Evidence map›Paper›PMID 39979944›Full record

Trial reportJournal of orthopaedic surgery and research2025

EMMATKA trial: the effects of mobilization with movement following total knee arthroplasty in women: a single-blind randomized controlled trial.

Najla Alsiri, Sharifa A Alshatti, Maryam Al-Saffar, Rashida S Bhatia, Fatemah Fairouz, Shea Palmer

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 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. Review
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

6 authors.

Najla AlsiriAl-Razi Orthopedics and Rehabilitation Hospital, Kuwait City, Capital Governate, Kuwait. dr.alsiri@outlook.com.
Sharifa A AlshattiAl-Razi Orthopedics and Rehabilitation Hospital, Kuwait City, Capital Governate, Kuwait.
Maryam Al-SaffarAl-Razi Orthopedics and Rehabilitation Hospital, Kuwait City, Capital Governate, Kuwait.
Rashida S BhatiaAl-Razi Orthopedics and Rehabilitation Hospital, Kuwait City, Capital Governate, Kuwait.
Fatemah FairouzAl-Razi Orthopedics and Rehabilitation Hospital, Kuwait City, Capital Governate, Kuwait.
Shea PalmerSchool of Healthcare Sciences, Cardiff University, Cardiff, UK.

Funding

Kuwait Foundation for the Advancement of Sciences (KFAS) PR19-13MM-05
6 · The paper itself

Abstract

backgroundMobilization with Movement (MWM) is an examination and management approach for correcting the intra-articular translational and rotational movements to facilitate the active physiological movement. The study aimed to determine the effects of MWM on Total Knee Arthroplasty (TKA) using a randomized controlled trial (RCT) design.

methodsThe trial is registered (ISRCTN ref: 13,028,992). A blinded examiner assessed patients at pre-surgical (before TKA), post-surgical (at 3-weeks post-TKA), 6-weeks and 6-months post-TKA. Participants were randomly assigned to receive MWM (six sessions, between 3 and 6 weeks post-TKA) plus standard rehabilitation (intervention group) or standard rehabilitation alone (control group) of outpatient rehabilitation including range of motion and strengthening exercises, cycling, gait and stair training. Outcome measures were range of motion (goniometer), pain (visual analogue scales), physical function (Timed Up and Go (TUG)), a 15-m walk test, and health status (Western Ontario and McMaster (WOMAC) Osteoarthritis Index). Change in outcome measures from post-surgical to 6 weeks and 6 months post-TKA were compared between groups. The primary outcome was change in knee flexion range of motion at 6 weeks.

results84 women scheduled for TKA were randomly allocated to intervention (n = 42) or control (n = 42); mean ± (SD) age 65.1 ± 7.4 and 66.8 ± 8.9 years, respectively. The intervention group demonstrated significantly greater increase in knee flexion at both 6 weeks (median (IQR) + 10.00

conclusionIntroducing MWM for TKA rehabilitation has greater benefits for women post-TKA in increasing knee joint flexion range of motion than the standard rehabilitation programs in the short and medium-term. This evidence-based approach offers a promising adjunctive intervention for optimizing recovery and rehabilitation process following TKA in women. Clinicians should consider including MWM approach in post-TKA rehabilitation programs. LEVEL OF EVIDENCE: I.

Indexed as

Arthroplasty, Replacement, KneeExercise TherapyOsteoarthritis, KneeAgedFemaleHumansMiddle AgedMovementRange of Motion, ArticularSingle-Blind MethodTreatment OutcomeKnee arthroplastyManual therapyMulligan approachRange of motionRehabilitationSurgery

Identifiers

PMID39979944
PMCPMC11841275

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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.