Trial reportPhysical therapy2026
Predictors of Functional Recovery in Individuals Exposed to Late-Stage Exercise Programs After Total Knee Replacement: A Secondary Analysis of a Randomized Controlled Trial.
Trial report in Physical therapy, 2026. 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
5 authors.
Funding
Abstract
importanceTotal knee replacement (TKR) is common for advanced cartilage degeneration. Often, functional limitations persist, and late-stage exercise (2-4 months after TKR) may improve recovery.
objectiveThe objective of this study was to identify predictors of late-stage functional recovery after TKR and their variations by exercise program.
designThis study was a secondary analysis of a randomized controlled trial.
settingThe settings were 1 physical therapy clinic and 4 community centers in Allegheny County, Pennsylvania.
participantsThe study included 199 individuals (mean age = 70 years; body mass index = 31 kg/m2; 60% women).
interventionsInterventions were physical therapy exercises, community-based exercises, and usual care. MAIN OUTCOME AND MEASURES: The main outcome was functional recovery at 6 months after intervention. Functional recovery was defined as ≥50% improvement on the Western Ontario and McMaster Universities Osteoarthritis Index physical function subscale, at least somewhat better on the Global Rating of Change, and ≥ 20% improvement on ≥2 performance-based tests. Predictors were identified using logistic regression. Odds ratios (ORs) and 95% confidence intervals (CIs) were reported.
resultsIn the entire cohort, 33% of participants achieved functional recovery, including 42% in the physical therapy group and 38% in the community group. Overall, better baseline health (odds ratio [OR] = 2.70 [95% CI = 1.34-5.47]), discharge to home (OR = 6.24 [95% CI = 1.94-20.09]), and higher Western Ontario and McMaster Universities Osteoarthritis Index pain subscale scores (OR = 1.22 [95% CI = 1.07-1.40]) predicted functional recovery. In the physical therapy group (n = 83), positive predictors were better health (OR = 4.40 [95% CI = 1.20-16.06]), discharge to home (OR = 11.67 [95% CI = 2.01-67.76]), regular use of nonsteroidal anti-inflammatory drugs (OR = 3.76 [95% CI = 1.11-12.78]), and as-needed use of analgesics (OR = 10.53 [95% CI = 1.75-63.48]). Negative predictors, associated with a lower likelihood of recovery, were regular use of salicylates (OR = 0.22 [95% CI = 0.07-0.74]) and greater use of pain-coping strategies (OR = 0.51 [95% CI = 0.29-0.89]). No predictors were identified in the community group (n = 76).
conclusionsBetter baseline health, discharge to home after TKR, and higher pain levels predicted functional recovery. Physical therapy provided additional benefits for a subset of participants. RELEVANCE: This evidence helps clinicians set realistic functional recovery expectations and strategies to facilitate function late after TKR.
Indexed as
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.