Evidence map›Paper›PMID 39773322›Full record

Trial reportJournal of orthopaedic surgery and research2025

Effect of knee extension constraint training on walking biomechanics 6 months after anterior cruciate ligament reconstruction: a double-blind randomized controlled clinical trial.

Tianyu Gao, Hongshi Huang, Yuanyuan Yu, Hui Liu, Yingfang Ao

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of orthopaedic surgery and research, 2025. 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. Article
  2. Review
  3. 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

5 authors.

Tianyu Gao *Department of Sports Medicine, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Ministry of Education, No.49 Huayuan North Road, Haidian District, Beijing, 100191, China.
Hongshi Huang *Department of Sports Medicine, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Ministry of Education, No.49 Huayuan North Road, Haidian District, Beijing, 100191, China.
Yuanyuan YuDepartment of Sports Medicine, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Ministry of Education, No.49 Huayuan North Road, Haidian District, Beijing, 100191, China.
Hui LiuBiomechanics Laboratory, College of Human Movement Science, Beijing Sport University, Beijing, 100091, China. liuhuibupe@163.com.
Yingfang AoDepartment of Sports Medicine, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Ministry of Education, No.49 Huayuan North Road, Haidian District, Beijing, 100191, China. aoyingfang@163.com.

Funding

Beijing Natural Science Foundation L222138Beijing Nova Program 20230484412Clinical Key Projects of Peking University Third Hospital BYSYZD2021012Innovation and Transformation Fund Project of Peking University Third Hospital BYSYZHKC2022119Tianjin Research Innovation Project for Postgraduate Students 2022SKY363
6 · The paper itself

Abstract

backgroundThe incidence of knee osteoarthritis after anterior cruciate ligament reconstruction (ACLR) is high to 57%, and the biomechanical abnormality during walking is one of the reasons. The purpose of this study was to investigate the effect of 12 weeks of knee extension constraint training on walking biomechanics during the stance phase of injured side after ACLR.

methodsForty-five patients were randomly assigned to three groups based on different brace conditions from 13 weeks to 24 weeks after ACLR: experimental (brace with knee extension constraint), placebo (brace without knee extension constraint), and control (no brace). Gait analysis was performed 3 and 6 months after ACLR. The peak for knee flexion angle (KFA), knee extension moment (KEM), and vertical ground reaction force (vGRF) were compared by 2 (time) x 3 (group) repeated-measures analysis of covariance (ANCOVA), and pairwise comparisons were conducted. .

resultsThere was a significant time x group interaction for the peak KFA (p = 0.047), and there was no significant time x group interaction for the peak KEM and peak vGRF. The pairwise comparisons showed that there were no statistical differences among the groups both the pre-intervention and post-intervention in the peak KFA, peak KEM, and peak vGRF. Compared with pre-intervention, the peak vGRF in the experimental group was significantly greater (p = 0.009) and the peak KFA in the control group was significantly lower (p = 0.041) post-intervention. There were not significantly different in the placebo group between pre-intervention and post-intervention.

conclusion12 weeks of knee extension constraint training can increase lower extremity loading on the injured side, may be a potential therapeutic adjunct to improve abnormal gait after ACLR.

Indexed as

Anterior Cruciate Ligament ReconstructionWalkingAdolescentAdultAnterior Cruciate Ligament InjuriesBiomechanical PhenomenaBracesDouble-Blind MethodFemaleGaitHumansKnee JointMaleTime FactorsYoung AdultAnterior cruciate ligament reconstructionBiomechanicsRehabilitationWalking

Identifiers

PMID39773322
PMCPMC11706006

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.