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Record W4248038508 · doi:10.21203/rs.3.rs-32993/v1

Efficacy and safety of knee flexion enhanced standardized home exercise program comparing supervised physiotherapy to improve mobility and quality of life after Total knee arthroplasty

2020· preprint· en· W4248038508 on OpenAlexaboutno aff
Tianyang Xu, Lin Fan, Dong Yang, Kaiyuan Liu, Qiuming Gao, Guodong Li

Bibliographic record

VenueResearch Square (Research Square) · 2020
Typepreprint
Languageen
FieldMedicine
TopicTotal Knee Arthroplasty Outcomes
Canadian institutionsnot available
FundersNational Natural Science Foundation of China
KeywordsWOMACMedicinePhysical therapyRehabilitationVisual analogue scaleOsteoarthritisQuality of life (healthcare)Range of motionRandomized controlled trialKnee JointArthroplastyPhysical medicine and rehabilitationSurgeryNursing

Abstract

fetched live from OpenAlex

Abstract Background: In the present study, we introduced a knee flexion enhanced standardized home exercise program assisted by a low stool and evaluate efficiency of this method in the management of rehabilitation after TKA. Methods: Patients were recruited from July 2014 and December 2015, and randomized into two groups, a knee flexion enhanced standardized home exercise program group (group KFEH) and commonly-used supervised physiotherapy group (group SPT). Outcomes were evaluated by observing the joint function with the Knee Society score (KSS), Visual Analogue Scale (VAS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, and ROM assessment at selected time points (pre-operation and 1 week, 1 month, 3 month, 6 month and 1 year following post-operation). Results: At last, we observed pain and functional improvements in both groups. Noninferiority was shown 12 months postoperatively for clinical outcomes except group KFEH had better ROM range at 1 month (P<0.01). The absolute value of WOMAC and KSS were slight better in group KFEH without significant difference, and there was no difference about VAS between two groups as well as complication incidence rate. Additionally, home program would save patients’ times and decrease economic burden. Patents would save 14 times postoperative rehabilitation in outhospital service, and cut down at least 782 RMB in total. Conclusion: Taking the rehabilitation and economical efficiency, we recommend knee flexion enhanced home exercise program for TKA rehabilitation management.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.010
metaresearch head score (Gemma)0.006
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Science and technology studies, Research integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.807
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0100.006
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0040.001
Bibliometrics0.0010.002
Science and technology studies0.0000.003
Scholarly communication0.0000.000
Open science0.0000.004
Research integrity0.0010.005
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.068
GPT teacher head0.423
Teacher spread0.356 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2020
Admission routes1
Has abstractyes

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