ReviewJournal of sport and health science2025
Are pre-operative exercise interventions for joint arthroplasty effective at improving peri‑operative outcomes? A systematic review and meta-analysis of randomized controlled trials.
Review in Journal of sport and health science, 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.
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
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of exercise on cognitive function in patients with depression: a three-level meta-analysis with dose-response and exploratory mediation analyses.The international journal of behavioral nutrition and physical activity · 2026Pooled it
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvidence on pre-operative physical activity before hip and knee arthroplasty is limited and heterogeneous. Intervention components and behavior change techniques remain underexplored. This review examined the effectiveness of pre-operative physical activity interventions on patient and surgical outcomes in elective hip and knee arthroplasty up to 12 weeks post-surgery.
methodsA systematic search of 8 databases up to August 8, 2024 identified randomized controlled trials of physical activity interventions before total hip and knee arthroplasty. Quality of evidence was evaluated with Grading of Recommendations, Assessment, Development and Evaluation framework. Random-effects models were used for meta-analyses. The Template for Intervention Description and Replication (TIDieR) was used for detailing the included interventions.
resultsForty trials were included. Significant mean differences in favor of the intervention groups were found at pre- and post-surgery in 4 outcomes: health-related quality of life (Knee pre-surgery standardized mean difference (SMD) = -0.5, 95% confidence interval (95%CI): -1.0 to -0.1 and Hip and Knee post-surgery SMD = -0.4, 95%CI: -0.6 to -0.1), pain (Hip and Knee pre-surgery SMD = -0.4, 95%CI: -0.6 to -0.1 and Knee post-surgery SMD = -0.3, 95%CI: -0.6 to -0.1), function (Hip and Knee pre-surgery SMD = -0.5, 95%CI: -0.8 to -0.2 and Knee post-surgery SMD = -0.6, 95%CI: -1.0 to -0.2), and timed-up-and-go (Hip and Knee MD = -1.2 s, 95%CI: -2.0 to -0.3 and Hip and Knee MD = -1.3 s, 95%CI: -1.7 to -0.8). Half of the interventions reported over 75% of the TIDieR items, while behavior change techniques reporting was limited.
conclusionPre-operative exercise improves health-related quality of life, pain, and function pre- and post-surgery in elective hip and knee arthroplasty. Standardized reporting is needed for establishing effective intervention components.
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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.