Evidence map›Paper›PMID 39711097›Full record

Trial reportArthritis care & research2025

Movement Pattern Biofeedback Training After Total Knee Arthroplasty: A Randomized Controlled Trial.

Michael J Bade, Cory L Christiansen, Joseph A Zeni, Michael R Dayton, Jeri E Forster, Victor A Cheuy, Jesse C Christensen, Craig Hogan, Ryan Koonce, Doug Dennis and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Arthritis care & research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Review
  3. Preoperative and Post-Rehabilitation Predictors of Gait Biomechanics Six Months After Total Knee Arthroplasty.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  4. 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

12 authors.

Michael J BadeUniversity of Colorado Anschutz Medical Campus and Eastern Colorado VA Health Care System, Geriatric Research Education and Clinical Center (GRECC), Aurora, Colorado.ORCID 0000-0002-7985-8565
Cory L ChristiansenUniversity of Colorado Anschutz Medical Campus and Eastern Colorado VA Health Care System, Geriatric Research Education and Clinical Center (GRECC), Aurora, Colorado.
Joseph A ZeniRutgers University, Newark, New Jersey.
Michael R DaytonUniversity of Colorado Anschutz Medical Campus, Aurora.
Jeri E ForsterUniversity of Colorado Anschutz Medical Campus and VA Rocky Mountain Mental Illness, Research, Education and Clinical Center, VA Eastern Colorado Health Care System, Aurora.
Victor A CheuyUniversity of California, San Francisco.
Jesse C ChristensenVA Salt Lake City Healthcare System, Salt Lake City, Utah.ORCID 0000-0003-1444-203X
Craig HoganUniversity of Colorado Anschutz Medical Campus, Aurora.
Ryan KoonceUniversity of Colorado Anschutz Medical Campus, Aurora.
Doug DennisColorado Joint Replacement, Advent Health Porter, Denver, Colorado.
Amy PetersUniversity of Colorado Anschutz Medical Campus and Eastern Colorado VA Health Care System, Geriatric Research Education and Clinical Center (GRECC), Aurora, Colorado.
Jennifer E Stevens-LapsleyUniversity of Colorado Anschutz Medical Campus and Eastern Colorado VA Health Care System, Geriatric Research Education and Clinical Center (GRECC), Aurora, Colorado.

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Colorado Clinical and Translational Sciences Institute (CCTSI)UM1TR004399 · NCATS · UNIVERSITY OF COLORADO DENVER · PI JANINE A HIGGINS, RONALD J. SOKOL · 2023 to 2026
$30.7M
Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
Movement pattern biofeedback training after total knee arthroplastyR01AG056585 · NIA · UNIVERSITY OF COLORADO DENVER · PI STEVENS-LAPSLEY, JENNIFER E. · 2017 to 2021
$3.3M
Contralateral Knee Osteoarthritis Among Older Adults after Primary Total Knee ArthroplastyF32AG066274 · NIA · UNIVERSITY OF COLORADO DENVER · PI CAPIN, JACOB J · 2019 to 2021
$94k
Academy of Orthopaedic Physical Therapy Career Development AwardEastern Colorado VA Health Care System Geriatric Research Education and Clinical Center (GRECC)NCATS NIH HHS KL2 TR001870NCATS NIH HHS UL1 TR001082NCATS NIH HHS UM1 TR004399NIA NIH HHS F32 AG066274NIA NIH HHS L30 AG053887NIA NIH HHS R01 AG056585NIH HHS F32 AG066274NIH HHS KL2 TR001870NIH HHS R01 AG056585NIH HHS UL1-TR001082
6 · The paper itself

Abstract

objectiveHabitual movement compensations, such as decreased surgical peak knee extension moments (pKEM), persist years after total knee arthroplasty (TKA), are linked to poorer recovery, and may influence contralateral osteoarthritis progression. The purpose of this randomized clinical trial was to determine if a movement training program (MOVE) improves movement quality and recovery after TKA compared to a standardized rehabilitation program without movement training (CONTROL).

methodsOne hundred thirty-eight individuals were randomized to either MOVE or CONTROL groups after TKA. Participants were assessed preoperatively, 10 weeks after (end of intervention), and six months after (primary endpoint) TKA. Outcomes assessed were pKEM during walking, six-minute walk test, stair climb test, 30-second sit to stand test (30STS), timed up and go test (TUG), physical activity level, strength, range of motion, and self-reported outcomes.

resultsAt six months, there were no between-group differences in surgical pKEM during walking (primary outcome). The MOVE group exhibited less contralateral pKEM compared to CONTROL during self-selected gait speed (d = 0.44, P = 0.01). CONTROL performed better on TUG and 30STS at 10 weeks (P < 0.05), but differences attenuated at six months.

conclusionThe MOVE intervention did not lead to improved surgical pKEM during walking after TKA compared to CONTROL. However, the MOVE group did demonstrate less contralateral pKEM during walking. The CONTROL group demonstrated faster recovery on the TUG and 30STS, but it is unknown if this is due to improved recovery in the surgical knee or increased movement compensation relying on contralateral knee function.

Indexed as

Arthroplasty, Replacement, KneeBiofeedback, PsychologyExercise TherapyKnee JointOsteoarthritis, KneeAgedFemaleHumansMaleMiddle AgedMovementRange of Motion, ArticularRecovery of FunctionTreatment Outcome

Identifiers

PMID39711097
PMCPMC12122237

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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.