Evidence map›Paper›PMID 40296068›Full record

Trial reportAdvances in rheumatology (London, England)2025

Effectiveness of prior intra-articular corticosteroid injection in elderly patients with knee osteoarthritis undergoing progressive resistance training: a randomized controlled trial.

Christine Brumini, Rita Nely Vilar Furtado, Anamaria Jones, Raphael Vilela Timóteo da Silva, Jamil Natour

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Advances in rheumatology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Triple-layered core-shell microneedle patch for sustained analgesic delivery and chondroprotection in osteoarthritis.Journal of controlled release : official journal of the Controlled Release Society · 2026
    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

5 authors.

Christine BruminiUniversidade Federal de Sao Paulo / Escola Paulista de Medicina (UNIFESP/EPM) - Disciplina de Reumatologia, Rua dos Otonis, 863 - Vila Clementino, Sao Paulo, SP, CEP 04025-002, Brazil.ORCID 0000-0002-4640-3070
Rita Nely Vilar FurtadoUniversidade Federal de Sao Paulo / Escola Paulista de Medicina (UNIFESP/EPM) - Disciplina de Reumatologia, Rua dos Otonis, 863 - Vila Clementino, Sao Paulo, SP, CEP 04025-002, Brazil.
Anamaria JonesUniversidade Federal de Sao Paulo / Escola Paulista de Medicina (UNIFESP/EPM) - Disciplina de Reumatologia, Rua dos Otonis, 863 - Vila Clementino, Sao Paulo, SP, CEP 04025-002, Brazil. anamaria.jones@unifesp.br.
Raphael Vilela Timóteo da SilvaUniversidade Federal de Sao Paulo / Escola Paulista de Medicina (UNIFESP/EPM) - Disciplina de Reumatologia, Rua dos Otonis, 863 - Vila Clementino, Sao Paulo, SP, CEP 04025-002, Brazil.
Jamil NatourUniversidade Federal de Sao Paulo / Escola Paulista de Medicina (UNIFESP/EPM) - Disciplina de Reumatologia, Rua dos Otonis, 863 - Vila Clementino, Sao Paulo, SP, CEP 04025-002, Brazil.ORCID 0000-0002-4588-9902

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of intra-articular injections (IAIs) with triamcinolone hexacetonide (TH) combined with a progressive resistance exercise program (PREP) in improving pain, function, muscle strength, and quality of life in elderly patients with knee osteoarthritis (OA).

methodsFifty-nine elderly individuals with knee OA were randomized into three groups: IAI with TH (IAI-TH) + PREP, IAI with saline solution (IAI-SS) + PREP, and IAI with placebo + PREP. The IAIs were administered once, one week before starting PREP, which was performed twice weekly for 12 weeks. Outcomes assessed at baseline and at 2, 6, and 12 weeks post-IAI included pain (Numerical Pain Scale - NPS), swelling, function (Western Ontario and McMaster Universities Osteoarthritis Index - WOMAC), quality of life (Short Form-36 - SF-36), performance tests (Six-Minute Walk Test - 6MWT, Timed Up and Go Test - TUGT, Short Physical Performance Battery - SPPB), and muscle strength (one-repetition maximum test - 1RM). Due to the COVID-19 pandemic, only 15 participants per group completed the study protocol.

resultsAll groups showed significant intragroup improvements over time in pain, function, muscle strength, and quality of life. However, no statistically significant differences were found between the groups for any of the assessed outcomes. The bodily pain domain of the SF-36 and analgesic consumption were the only measures showing differences over time.

conclusionThe combination of IAI-TH and a 12-week PREP (twice weekly) was not superior to IAI-SS or placebo combined with the same PREP in improving pain, function, or quality of life in elderly patients with knee OA. These findings highlight the role of exercise as a key therapeutic strategy, regardless of prior IAI. Future studies with larger sample sizes and long-term follow-ups are needed to better assess the role of intra-articular corticosteroid injections in OA rehabilitation. CLINICAL TRIAL NUMBER: ensaiosclinicos.gov.br (RBR-556md5g). Registered 27 October 2022.

Indexed as

Osteoarthritis, KneeResistance TrainingTriamcinolone AcetonideAgedCombined Modality TherapyDouble-Blind MethodFemaleHumansInjections, Intra-ArticularMaleMiddle AgedMuscle StrengthPain MeasurementQuality of LifeTreatment OutcomeTriamcinolone Acetonidetriamcinolone hexacetonideAgedIntra-articular injectionsKneeOsteoarthritisResistance training

Identifiers

PMID40296068
PMCPMC13488727

What Socratic holds

Textmetadata
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 Socratic graph.