Evidence map›Paper›PMID 40521698›Full record

SynthesisPain practice : the official journal of World Institute of Pain2025

Cryotherapy in Knee Osteoarthritis: A Systematic Review With Meta-Analysis.

Rebeca Ferreira Dias, Sarah de Lima Silva, Sophia Parreira de Mello, Lucinar Jupir Forner Flores, Márcia Rosângela Buzanello, Gladson Ricardo Flor Bertolini

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Pain practice : the official journal of World Institute of Pain, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Cryotherapy in Knee Osteoarthritis: A Systematic Review With Meta-Analysis.Pain practice : the official journal of World Institute of Pain · 2025
    Pooled it
  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

6 authors.

Rebeca Ferreira DiasThe State University of Western Paraná (UNIOESTE), Cascavel, Brazil.
Sarah de Lima SilvaThe State University of Western Paraná (UNIOESTE), Cascavel, Brazil.
Sophia Parreira de MelloThe State University of Western Paraná (UNIOESTE), Cascavel, Brazil.
Lucinar Jupir Forner FloresThe State University of Western Paraná (UNIOESTE), Cascavel, Brazil.
Márcia Rosângela BuzanelloThe State University of Western Paraná (UNIOESTE), Cascavel, Brazil.
Gladson Ricardo Flor BertoliniThe State University of Western Paraná (UNIOESTE), Cascavel, Brazil.ORCID https://orcid.org/0000-0003-0565-2019

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo update knowledge on the effects of cryotherapy in reducing pain, increasing strength, and improving function in patients with knee osteoarthritis.

methodsThe databases used included PubMed, Embase, Cochrane, Physiotherapy Evidence Database (PEDro), Scopus, Web of Science, and LILACS. In addition, gray literature was searched in Google Scholar, LIVIVO, Open Gray, and the CAPES Library of Theses and Dissertations. The risk of bias was assessed using the Cochrane tool, RoB 2, by two independent reviewers, with conflicts being resolved by consensus. The primary outcome was pain, while secondary outcomes included functionality and muscle strength.

resultsFive randomized controlled trials were selected from 2094 initial registrations. The meta-analysis included all five studies in the pain intensity outcome, resulting in a standardized mean difference (SMD) of -0.57 (95% CI: [-0.97, -0.18]; p = 0.004; I

conclusionThese findings indicate that cryotherapy can be useful as part of a comprehensive treatment for knee osteoarthritis, especially when combined with kinesiotherapy, but its effectiveness as a stand-alone treatment still requires further studies with a lower risk of bias.

Indexed as

CryotherapyOsteoarthritis, KneeHumansRandomized Controlled Trials as Topiccryotherapyknee osteoarthritissystematic review

Identifiers

PMID40521698
PMCPMC12168428

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.