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Table 2 Estimated treatment effects

From: Effect of preoperative neuromuscular training (NEMEX-TJR) on functional outcome after total knee replacement: an assessor-blinded randomized controlled trial

 

Baseline to 1 week pre-op

Baseline to 6 weeks post-op

Baseline to 3 months post-op

3 months to 12 months post-op

Primary endpoint

    

Chair Stand Test°

−1.5 (−5.3, 2.2)

Not assessed

2.0 (−1.8, 5.8)

Not assessed

Secondary endpoints

    

KOOS ADL function°°

1.3 (−10.1, 12.8)

−2.0 (−13.3, 9.3)

−4.9 (−16.3, 6.5)

3.6 (−8.5, 15.7)

KOOS pain°°

−2.3 (−12.4, 7.9)

−6.4 (−16.5, 3.6)

−3.3 (−13.5, 6.8)

2.3 (−8.5, 13.0)

Additional outcomes

    

Lower limb function

    

KOOS symptoms°°

2.2 (−7.4, 11.8)

2.4 (−7.2, 11.9)

4.6 (−5.0, 14.2)

3.8 (−6.4, 14.0)

KOOS sport and recreation°°

−5.1 (−24.5, 14.4)

12.2 (−8.8, 33.2)

1.0 (-19.9, 21.8)

−4.1 (−25.6, 17.5)

KOOS quality of life°°

5.5 (−7.2, 18.1)

6.1 (−6.6, 18.7)

−5.9 (−18.5, 6.8)

5.9 (−7.5, 19.3)

Muscle strength (Newton)°

 

Not assessed

 

Not assessed

  Knee extension op

8.8 (−40.0, 57.8)

 

−3.5 (−52.7, 45.6)

 

  Knee extension contra

14.2 (−29.8, 58.2)

 

35.4 (−8.9, 79.4)

 

  Knee flexion op

23.2 (−0.1, 46.5)

 

−12.7 (−36.2, 10.8)

 

  Knee flexion contra

2.0 (−20.8, 24.7)

 

−6.7 (−29.7, 16.2)

 

Knee-bending/30s°

3.8 (−0.5, 8.0)

Not assessed

−3.3 (−7.4, 0.8)

Not assessed

ROM of the knee (degrees)°

 

Not assessed

 

Not assessed

  Flexion op

1.9 (−4.4, 8.2)

 

−3.9 (−10.2, 2.4)

 

  Flexion contra

0.1 (−3.4, 3.7)

 

−1.6 (−5.2, 1.9)

 

  Extension op

0.8 (−2.4, 4.0)

 

1.4 (−1.8, 4.5)

 

  Extension contra

1.2 (−0.5, 2.8)

 

1.4 (−0.2, 3.0)

 

20 m walk test°

−0.6 (−2.0, 0.9)

Not assessed

−0.5 (−2.0, 1.0)

Not assessed

Timed up and go°

0.2 (−1.5, 2.0)

Not assessed

1.6 (−0.1, 3.3)

Not assessed

Physical activity

    

METs 7 day (kcal/h/kg)°

0.3 (−2.2, 2.7)

Not assessed

0.3 (−2.3, 2.9)

Not assessed

Steps (daily average)°

−687.2 (−2172, 798)

Not assessed

165.7 (−1288, 1620)

Not assessed

Adapted NHANES III METs°

10.0 (−12.6, 32.7)

1.6 (−20.9, 24.0)

0.4 (−22.3, 23.0)

2.6 (−21.3, 26.4)

Health-related quality of life

    

SF 36 Physical functioning°°

7.1 (−5.3, 19.5)

0.5 (−11.8, 12.7)

−6.6 (−8.5, 17.5)

4.5 (−8.5, 17.5)

  Role physical°°

−10.8 (−39.9, 18.3)

−5.2 (−34.2, 23.9)

−3.2 (−32.2, 25.9)

−1.1 (−31.7, 29.5)

  Bodily pain°°

4.9 (−7.2, 17.0)

2.8 (−9.2, 14.9)

−3.4 (−15.5, 8.7)

4.9 (−7.8, 17.7)

  General health°°

3.3 (−5.9, 12.4)

3.4 (−5.7, 12.5)

−2.8 (−12.0, 6.3)

2.5 (−7.2, 12.1)

  Vitality°°

−2.3 (−13.9, 9.3)

−1.0 (−12.5, 10.5)

−8.3 (−20.0, 3.3)

3.3 (−8.9, 15.5.)

  Social functioning°°

5.0 (−7.1, 17.2)

2.4 (−9.7, 14.4)

−1.6 (-13.7, 10.5)

−0.7 (−13.4, 12.1)

  Role emotional°°

−10.8 (−34.3, 12.7)

−11.1 (−34.5, 12.3)

−10.2 (−34.0, 13.5)

−9.3 (−34.2, 15.7)

  Mental health°°

2.6 (−6.6, 11.7)

−1.6 (−10.7, 7.5)

−3.0 (−12.2, 6.1)

0.4 (−9.2, 10.0)

EQ-5D Mobility°°°

0.1 (−0.3, 0.4)

0.0 (−0.3, 0.4)

−0.1 (−0.4, 0.2)

0.1 (−0.3, 0.4)

  Self-care°°°

−0.0 (−0.2, 2.2)

0.1 (−0.2, 0.3)

0.1 (−0.1, 0.3)

0.0 (−0.2, 0.2)

  Usual Activities°°°

−0.0 (−0.4, 0.4)

−0.1 (−0.5, 0.2)

0.0 (−0.4, 0.4)

−0.1 (−0.4, 0.3)

  Pain/discomfort°°°

−0.1 (−0.4, 0.2)

0.1 (−0.3, 0.4)

−0.0 (−0.5, 0.3)

−0.1 (−0.4, 0.3)

  Anxiety/Depression°°°

−0.1 (−0.3, 0.3)

0.0 (−0.2, 0.2)

−0.0 (−0.3, 0.3)

0.1 (−0.2, 0.3)

EQ-VAS°°

7.1 (−2.5, 16.7)

2.1 (−7.4, 11.6)

1.2 (−8.4, 10.8)

−0.1 (−10.2, 10.0)

  1. Values are differences in mean changes between intervention and control group. Results from a linear mixed model and adjusted for age, gender and BMI.
  2. ° Continuous variable (time in seconds, Newton, degree, number, METs, steps).
  3. °° Scores range from 0 to 100 with higher scores indicating fewer problems.
  4. °°° Scores range from 1 to 3 with lower score indicating fewer problems.