Evidence map›Paper›PMID 42121247›Full record

Trial reportBMC research notes2026

Impact of upper-limb aerobic exercise on the prevention of chronic postsurgical pain after total knee arthroplasty: a randomized controlled trial.

Yukinori Sakamoto, Yasutaka Kondo, Takashi Iioka, Yuki Nishi, Ryo Kozu, Minoru Okita, Junya Sakamoto

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC research notes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Yukinori SakamotoDepartment of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Japan.
Yasutaka KondoDepartment of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Japan.
Takashi IiokaDepartment of Orthopedic Surgery, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan.
Yuki NishiDepartment of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Japan.
Ryo KozuDepartment of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Japan.
Minoru OkitaDepartment of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Japan.
Junya SakamotoDepartment of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Japan. jun-saka@nagasaki-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate whether adding early upper-limb aerobic exercise to usual postoperative rehabilitation reduces the incidence of chronic postsurgical pain (CPSP) at 6 months after total knee arthroplasty (TKA).

resultsEighty patients undergoing primary unilateral TKA were randomized to the intervention or control groups. Both groups received usual postoperative rehabilitation, and the intervention group additionally performed upper-limb ergometer exercise on postoperative days 2-14. The primary outcome, CPSP at 6 months, occurred at very low rates in both the intervention (2.6%) and control (2.4%) groups. The estimated risk difference was 0.1% (95% confidence interval: -12.1% to 12.8%). No significant between-group differences were observed in secondary outcomes. The effect of adding upper-limb aerobic exercise to usual rehabilitation remains inconclusive, given the extremely low event rate and wide confidence intervals. Trial registration University Hospital Medical Information Network Clinical Trials Registry (UMIN000046684), registered 20 January 2022.

Indexed as

Arthroplasty, Replacement, KneeExercise TherapyPostoperative PainUpper ExtremityAgedChronic PainExerciseFemaleHumansMaleMiddle AgedChronic postsurgical painRandomized controlled trialTotal knee arthroplastyUpper-limb aerobic exercise

Identifiers

PMID42121247
PMCPMC13335203

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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.