity (MVPA), measured with an accelerometer, and peak force loading symmetry (limb symmetry index; LSI) during a 10 ​m walk, measured with a 3-sensor in-shoe device. General linear mixed models compared changes in outcomes between randomized groups at 3-month and 6-month follow-up. Results: Both PAS and ATT groups increased MVPA, but there were no clinically meaningful between-group differences at 3- or 6-month follow-up (p ​> ​0.05). There were also no clinically meaningful between-group differences LSI at 3- or 6-month follow-up (p ​> ​0.05). Conclusion: The PAS intervention did not yield improvements beyond ATT control. It is possible that PAS components were being delivered as part of routine PT, and a more intensive intervention (e.g., more visits, guidance for exercise progression) or targeted approach (e.g., those with deficits at end of routine care) may be needed to further improve outcomes.

Indexed as

ArthroplastyBiomechanicsExercisePhysical therapy

Identifiers

PMID39507935
PMCPMC11539413

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.