Evidence map›Paper›PMID 41389248›Full record

ArticleIrish journal of medical science2026

The role of kneeling ability on post-operative outcomes in total knee arthroplasty.

Gamze Arin-Bal, Sibel Bozgeyik-Bagdatli, Ezgi Unuvar-Yuksel, Ferhat Ozturk, Firat Tan, Gizem Irem Kinikli, Taha Aksoy, Bulent Atilla, Hande Guney-Deniz

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Article in Irish journal of medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Gamze Arin-BalFaculty of Physical Therapy and Rehabilitation, Department of Musculoskeletal Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey. arin_gamze@hotmail.com.ORCID http://orcid.org/0000-0002-7427-4480
Sibel Bozgeyik-BagdatliFaculty of Physical Therapy and Rehabilitation, Department of Musculoskeletal Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Ezgi Unuvar-YukselFaculty of Physical Health Science, Department of Physiotherapy and Rehabilitation, Izmir Demokrasi University, Izmır, Turkey.
Ferhat OzturkFaculty of Physical Therapy and Rehabilitation, Department of Musculoskeletal Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Firat TanFaculty of Physical Health Science, Department of Physiotherapy and Rehabilitation, Atatürk University, Erzurum, Turkey.
Gizem Irem KinikliFaculty of Physical Therapy and Rehabilitation, Department of Musculoskeletal Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Taha AksoyFaculty of Medicine, Department of Orthopedics and Traumatology, Hacettepe University, Ankara, Turkey.
Bulent AtillaFaculty of Medicine, Department of Orthopedics and Traumatology, Hacettepe University, Ankara, Turkey.
Hande Guney-DenizFaculty of Physical Therapy and Rehabilitation, Department of Musculoskeletal Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotal knee arthroplasty (TKA) is a widely performed surgery with high satisfaction rates; however, only a minority of patients reported being able to kneel postoperatively. Kneeling is essential in various daily and cultural activities, yet its determinants remain unclear.

aimThis study aimed to compare functional outcomes, patient-reported outcome measures (PROMs), self-perceived knee condition, and fear of damaging the prosthesis between patients who can and cannot kneel after TKA.

methodsA prospective cross-sectional study was conducted with 59 TKA patients aged 50-75 years. Participants were grouped based on their self-reported kneeling ability. Outcomes included isometric flexor and extensor knee strength, range of motion (ROM), 2-minute walk test, 5-times sit-to-stand test, and PROMs including the Oxford Knee Score (OKS), Forgotten Joint Score (FJS), and Tampa Scale for Kinesiophobia (TSK). Perceptions of knee condition and fear of prosthesis damage were assessed via a custom survey.

resultsPatients able to kneel had significantly greater knee flexion ROM (p=0.013), higher flexor muscle strength (p=0.027), better performance in sit-to-stand (p=0.031), and higher OKS scores (p<0.01). No differences were found in extensor strength, FJS, TSK, or perception of knee condition and fear of prosthesis damage (p>0.05).

conclusionKneeling ability after TKA is associated with better functional outcomes, yet perceptions of the knee and fear of damage remain similar across groups. Tailored rehabilitation and education addressing both physical and psychological barriers may improve postoperative kneeling outcomes.

Indexed as

Arthroplasty, Replacement, KneeKnee JointAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedMuscle StrengthPatient Reported Outcome MeasuresProspective StudiesRange of Motion, ArticularFunctionKneeKneelingTotal knee arthroplasty

Identifiers

PMID41389248

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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.