Evidence map›Paper›PMID 39702172›Full record

Trial reportBMC musculoskeletal disorders2024

Clinical evaluation of usefulness and effectiveness of sitting-type continuous passive motion machines in patients with total knee arthroplasty: a dual-center randomized controlled trial.

Byung Chan Lee, Chang-Won Moon, Woo Sung Choi, Young Mo Kim, Yong Bum Joo, Da Gyo Lee, Sook Joung Lee, Eunseok Choi, Jong Hun Ji, Dong Whan Suh and 1 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BMC musculoskeletal disorders, 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. Article
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

11 authors.

Byung Chan Lee *Department of Physical Medicine and Rehabilitation, Chung-Ang University College of Medicine, Seoul, Korea.
Chang-Won Moon *Department of Rehabilitation Medicine, Chungnam National University College of Medicine, Daejeon, Korea.
Woo Sung ChoiDepartment of Biomedical Institute, Chungnam National University, Daejeon, Korea.
Young Mo KimDepartment of Orthopedic Surgery, Chungnam National University College of Medicine, Daejeon, Korea.
Yong Bum JooDepartment of Orthopedic Surgery, Chungnam National University College of Medicine, Daejeon, Korea.
Da Gyo LeeCatholic University of Korea Industry Academic Cooperation Foundation, The Catholic University of Korea, Seoul, Korea.
Sook Joung LeeDepartment of Physical Medicine and Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Eunseok ChoiDepartment of Physical Medicine and Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Jong Hun JiDepartment of Orthopedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Dong Whan SuhDepartment of Orthopedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Kang Hee ChoDepartment of Rehabilitation Medicine, Chungnam National University College of Medicine, Daejeon, Korea. khcho@cnu.ac.kr.ORCID http://orcid.org/0000-0002-6592-3370

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotal knee arthroplasty (TKA) is a treatment option for osteoarthritis of the knee. After undergoing TKA, patients can be treated with continuous passive motion (CPM); however, inconsistent results have been reported on the effectiveness of CPM as part of a rehabilitation strategy. This discrepancy may be due to the difference between the set-arc of CPM and real arcs of knee motion. In this randomized controlled trial, we compared the efficacy of the sitting-type CPM, which can apply a more fitted arc of motion, to that of the conventional CPM.

methodsWe performed a prospective, multicenter, single-blind, three-arm, randomized controlled trial. Patients who underwent unilateral TKA were recruited and randomly allocated to three groups (151 participants; Group 1, conventional type; Group 2, mixed; and Group 3, sitting type). All participants underwent 10 days of CPM management. Passive and active ranges of motion (ROMs), pain, lower-extremity edema, patient-reported outcomes, and functional assessments were evaluated at four time points.

resultsPassive and active ROMs and pain significantly improved during and after the intervention in all groups; however, no significant differences were noted between the groups. Compared with the conventional type, the sitting-type CPM devices were rated higher in participant's satisfaction questionnaires.

conclusionThe sitting-type CPM had equivalent efficacy to that of the conventional-type CPM but provided higher satisfaction to patients after TKA. Therefore, the sitting-type CPM may be a useful tool in post-TKA rehabilitation. CLINICAL

trial registrationThis clincial trial was registed with the Clinical Research Information Service of Republic of Korea, KCT0005520, Registered on 21 October 2020, date of first enrollment at 10/11/2020 https://cris.nih.go.kr/cris/search/detailSearch.do/21750 .

Indexed as

Arthroplasty, Replacement, KneeMotion Therapy, Continuous PassiveOsteoarthritis, KneeRange of Motion, ArticularAgedFemaleHumansKnee JointMaleMiddle AgedPatient Reported Outcome MeasuresProspective StudiesSingle-Blind MethodSitting PositionTreatment OutcomeContinuous passive motionKnee osteoarthritisPost-operative periodRange of motionTotal knee arthroplasty

Identifiers

PMID39702172
PMCPMC11660869

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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.