Evidence mapPaperPMID 41347910Full record

Trial reportPhysical therapy2026

Effectiveness of a Physical Therapist-Administered Physical Activity Intervention After Total Knee Replacement: A Randomized Trial.

Daniel K White, Jason Jakiela, Sydney Liles, Hiral Master, Dana Voinier, Meredith Brunette, Jennifer Copson, Tom Bye, Laura A Schmitt, Louise M Thoma

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Physical therapy, 2026. 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. Trial
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

10 authors.

Daniel K WhiteDepartment of Physical Therapy, University of Delaware, Newark, DE 19713, United States.ORCID 0000-0003-3792-4621
Jason JakielaDepartment of Physical Therapy, Winston-Salem State University, Winston-Salem, NC 27110, United States.ORCID 0000-0001-7397-7603
Sydney LilesDepartment of Physical Therapy, University of Delaware, Newark, DE 19713, United States.
Hiral MasterVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, TN 37232, United States.ORCID 0000-0003-0019-3087
Dana VoinierDepartment of Physical Therapy, University of Delaware, Newark, DE 19713, United States.
Meredith BrunetteProgyny Inc, New York, NY 10018, United States.
Jennifer CopsonDepartment of Physical Therapy, University of Delaware, Newark, DE 19713, United States.
Tom ByeDepartment of Physical Therapy, University of Delaware, Newark, DE 19713, United States.
Laura A SchmittDepartment of Physical Therapy, University of Delaware, Newark, DE 19713, United States.
Louise M ThomaDivision of Physical Therapy, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.

Funding

PT/PHD PREDOCTORAL TRAINING PROGRAMT32HD007490 · UNIVERSITY OF DELAWARE · 1996 to 2025
$621k
NIAMS NIH HHS L30 AR060056NIAMS NIH HHS R21 AR071079NICHD NIH HHS T32 HD007490NIH HHS T32-HD007490 (D.V., T.B., and S.L.)NIH/NIAMS R21-AR071079 (White)
6 · The paper itself

Abstract

importanceWhile total knee replacement (TKR) is the definitive treatment for knee osteoarthritis, physical activity remains unchanged after surgery.

objectiveThe objective of this trial was to examine the efficacy of a physical therapist-administered physical activity intervention to increase moderate-to-vigorous physical activity (MVPA) over 6 months for adults after TKR.

designThis was a randomized controlled trial.

settingThe study took place in an outpatient physical therapist clinic.

participantsIncluded were 120 adults over the age of 45 years seeking outpatient physical therapy following a unilateral TKR.

interventionsParticipants received standardized physical therapy after TKR and a wearable activity tracking device, individualized step goals, and face-to-face feedback provided by a physical therapist (intervention), or standardized physical therapy alone (control). MAIN OUTCOME AND MEASURE: The primary outcome was change in MVPA recorded by a hip-worn Actigraph GT3X accelerometer from baseline to 6 months after discharge from physical therapy.

resultsModerate-to-vigorous physical activity similarly increased from baseline to 6 months within the intervention (median = 6.0 minutes per day [semi-interquartile range = 11.9]) and control group (median = 5.9 minutes per day [semi-interquartile range = 14.3]). There was no between-group difference in MVPA change over time.

conclusionA physical therapist-administered physical activity intervention resulted in a similar increase in MVPA over 6 months compared to standardized physical therapy for adults after TKR. RELEVANCE: Adding a wearable activity tracking device and individualized step goals may not increase physical activity for adults after TKR receiving outpatient physical therapy.

Indexed as

Arthroplasty, Replacement, KneeExerciseExercise TherapyOsteoarthritis, KneePhysical Therapy ModalitiesAccelerometryAgedFemaleHumansMaleMiddle AgedActivityInterventionsKnee ArthroplastyMVPAPhysical ActivityPhysical TherapyTKR

Identifiers

PMID41347910
PMCPMC12757743

What Socratic holds

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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.