{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T12:22:25Z","timestamp":1774614145004,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Recovery following total knee arthroplasty (TKA) is frequently incomplete, highlighting the need for more effective rehabilitation approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single\u2010blind pilot randomized controlled trial allocated 40 women undergoing unilateral total knee arthroplasty (TKA) to either Sling Training (ST) or Standard Physiotherapy Training (SPT) (1:1). Both groups completed supervised outpatient rehabilitation three times weekly for 8\u00a0weeks, beginning 1\u2010week post\u2010surgery. Outcomes included quadriceps and hamstring isometric strength, knee range of motion, and WOMAC total score, assessed at baseline and week 8 by a blinded assessor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both groups improved significantly; however, ST produced larger gains in quadriceps strength (+60% vs. +30%), hamstring strength, knee flexion ROM (+19.2\u00b0 vs. +12.2\u00b0), and WOMAC reduction (\u221241.9 vs. \u221235.7;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.003). Approximately 90% of ST participants versus 75% of SPT participants exceeded the \u2265\u00a012\u2010point MCID threshold.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Sling\u2010based exercise training may offer superior early functional and strength recovery compared with standard physiotherapy after TKA, supporting its potential role as an adjunct to early rehabilitation. Larger, multi\u2010centre trials are needed to confirm effectiveness and generalizability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>IRCT20221226056934N1<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/msc.70212","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T11:07:33Z","timestamp":1774609653000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of Sling Exercise Training Compared to Standard Physiotherapy to Improve Muscle Strength, Joint Range of Motion and Functional Outcomes Following Total Knee Arthroplasty: A Pilot Randomized Controlled Trial"],"prefix":"10.1002","volume":"24","author":[{"given":"Nooshin","family":"Rajaeian","sequence":"first","affiliation":[{"name":"Department of Kinesiology Indiana University  Bloomington Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1231-9399","authenticated-orcid":false,"given":"Bijan","family":"Rajaeian","sequence":"additional","affiliation":[{"name":"Department of Physical Education Islamic Azad University Shahin Shahr Branch  Isfahan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gholam Ali","family":"Ghasemi","sequence":"additional","affiliation":[{"name":"Department of Sport Injuries and Corrective Exercises Faculty of Sport Sciences University of Isfahan  Isfahan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Negin Ghasemi","family":"Kahrizsangi","sequence":"additional","affiliation":[{"name":"Child Growth and Development Research Center Research Institute for Primordial Prevention of Noncommunicable Disease Isfahan University of Medical Sciences  Isfahan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"issue":"3","key":"e_1_2_13_2_1","first-page":"210","article-title":"Study of Total Knee Arthroplasty in Iran: Implications for Health Managers and Policy Makers","volume":"8","author":"Amiresmaili M.","year":"2021","journal-title":"Health Management and Information Science"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12961\u2010023\u201001097\u20100"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2019.08.15"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.26.1363"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2015(01)02"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2006.09.001"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102023\u2010083784"},{"issue":"1","key":"e_1_2_13_9_1","first-page":"42","article-title":"Muscle Activation Patterns During Suspension Training Exercises","volume":"12","author":"Harris S.","year":"2017","journal-title":"International Journal of Sports Physical Therapy"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.915277"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.24.1099"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.5535\/arm.2014.38.1.84"},{"issue":"1","key":"e_1_2_13_13_1","first-page":"87","article-title":"Sling Exercise Therapy (SET): A Total Concept for Exercise and Active Treatment of Musculoskeletal Disorders","volume":"7","author":"Kirkesola G.","year":"2001","journal-title":"Journal of Korean Academy of Orthopedic Manual Physical Therapy"},{"key":"e_1_2_13_14_1","doi-asserted-by":"crossref","unstructured":"Lathabhavan R. Z. H.Marznaki R. N.Nukpezah S. K.Mudgal A. M.Afshar andM.Khalilizad.2024.Psychological Factors and Clinical Outcomes After Total Knee Arthroplasty Surgery in Patients.https:\/\/doi.org\/10.21203\/rs.3.rs\u20103896905\/v1.","DOI":"10.21203\/rs.3.rs-3896905\/v1"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999\u2010009\u20100779\u20109"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/2945952"},{"issue":"2","key":"e_1_2_13_17_1","first-page":"168","article-title":"Associations Between Knee Extensor Power and Functional Performance in Patients After Total Knee Arthroplasty and Normal Controls Without Knee Pain","volume":"9","author":"Marmon A. R.","year":"2014","journal-title":"International Journal of Sports Physical Therapy"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477\u20107525\u201012\u201068"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.70252\/MONR8675"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2013.02.001"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2018.1479475"},{"key":"e_1_2_13_22_1","volume-title":"Joint Range of Motion and Muscle Length Testing\u2010E\u2010Book: Joint Range of Motion and Muscle Length Testing\u2010E\u2010Book","author":"Reese N. B.","year":"2016"},{"issue":"1","key":"e_1_2_13_23_1","first-page":"40","article-title":"Effects of Sling Exercise and McKenzie Exercise Program on Neck Disability, Pain, Muscle Strength and Range of Motion in Chronic Neck Pain","volume":"1","author":"Seo S.\u2010C.","year":"2012","journal-title":"Physical Therapy Rehabilitation Science"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.26719\/emhj.20.109"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2025.2526025"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2004.022905"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000028861"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018\u2010021\u201002516\u20100"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.27.2591"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018\u2010023\u201004160\u20102"},{"issue":"3","key":"e_1_2_13_31_1","first-page":"245","article-title":"Effect of Adding One 15\u2010Minute\u2010Walk on the Day of Surgery to Fast\u2010Track Rehabilitation After Total Knee Arthroplasty: A Randomized, Single\u2010Blind Study","volume":"51","author":"Zietek P.","year":"2014","journal-title":"European Journal of Physical and Rehabilitation Medicine"}],"container-title":["Musculoskeletal Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.70212","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/msc.70212","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.70212","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T11:45:43Z","timestamp":1774611943000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/msc.70212"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/msc.70212"],"URL":"https:\/\/doi.org\/10.1002\/msc.70212","archive":["Portico"],"relation":{},"ISSN":["1478-2189","1557-0681"],"issn-type":[{"value":"1478-2189","type":"print"},{"value":"1557-0681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2025-09-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70212"}}