ArticleJournal of orthopaedics2025
Physical functioning before knee arthroplasty is not associated with (standardized) preoperative physiotherapy, but is tied to physical functioning 1-year post-surgery: A prospective cohort study.
Article in Journal of orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: and purpose This study investigates whether a (regionally) standardized physiotherapy approach, employing a stepped-care model, can more effectively enhance preoperative physical function in end-stage osteoarthritis (OA) patients undergoing total knee arthroplasty (TKA) or unicompartmental knee arthroplasty (UKA) and improve postoperative outcomes, addressing the current gap in understanding the impact of such interventions. Methods: This mono-center observational prospective cohort study followed 216 primary UKA or TKA patients for one-year post-surgery. Preoperative physiotherapy, recorded through self-reported questionnaires, included standardization and treatment frequency details. Physical functioning assessments encompassed quadriceps and hamstrings muscle strength, functional mobility (FM), and range of motion (ROM). Statistical analyses comprised multivariate and single linear regression for both UKA and TKA groups. Results: Standardized preoperative physiotherapy correlated with superior preoperative extension ROM in TKA patients (B = -3.557, 95 % CI [-.915; -.241]), while less than 10 treatments were associated with superior preoperative extension ROM for both groups (β = -.202, p = .030 and β = -.228, p = .045). No associations were found between location or treatment frequency and preoperative muscle strength or FM. For both groups, preoperative FM, ROM, and muscle strength positively correlated with postoperative levels, except for extension ROM for UKA patients (p = .178). Conclusion: While adherence to standardized preoperative physiotherapy at an affiliated practice did not significantly correlate with preoperative physical functioning levels, a strong relationship exists between preoperative and one-year postoperative physical functioning levels.
Identifiers
What Socratic holds
Registered trials
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 Socratic graph.