Evidence map›Paper›PMID 39853665›Full record

SynthesisMusculoskeletal care2025

Postoperative Rehabilitation Interventions in Patients at Risk of Poorer Outcomes Following Total Knee Arthroplasty: A Systematic Review.

Motahareh Karimijashni, Samantha Yoo, Keely Barnes, Héloïse Lessard-Dostie, Armaghan Dabbagh, Tim Ramsay, Stéphane Poitras

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Musculoskeletal care, 2025. 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

7 authors.

Motahareh KarimijashniClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.ORCID 0009-0008-3252-864X
Samantha YooSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Canada.
Keely BarnesClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
Héloïse Lessard-DostieSchool of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada.
Armaghan DabbaghDepartment of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, Canada.
Tim RamsayClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
Stéphane PoitrasSchool of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada.

Funding

BMO financial GroupOntario Physiotherapy AssociationThe Ottawa HospitalUniversity of Ottawa
6 · The paper itself

Abstract

purposeThis systematic review evaluated the efficacy of postoperative rehabilitation for patients at risk of poorer outcomes after total knee arthroplasty.

methodsSix databases were searched, and only randomised controlled trials were included. Two reviewers independently screened, extracted data, and appraised the quality of the studies.

resultsTwenty-three studies were included. Insufficient evidence supports cognitive behavioural therapy for patients with kinesiophobia, while continuous passive motion may not be effective for range of motion deficits. The impact of exercise therapy on functional recovery is conflicting; however, longer durations tend to be more effective for older patients and those with functional limitations. Limited evidence suggests that exercise may not alleviate pain. Outpatient exercise therapy improves health-related quality of life more than home-based programs for older patients and those with functional limitations. The efficacy of other rehabilitation aspects remains inconclusive due to high heterogeneity in interventions and outcome measures, and high or unclear risk of bias in most studies.

conclusionWhile limited evidence suggests benefits for specific rehabilitation interventions, there is insufficient data to assess the efficacy of most interventions on postoperative recovery in those at risk of poorer outcomes. More robust evidence is needed to guide clinical practice and standardise outcome measures. TRAIL REGISTRATION: PROSPERO CRD42022355574.

Indexed as

Arthroplasty, Replacement, KneeExercise TherapyHumanspoor outcomerehabilitationtotal knee arthroplasty

Identifiers

PMID39853665
PMCPMC11757015

What OpenQuestion holds

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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.