Is it necessary to perform prehabilitation exercise for patients undergoing total knee arthroplasty: meta-analysis of randomized controlled trials
Is it necessary to perform prehabilitation exercise for patients undergoing total knee arthroplasty: meta-analysis of randomized controlled trials
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DOI：
10.1080/00913847.2018.1403274
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发表时间：
2018-01-01
影响因子：
2.3
通讯作者：
Fang, Li
中科院分区：
文献类型：
--
作者：
Chen, Huifen;Li, Suyun;Fang, Li
目的：方法：通过Pubmed、Clinicaltrials、科克伦图书馆、SpringerLink等数据库检索相关文献，分析人工全膝关节置换术（TKA）患者术前是否需要进行膝关节功能锻炼。纳入了所有在TKA前比较术前运动组与对照组的研究。主要结局是住院时间。结果：两组患者术后住院时间、膝关节活动度（ROM）、坐立试验评分比较，差异有统计学意义（P < 0.05）。两组术后短期内股四头肌肌力、6min步行、膝关节活动度、伸膝、屈膝、WOMAC疼痛、WOMAC功能、WOMAC僵硬度比较差异无统计学意义（P > 0. 05）。重要的是，这是一种改善TKA术后膝关节ROM和坐立试验的有效方法。然而，术前锻炼对TKA术后股四头肌力量、6分钟步行、疼痛和功能恢复的改善没有影响。
Objectives: This study was designed to test whether it is necessary to perform prehabilitation exercise for patients undergoing total knee arthroplasty (TKA).Methods: Literatures were identified from Pubmed, Clinicaltrials, Cochrane library, and SpringerLink. All studies that compared a prehabilitation exercise group with control group before TKA were included. The primary outcome was length of hospital stay. Secondary outcomes were quadriceps strength and functional ability in short term (1.5 to 3months) after TKA.Results: There was significant difference in the length of hospital stay, knee range of motion (ROM) and sit-to-stand test (P < 0.05). No statistical differences were found in quadriceps strength, 6-minute walk, ROM, knee extension, knee flexion, WOMAC pain, WOMAC function, WOMAC stiffness between the two groups in short term after TKA (P > 0.05).Conclusions: Our meta-analysis found that prehabilitation exercise was effective in reducing length of hospital stay. Importantly, it was an effective method for improving knee ROM and sit-to-stand test after TKA. However, there was no effect of prehabilitation exercise on the improvement of quadriceps strength, 6-minute walk, pain and functional recovery following TKA.