Effectiveness of prehabilitation on outcomes following total knee and hip arthroplasty for osteoarthritis: a systematic review and meta-analysis of randomized controlled trials.
Purpose: To quantify the effectiveness of prehabilitation prior to total knee and hip arthroplasty (TKA/THA) for osteoarthritis on postoperative outcomes assessed by self-report and performance-based measures. Methods: Embase, MEDLINE, CENTRAL, CINAHL and Scopus (inception-August 2022) were searched...
| Publicado en: | Disability & Rehabilitation Vol. 46; no. 24; pp. 5771 - 5791 |
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| Autores principales: | , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Dec2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181133829&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181133829 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Dec2024 vid: 46 iid: 24 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 181133829 181133829 181133829 10.1080/09638288.2024.2313128 181133829 ppf: 5771 ppct: 20 formats: tig: atl: Effectiveness of prehabilitation on outcomes following total knee and hip arthroplasty for osteoarthritis: a systematic review and meta-analysis of randomized controlled trials. aug: au: Adebero, Tony Omana, Humberto Somerville, Lyndsay Lanting, Brent Hunter, Susan W. affil: Faculty of Health Sciences, Department of Health and Rehabilitation Sciences, University of Western Ontario, London, Canada sug: subj: Arthroplasty, Replacement, Knee Rehabilitation Arthroplasty, Replacement, Hip Rehabilitation Osteoarthritis, Hip Surgery Osteoarthritis, Knee Surgery Prehabilitation Evaluation Self Report Task Performance and Analysis Clinical Effectiveness Evaluation Treatment Outcomes Evaluation Human Funding Source Male Female Systematic Review Meta Analysis Quality of Life Functional Status Range of Motion Adolescence Adult Middle Age Aged Aged, 80 and Over Postoperative Care Embase Medline CINAHL Database Health Status Pain Muscle Strength Balance, Postural Physical Mobility Confidence Intervals Descriptive Statistics Data Analysis Software Exercise Intensity Time Factors Checklists Electrical Stimulation, Neuromuscular Pliability Blood Flow Restriction Training Individualized Medicine Fatigue Heart Rate Elastic Bandages Patient Compliance Physical Fitness Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Purpose: To quantify the effectiveness of prehabilitation prior to total knee and hip arthroplasty (TKA/THA) for osteoarthritis on postoperative outcomes assessed by self-report and performance-based measures. Methods: Embase, MEDLINE, CENTRAL, CINAHL and Scopus (inception-August 2022) were searched for randomized controlled trials. Self-report outcomes were function, health-related quality of life (HRQoL), and pain. Performance-based outcomes were strength, range of motion (ROM), balance, and functional mobility. The RoB 2.0 assessed risk of bias. Random-effects meta-analysis was performed up to 52 weeks after TKA/THA. Results: High risk of bias was found in 24 of 28 trials. Prehabilitation improved function (SMD = 0.50 [95%CI: 0.23, 0.77]), pain (SMD = 0.44 [95%CI: 0.17, 0.71]), HRQoL (SMD = 0.28 [95%CI: 0.12, 0.43]), strength (SMD = 0.72 [95%CI: 0.47, 0.98]), ROM (SMD = 0.31 [95%CI: 0.02, 0.59]), and functional mobility (SMD = 0.39 [95%CI: 0.05, 0.73]) post-TKA. No significant effect of prehabilitation on balance (SMD = 0.28 [95%CI: −0.11, 0.66]) post-TKA. All outcomes assessed had significant heterogeneity (p < 0.01). There were limited and contradictory trials (n = 2) for THA. Conclusion: High risk of bias and significant heterogeneity observed in our meta-analysis prevent conclusions regarding prehabilitation effectiveness on outcomes up to one year after TKA/THA. IMPLICATIONS FOR REHABILITATION: Prehabilitation has been promoted to improve postoperative outcomes and shorten recovery periods after total knee/hip arthroplasty (TKA/THA) for osteoarthritis Prehabilitation improved relevant self-report and performance-based outcomes after TKA surgery A high risk of bias and significant heterogeneity across trials prevent drawing any conclusions More high-quality research is required before recommending the implementation of prehabilitation programs in clinical practice for people awaiting TKA/THA pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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